scholarly journals Pulse oximetry as a screening test for congenital heart defects in newborn infants: a test accuracy study with evaluation of acceptability and cost-effectiveness.

2012 ◽  
Vol 16 (2) ◽  
Author(s):  
AK Ewer ◽  
AT Furmston ◽  
LJ Middleton ◽  
JJ Deeks ◽  
JP Daniels ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Pulse Oximetry ◽  
Congenital Heart Defects ◽  
Screening Test ◽  
Congenital Heart ◽  
Heart Defects ◽  
Newborn Infants ◽  
Test Accuracy ◽  
Accuracy Study

Pulse oximetry as a screening test for congenital heart defects in newborn infants: the pulseox test accuracy study

2011 ◽  
Vol 96 (Supplement 1) ◽  
pp. Fa3-Fa3
Author(s):  
L. J. Middleton ◽  
A. K. Ewer ◽  
A. Bhoyar ◽  
A. T. Furmston ◽  
J. P. Daniels ◽  
...  
Keyword(s):  
Pulse Oximetry ◽  
Congenital Heart Defects ◽  
Screening Test ◽  
Congenital Heart ◽  
Heart Defects ◽  
Newborn Infants ◽  
Test Accuracy ◽  
Accuracy Study

Pulse oximetry screening for congenital heart defects in newborn infants (PulseOx): a test accuracy study

The Lancet ◽  
2011 ◽  
Vol 378 (9793) ◽  
pp. 785-794 ◽  
Author(s):  
Andrew K Ewer ◽  
Lee J Middleton ◽  
Alexandra T Furmston ◽  
Abhay Bhoyar ◽  
Jane P Daniels ◽  
...  
Keyword(s):  
Pulse Oximetry ◽  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Heart Defects ◽  
Newborn Infants ◽  
Test Accuracy ◽  
Accuracy Study ◽  
Pulse Oximetry Screening

Pulse oximetry screening for congenital heart defects in newborn infants: an evaluation of acceptability to mothers

2012 ◽  
Vol 98 (1) ◽  
pp. F59-F63 ◽  
Author(s):  
Rachael Powell ◽  
Helen M Pattison ◽  
Abhay Bhoyar ◽  
Alexandra T Furmston ◽  
Lee J Middleton ◽  
...  
Keyword(s):  
Pulse Oximetry ◽  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Heart Defects ◽  
Newborn Infants ◽  
Pulse Oximetry Screening

scholarly journals Pulse Oximetry During the First 24 Hours as a Screening Tool For Congenital Heart Defects

2017 ◽  
Vol 3 (1) ◽  
pp. 12-17
Author(s):  
Mihaela Patriciu ◽  
Andreea Avasiloaiei ◽  
Mihaela Moscalu ◽  
Maria Stamatin
Keyword(s):  
Oxygen Saturation ◽  
Pulse Oximetry ◽  
Sensitivity And Specificity ◽  
Congenital Heart Defects ◽  
Screening Test ◽  
Congenital Heart ◽  
Heart Defects ◽  
Blood Oxygen ◽  
Blood Oxygen Saturation ◽  
Routine Pulse Oximetry

Abstract Introduction: Although screening for congenital heart defects (CHD) relies mainly on antenatal ultrasonography and clinical examination after birth, life-threatening cardiac malformations are often not diagnosed before the patient is discharged. Aim: To assess the use of routine pulse oximetry in the delivery room and at 24 hours postpartum, and to study its feasibility as a screening test for CHD. Material and Methods: In this prospective study, all infants born in “Cuza Voda” Maternity Hospital, Iasi, Romania, were enrolled over a thirteen-month period. Preductal oximetry was assessed during the first hour, and postductal oximetry was evaluated at twenty-four hours postpartum. Data were then analyzed to establish the sensitivity and specificity of pulse oximetry, as a screening test for CHD. Results: 5406 infants were included in the study, with a mean gestational age of 38.2 weeks and a mean birth weight of 3175 grams. During the first minute, blood oxygen saturation varied between 40% and 90% and at 24 hours of life, it ranged between 90% and 100%. Following oximetry assessment, 14 infants with critical CHD were identified. Blood oxygen saturation values in infants with CHD were lower throughout the entire period of evaluation. Pulse oximetry had good sensitivity and specificity at 1 hour (Se=87.5%, Sp=95.5%) and 24 hours (Se=92.5%, Sp=97.4%) for the diagnosis of CHD. Blood oxygen saturation values at one minute, 1 hour and 24 hours are strong discriminative parameters for the early diagnosis of CHD. Conclusion: Routine pulse oximetry during the first 24 hours postpartum represents an early indicator of CHD to facilitate timely intervention. Pulse oximetry provides excellent sensitivity and specificity and has tremendous potential as a standard screening test for CHD during the first 24 hours of life.

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