ArticleActa paediatrica (Oslo, Norway : 1992)2016
Pulse oximetry could significantly enhance the early detection of critical congenital heart disease in neonatal intensive care units.
Article in Acta paediatrica (Oslo, Norway : 1992), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- A Meta-Analysis about the Screening Role of Pulse Oximetry for Congenital Heart Disease.BioMed research international · 2017Pooled it
- [Clinical value of AI-assisted cardiac auscultation in screening for congenital heart disease in neonates].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2026Article
- The Critical Role of Pulse Oximetry Screening for Congenital Heart Disease and Patent Ductus Arteriosus in Newborns.Cureus · 2024Article
- Diagnostic Accuracy of Physical Examination and Pulse Oximetry for Critical Congenital Cardiac Disease Screening in Newborns.Children (Basel, Switzerland) · 2023Review
- Pulse Oximetry Values in Newborns with Critical Congenital Heart Disease upon ICU Admission at Altitude.International journal of neonatal screening · 2018Article
- Evaluation of critical congenital heart defects screening using pulse oximetry in the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2017Article
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10 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
aimLimited data have been available regarding critical congenital heart disease (CHD) screening in neonatal intensive care unit (NICUs). This study evaluated the feasibility of screening for CHD by adding pulse oximetry (POX) to clinical evaluation in a NICU in Shanghai, China.
methodsWe screened 4128 eligible consecutive NICU admissions using POX plus clinical evaluation. Infants with positive screening results were then evaluated with echocardiography. Those with negative screening results were put under observation, and they also underwent echocardiography if their oxygen saturation fell below 95% on room air during hospitalisation.
resultsThis enhanced procedure detected 19 critical CHD cases, and seven of these diagnoses would have been delayed if POX had not been incorporated into the screening strategy. This means that the addition of POX increased the detection rate of critical CHD from 63.2 to 100%. The false-positive rate of critical CHD screening using POX plus clinical evaluation was higher in NICU patients with high morbidity rates.
conclusionWhen pulse oximetry screening was added to clinical evaluation, it increased the number of critical CHD cases that were detected in our NICU. This method could provide a useful screening protocol for critical CHD cases.
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