Evidence map›Paper›PMID 17449857›Full record

ReviewArchives of disease in childhood. Fetal and neonatal edition2007

Should pulse oximetry be used to screen for congenital heart disease?

Pekka Valmari

Open access · bronzeAbstract readEvaluation StudyReview
In one paragraph

Review in Archives of disease in childhood. Fetal and neonatal edition, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Should Dual Pulse Oximetry Screening Be Used in Neonates? The Insights from the CHOOSE Study.Heart views : the official journal of the Gulf Heart Association · 2026
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  9. Modern Strategy for Identification of Congenital Heart Defects in the Neonatal Period.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2016
    Article
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  12. Feasibility of implementing pulse oximetry screening for congenital heart disease in a community hospital.Journal of perinatology : official journal of the California Perinatal Association · 2012
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  14. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Pekka ValmariDepartment of Paediatrics, PO Box 8041, 96101 Rovaniemi, Finland. pekka.valmari@lshp.fi

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ten studies (44 969 newborns, 71 severe defects) evaluating the usefulness of neonatal pulse oximetry (PO) screening in timely detection of congenital heart disease (CHD) were reviewed. PO showed a high specificity (99.9-99.99%), and the overall rate of detection of 15 individual defects with PO was 72% (range 46-100%), exceeding that of the clinical examination 58% (9-86%). Similar results were obtained for cyanotic CHD (89% v 69%, respectively). Without PO, discharge of apparently healthy infants with unknown CHD was 5.5 times and 4.1 times more likely in cyanotic CHD and all serious CHD, respectively. The paper describes the technical and practical details of first day and later screening. Diagnosis is reached earliest with first day screening, but it requires more resources. PO screening is not sensitive enough to serve as an independent screen, but along with the clinical examination it helps minimise the morbidity and mortality associated with discharge without diagnosis. Further research is needed for precise delineation of populations that would benefit from PO screening.

Indexed as

Age FactorsHeart Defects, CongenitalHumansInfant, NewbornNeonatal ScreeningOximetrySensitivity and Specificity

Identifiers

PMID17449857
PMCPMC2675337
OpenAlexW2017027643

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.