학술논문

Evaluation of critical congenital heart defects screening using pulse oximetry in the neonatal intensive care unit
Document Type
article
Source
Journal of Perinatology. 37(10)
Subject
Heart Disease
Cardiovascular
Prevention
Health Services
Pediatric
Perinatal Period - Conditions Originating in Perinatal Period
Preterm
Low Birth Weight and Health of the Newborn
Clinical Research
Infant Mortality
Detection
screening and diagnosis
4.2 Evaluation of markers and technologies
Reproductive health and childbirth
Echocardiography
Gestational Age
Heart Defects
Congenital
Humans
Infant
Extremely Low Birth Weight
Infant
Newborn
Infant
Premature
Intensive Care Units
Neonatal
Neonatal Screening
Oximetry
Oxygen Inhalation Therapy
Prospective Studies
Clinical Sciences
Paediatrics and Reproductive Medicine
Pediatrics
Language
Abstract
ObjectiveTo 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 designProspective evaluation of CCHD screening at multiple time intervals was conducted in 21 NICUs across five states (n=4556 infants).ResultsOf 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