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October 13, 2016PEDIATRICSOpen Access

Newborn Pulse Oximetry Screening: Which Algorithm Is Best?

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Key result

Pulse oximetry screening for critical congenital heart defects demonstrates moderate sensitivity (~75%) and high specificity (99.8%), though testing before 24 hours yields higher false-positive rates.

Why the study?

Which pulse oximetry screening algorithm is best for detecting critical congenital heart defects in newborns?

Population

Newborns undergoing pulse oximetry screening for critical congenital heart defects (CCHD)

Design

Editorial

Authors

AEAndrew K EwerUniversity College BirminghamGMGerard R. MartinChildren's National

Discussion

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Member takes

Overview

Supports routine POS with low false-positive rates after 24 hours; confirms meta-analytic evidence for universal CCHD screening in newborns.

Structured PICO

Which pulse oximetry screening algorithm is best for detecting critical congenital heart defects in newborns?

P
Population
Newborns undergoing pulse oximetry screening for critical congenital heart defects (CCHD)
I
Intervention
Pulse oximetry screening (POS) algorithms (pre- and postductal saturations vs single postductal measurement; screening before vs after 24 hours)
O
Outcome
Sensitivity, specificity, false-positive rate, and false-negative rate for detecting CCHD

While pulse oximetry screening has high specificity overall, algorithms using both pre- and postductal measurements and testing after 24 hours may reduce false negatives and false positives.

Cite This Study

Ewer et al. (2016) conducted an editorial in Critical congenital heart defect (CCHD). Pulse oximetry screening was evaluated on Sensitivity and specificity for CCHD detection. Pulse oximetry screening for critical congenital heart defects demonstrates moderate sensitivity (~75%) and high specificity (99.8%), though testing before 24 hours yields higher false-positive rates.

synapsesocial.com/papers/6ab4bc081f3d2b1178b0ad4ehttps://doi.org/10.1542/peds.2016-1206
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The impact of routine predischarge pulse oximetry screening in a regional neonatal unit2014 · 101 citations
  2. 2Effectiveness of neonatal pulse oximetry screening for detection of critical congenital heart disease in daily clinical routine—results from a prospective multicenter study2010 · 245 citations
  3. 3Strategies for Implementing Screening for Critical Congenital Heart Disease2011 · 424 citations
  4. 4Impact of pulse oximetry screening on the detection of duct dependent congenital heart disease: a Swedish prospective screening study in 39 821 newborns2009 · 453 citations
  5. 5Review of pulse oximetry screening for critical congenital heart defects in newborn infants2013 · 58 citations