Newborn Pulse Oximetry Screening for Detecting Congenital Heart Disease: Experience at a Tertiary Care Center.

IF 1.3 Q3 PEDIATRICS International Journal of Pediatrics Pub Date : 2024-01-11 eCollection Date: 2024-01-01 DOI:10.1155/2024/3279878
Ziad R Bulbul, Nour K Younis, Farah Malaeb, Haytham Bou Hussein, Mariam Arabi, Fadi Bitar
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Abstract

Background: Congenital heart disease (CHD) remains the number one birth defect worldwide. Pulse oximetry screening (POS) is a widely used CHD screening modality effective in detecting critical lesions. This study is aimed at assessing the accuracy and cost-effectiveness of POS in a cohort of term well-babies admitted to a regular nursery in a tertiary care center.

Methods: We reviewed the charts of term babies admitted to our regular nursery over a period of one year. The results of POS and the findings of echocardiography were collected. Similarly, we explored the records of our fetal echocardiography program to identify the fetuses screened for CHD during the same period.

Results: 900 term babies were born and admitted to newborn nursery at our center, and 69 fetuses were evaluated by our fetal cardiology team during the study period. None of our term babies had a positive POS at birth or 24 hours of age. However, 56 babies had a cardiac echo before hospital discharge due to suspicious findings on physical examination or a family history of CHD. A simple noncritical CHD was noted in 10 of them. Additionally, 53 babies underwent echocardiography within the first five years of life; a simple CHD was noted in 6 of them. In parallel, 21 of our fetuses were found to have CHD: 16 simple CHD and 5 critical CHD (CCHD).

Conclusion: Despite its cost-effectiveness and efficacy in screening for CCHD, POS is suboptimal for detecting simple CHD. In the absence of a proper prenatal screening and fetal echocardiography program, POS remains a cost-effective modality for detecting CCHD.

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新生儿脉搏氧饱和度筛查用于检测先天性心脏病:一家三级医疗中心的经验。
背景:先天性心脏病(CHD)仍然是全球头号出生缺陷。脉搏氧饱和度筛查(POS)是一种广泛使用的先天性心脏病筛查方法,能有效检测出关键病变。本研究旨在评估脉搏氧饱和度筛查的准确性和成本效益:方法:我们回顾了一年内入住常规育婴室的足月婴儿的病历。我们收集了 POS 和超声心动图的结果。同样,我们还查阅了胎儿超声心动图项目的记录,以确定在同一时期接受过先天性心脏病筛查的胎儿:结果:900 名足月儿在本中心出生并进入新生儿室,69 名胎儿在研究期间接受了胎儿心脏病学团队的评估。没有一个足月儿在出生时或出生后 24 小时内的 POS 呈阳性。然而,有 56 名婴儿在出院前做了心脏回波检查,原因是体格检查结果可疑或有先天性心脏病家族史。其中有 10 名婴儿患有单纯性非危重先天性心脏病。此外,53 名婴儿在出生后五年内接受了超声心动图检查,其中 6 名婴儿患有单纯性心脏病。与此同时,我们发现 21 个胎儿患有先天性心脏病:16 个为单纯先天性心脏病,5 个为重度先天性心脏病(CCHD):结论:尽管POS在筛查CCHD方面具有成本效益和有效性,但它在检测单纯性CHD方面并不理想。在缺乏适当的产前筛查和胎儿超声心动图项目的情况下,POS 仍是一种检测 CCHD 的经济有效的方法。
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来源期刊
CiteScore
3.90
自引率
0.00%
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0
审稿时长
4 weeks
期刊介绍: International Journal of Pediatrics is a peer-reviewed, open access journal that publishes original researcharticles, review articles, and clinical studies in all areas of pediatric research. The journal accepts submissions presented as an original article, short communication, case report, review article, systematic review, or letter to the editor.
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