Impact of pulse oximetry screening on the detection of duct dependent congenital heart disease: a Swedish prospective screening study in 39,821 newborns.

BMJ : British Medical Journal
Anne de-Wahl GranelliIngegerd Ostman-Smith

Abstract

To evaluate the use of pulse oximetry to screen for early detection of life threatening congenital heart disease. Prospective screening study with a new generation pulse oximeter before discharge from well baby nurseries in West Götaland. Cohort study comparing the detection rate of duct dependent circulation in West Götaland with that in other regions not using pulse oximetry screening. Deaths at home with undetected duct dependent circulation were included. All 5 maternity units in West Götaland and the supraregional referral centre for neonatal cardiac surgery. 39,821 screened babies born between 1 July 2004 and 31 March 2007. Total duct dependent circulation cohorts: West Götaland n=60, other referring regions n=100. Sensitivity, specificity, positive and negative predictive values, and likelihood ratio for pulse oximetry screening and for neonatal physical examination alone. In West Götaland 29 babies in well baby nurseries had duct dependent circulation undetected before neonatal discharge examination. In 13 cases, pulse oximetry showed oxygen saturations <or=90%, and (in accordance with protocol) clinical staff were immediately told of the results. Of the remaining 16 cases, physical examination alone detected 10 (63%). ...Continue Reading

Associated Clinical Trials

References

Nov 1, 1994·Archives of Disease in Childhood. Fetal and Neonatal Edition·M Abu-HarbC Wren
Jul 1, 1994·Archives of Disease in Childhood·M Abu-HarbC Wren
Apr 2, 1999·Pediatrics·K S KuehlC Ferencz
Aug 24, 2002·Archives of Disease in Childhood. Fetal and Neonatal Edition·S RichmondM Abu Harb
Dec 24, 2002·Archives of Disease in Childhood·M MaharasingamM G Pike
Mar 18, 2003·The Journal of Pediatrics·Jonathan D ReichKevin Sullivan
May 29, 2004·The American Journal of Forensic Medicine and Pathology·Petra Råsten-Almqvist, Jovan Rajs
Sep 29, 2005·Acta Paediatrica·Kirsti Heinonen
Oct 8, 2005·European Journal of Pediatrics·Romaine ArlettazUrs Bauersfeld
Oct 22, 2005·Journal of Perinatal Medicine·Enrico RosatiGiuseppe Latini
Dec 30, 2006·Circulation·Wayne RosamondUNKNOWN American Heart Association Statistics Committee and Stroke Statistics Subcommittee
Mar 9, 2007·Archives of Disease in Childhood. Fetal and Neonatal Edition·Shakila ThangaratinamKhalid S Khan
May 4, 2007·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·L PasquiniH M Gardiner
Jun 9, 2007·Archives of Disease in Childhood. Fetal and Neonatal Edition·C WrenK Khawaja
May 22, 2008·The Journal of Pediatrics·Alf MebergInger Elisabeth Silberg

❮ Previous
Next ❯

Citations

Mar 12, 2013·Pediatric Cardiology·Asha ShenviShree Vishna Rasiah
May 22, 2013·Seminars in Fetal & Neonatal Medicine·Mats Mellander
Jan 28, 2012·Journal of Perinatology : Official Journal of the California Perinatal Association·E A BradshawG R Martin
Jun 7, 2012·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Amanda J Hines
Mar 8, 2011·Archives of Disease in Childhood. Fetal and Neonatal Edition·Ewen D JohnstonBen J Stenson
Jan 24, 2013·Archives of Disease in Childhood. Fetal and Neonatal Edition·Sarah PrudhoeChristopher Wren
May 25, 2010·BMC Pediatrics·Christoph RüeggerRomaine Arlettaz Mieth
Mar 9, 2010·Italian Journal of Pediatrics·Francesco CresiLeandra Silvestro
Mar 29, 2014·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Donna J RyanAnne Derouin
Mar 22, 2014·Archives of Disease in Childhood. Fetal and Neonatal Edition·Anju SinghAndrew K Ewer
Jul 31, 2013·Journal of Perinatology : Official Journal of the California Perinatal Association·G K Suresh
Feb 6, 2013·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Stefan Kutzsche, Drude Fugelseth
Apr 23, 2015·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Elif ÖzalkayaHamide Melek Yaren
Mar 5, 2014·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Antonio Alberto ZuppaCostantino Romagnoli
Feb 16, 2016·Clinics in Perinatology·Matthew E Oster, Lazaros Kochilas
Jan 28, 2016·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Lynn CrouchMarlon G Daniel
Oct 15, 2013·The Journal of Pediatrics·Matthew E OsterWilliam T Mahle
Jan 15, 2016·Journal of Perinatology : Official Journal of the California Perinatal Association·N PatankarS Lakshminrusimha
Mar 20, 2012·Archivos de bronconeumología·Mario H VargasM Elena Y Furuya
Aug 9, 2011·Lancet·William Mahle, Robert Koppel
Jan 10, 2016·The Journal of Pediatrics·Ilona C NarayenArjan B Te Pas
Nov 6, 2015·Journal of Perinatology : Official Journal of the California Perinatal Association·E M GoetzJ S Hokanson
Sep 16, 2015·Archives of Disease in Childhood. Fetal and Neonatal Edition·Ilona C NarayenArjan B te Pas
Jul 14, 2012·Pediatric Cardiology·Brandon W HardenElizabeth A Bradshaw
Jun 6, 2014·Pediatric Cardiology·Kristi L Boelke, John S Hokanson
Nov 28, 2012·Birth Defects Research. Part A, Clinical and Molecular Teratology·Richard S Olney, Lorenzo D Botto
Jan 21, 2012·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A N SealeUNKNOWN British Congenital Cardiac Association
Apr 13, 2012·Congenital Heart Disease·Daniel J BeisselJohn S Hokanson
Sep 4, 2013·Birth Defects Research. Part A, Clinical and Molecular Teratology·Cora PetersonCynthia H Cassell
Jun 26, 2010·Congenital Heart Disease·Benton Ng, John Hokanson
Jul 26, 2014·Acta Paediatrica·Anne de-Wahl GranelliMats Mellander
Jun 4, 2015·Archives of Disease in Childhood. Fetal and Neonatal Edition·Anita SaxenaRajnish Juneja

❮ Previous
Next ❯

Software Mentioned

GraphPad Prism
Radical SET
Statgraphics Plusv5

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.