학술논문
Home use of a compact, 12‑lead ECG recording system for newborns
Document Type
article
Author
Lin, Henry J; Lan, Yueh-Tze; Silka, Michael J; Halnon, Nancy J; Villa-Lopez, Eva; Arenas, Nataly; Escobedo, Fabian; Montoya, Ryan; Valdez, Sarah; Shishvan, Omid Rajabi; Sedano, Sandra; Marr, Emily H; Lauzon, Marie; Moosa, AS; Ko, Kimberly J; Shoji, Elaine C; Clark, Alexandra M; Smith, Lynne M; Criley, John Michael; Grody, Wayne W; Chen, Yii-Der Ida; Taylor, Kent D; Guo, Xiuqing; Soyata, Tolga; Rotter, Jerome I; Chien, Tingchou; Chou, Pai; Chang, Ruey-Kang
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Subject
Language
Abstract
BACKGROUND:An easy-to-operate ECG recorder should be useful for newborn screening for heart conditions, by health care workers - or parents. We developed a one-piece electrode strip and a compact, 12‑lead ECG recorder for newborns. METHOD:We enrolled 2582 newborns in a trial to assess abilities of parents to record a 12‑lead ECG on their infants (2-4 weeks-old). Newborns were randomized to recordings by parents (1290) or our staff (1292 controls). Educational backgrounds of parents varied, including 64% with no more than a high school diploma. RESULTS:For newborns randomized to parent recorded ECGs, 94% of parents completed a 10-minute recording. However, 42.6% asked for verbal help, and 12.7% needed physical help. ECG quality was the same for recordings by parents versus staff. CONCLUSIONS:By use of a one-piece electrode strip and a compact recorder, 87% of parents recorded diagnostic quality ECGs on their newborn infants, with minimal assistance.