What question did this study set out to answer?

To assess the clinical effectiveness of routine pre-discharge pulse oximetry in identifying critical and serious cardiovascular anomalies in newborn infants.

January 22, 2013Archives of Disease in Childhood Fetal & Neonatal

Neonatal screening for critical cardiovascular anomalies using pulse oximetry

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Authors

SPS PrudhoeBristol Royal Hospital for Children MAMajd Abu-HarbCentre for Advancing Health Outcomes SRSam RichmondSunderland Royal Hospital

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Implication

Retrospective cohort study reveals routine pulse oximetry detects select critical heart defects in newborns, highlighting persistence of missed diagnoses before discharge.

Key Points

To assess the clinical effectiveness of routine pre-discharge pulse oximetry in identifying critical and serious cardiovascular anomalies in newborn infants.
Retrospectively evaluated 29,925 infants not admitted to the neonatal unit from a total cohort of 31,946 hospital births between April 1, 1999, and March 31, 2009.
Conducted postductal oxygen saturation measurements before discharge, triggering clinical examination and follow-up echocardiography if saturation was <95% or remained persistently low.
Identified all cardiac anomalies diagnosed within the first year of life via linkage to the regional fetal abnormality database.
Critical anomalies occurred in 27 infants (1 in 1,180 births); pulse oximetry screening identified 5 cases, while 10 were detected prenatally, 2 following exams for other anomalies, 2 in preterms, 2 when symptomatic before screening, 1 when symptomatic post-screen, and 5 after discharge home.
Serious anomalies occurred in 50 infants (1 in 640 births); pulse oximetry screening detected 5 cases, routine newborn examination detected 11, antenatal screening detected 8, and 16 were discharged home undiagnosed.

Cite This Study

Prudhoe et al. (2013) studied this question.

synapsesocial.com/papers/6aa15084e808e27a7c444009 https://doi.org/10.1136/archdischild-2012-302045

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Implication

Retrospective cohort study reveals routine pulse oximetry detects select critical heart defects in newborns, highlighting persistence of missed diagnoses before discharge.

Neonatal screening for critical cardiovascular anomalies using pulse oximetry

Discussion

Member takes

Implication

Key Points

Cite This Study

Neonatal screening for critical cardiovascular anomalies using pulse oximetry

Discussion

Member takes

Implication

Key Points

Cite This Study

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