|
|
|
|
Evaluation of critical congenital heart defects screening using pulse oximetry in the neonatal intensive care unit
|
|
|
|
|
|
|
|
نویسنده
|
Braun K Van Naarden ,Grazel R ,Koppel R ,Lakshminrusimha S ,Lohr J ,Kumar P ,Govindaswami B ,Giuliano M ,Cohen M ,Spillane N ,Jegatheesan P ,McClure D ,Hassinger D ,Fofah O ,Chandra S ,Allen D ,Axelrod R ,Blau J ,Hudome S ,Assing E ,Garg L F
|
|
منبع
|
journal of perinatology - 2017 - دوره : 37 - شماره : 10 - صفحه:1117 -1123
|
|
چکیده
|
Objective:to evaluate the implementation of early screening for critical congenital heart defects (cchds) in the neonatal intensive care unit (nicu) and potential exclusion of sub-populations from universal screening.study design:prospective evaluation of cchd screening at multiple time intervals was conducted in 21 nicus across five states (n=4556 infants).results:of the 4120 infants with complete screens, 92% did not have prenatal chd diagnosis or echocardiography before screening, 72% were not receiving oxygen at 24 to 48 h and 56% were born ⩾2500 g. thirty-seven infants failed screening (0.9%); none with an unsuspected cchd. false positive rates were low for infants not receiving oxygen (0.5%) and those screened after weaning (0.6%), yet higher among infants born at <28 weeks (3.8%). unnecessary echocardiograms were minimal (0.2%).conclusion:given the majority of nicu infants were ⩾2500 g, not on oxygen and not preidentified for cchd, systematic screening at 24 to 48 h may be of benefit for early detection of cchd with minimal burden.
|
|
|
|
|
آدرس
|
Centers for Disease Control and Prevention, USA. New Jersey Department of Health, Trenton, USA, New Jersey Department of Health, Trenton, USA. American Academy of Pediatrics, USA, Long Island Jewish Cohen Children’s Medical Center, USA, University of Buffalo Medical Center, USA, University of Minnesota Medical System, USA, University of Illinois Medical Center, USA, Santa Clara Valley Medical Center, USA, Hackensack University Medical Center, USA, Children’s Hospital of New Jersey at Newark Beth Israel Medical Center, USA, Hackensack University Medical Center, USA, Santa Clara Valley Medical Center, USA, Saint Joseph’s Regional Medical Center, USA, Morristown Medical Center, USA, Rutgers New Jersey Medical School, USA, Saint Peter’s University Hospital, USA, Saint Peter’s University Hospital, USA, Capital Health Medical Center Hopewell, USA, Northwell Staten Island University Hospital, USA, Long Branch, USA, Jersey Shore University Medical Center, USA, New Jersey Department of Health, Trenton, USA
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Authors
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|