Evaluation of critical congenital heart defects screening using pulse oximetry in the neonatal intensive care unit.
Publication/Presentation Date
10-1-2017
Abstract
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.
Volume
37
Issue
10
First Page
1117
Last Page
1123
ISSN
1476-5543
Published In/Presented At
Van Naarden Braun K, 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 LF. Evaluation of critical congenital heart defects screening using pulse oximetry in the neonatal intensive care unit. J Perinatol. 2017 Oct;37(10):1117-1123. doi: 10.1038/jp.2017.105. Epub 2017 Jul 27. PMID: 28749481; PMCID: PMC5633653.
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
28749481
Department(s)
Department of Pediatrics
Document Type
Article