ArticleEuropean journal of pediatrics2016
The perfusion index of healthy term infants during transition at birth.
Article in European journal of pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Identifying performance differences between two pulse oximetry systems in simulated critical neonatal conditions.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Performing Pulse Oximetry Screening in the Delivery Room Identified Newborn Infants Who Required Early Medical Attention.Acta paediatrica (Oslo, Norway : 1992) · 2025Article
- Peripheral Perfusion Index for Prediction of Fluid Responsiveness in Spontaneously Breathing Critically Ill Patients: A Prospective Observational Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025Article
- Normal Value of Perfusion Index in Healthy Neonates Born in Iran.Archives of Iranian medicine · 2024Article
- Low false-positive rate of perfusion index as a screening tool for neonatal aortic coarctation.Acta paediatrica (Oslo, Norway : 1992) · 2021Article
- Haemodynamic Instability and Brain Injury in Neonates Exposed to Hypoxia⁻Ischaemia.Brain sciences · 2019Review
- Blood transfusions in preterm infants: changes on perfusion index and intermittent hypoxemia.Transfusion · 2018Article
- Observational
- Perfusion index and left ventricular output correlation in healthy term infants.European journal of pediatrics · 2017Observational
- Perfusion index assessment during transition period of newborns: an observational study.BMC pediatrics · 2016Observational
- Is perfusion index a surrogate indicator of left ventricular contractility in neonates? A prospective study.Annals of pediatric cardiologyArticle
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
unlabelledPerfusion index is a continuous parameter provided by pulse oximetry and might be useful for evaluating hemodynamic changes at birth and identifying transitional problems. The objective was to describe perfusion index values in term infants immediately after birth. Perfusion index of 71 healthy term born infants were recorded during the first 10 min after birth, using a pulse oximetry sensor placed preductally. A Wilcoxon signed-rank test was used to compare between time points. No significant trend in perfusion index could be observed in term-delivered infants. There was a significant difference between 2 and 3 min (2.4 (1.6-5.0) vs. 2.3 (1.6-3.7), p = 0.05) and between 3 and 4 min after birth (2.3 (1.6-3.7) vs. 2.1 (1.4-3.2), p < 0.001). There was no significant change in median PI values in the following 8 min.
conclusionPerfusion index does not change significantly during transition at birth in healthy term infants born by normal vaginal delivery or cesarean section. Large variation in perfusion index causes monitoring this parameter to have limited value. WHAT IS KNOWN: • Perfusion index is a non-invasive indicator for peripheral perfusion. • Perfusion index values <1.24 are seen as an accurate predictor for severity of illness for infants admitted to the neonatal intensive care unit. What is new: • Although significant physiological changes occur during birth, perfusion index remains stable. • Large variation in perfusion index causes monitoring of this value to have limited value as an additional parameter for evaluating transition at birth.
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