Comparison of infant heart rate assessment by auscultation, ECG and oximetry in the delivery room
Clinical assessment of an infant’s heart rate (HR) in the delivery room (DR) has been reported to be inaccurate. We compared auscultation of the HR using a stethoscope with electrocardiography (ECG) and pulse oximetry (PO) for determining the HR in 92 low-risk newborn infants in the DR. Caregivers a...
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Published in | Archives of disease in childhood. Fetal and neonatal edition Vol. 103; no. 5; pp. F490 - F492 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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BMJ Publishing Group LTD
01.09.2018
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Abstract | Clinical assessment of an infant’s heart rate (HR) in the delivery room (DR) has been reported to be inaccurate. We compared auscultation of the HR using a stethoscope with electrocardiography (ECG) and pulse oximetry (PO) for determining the HR in 92 low-risk newborn infants in the DR. Caregivers auscultated the HR while masked to the HR on the monitor. Auscultation underestimated ECG HR (mean difference (95% CI) by −9 (−15 to –2) beats per minute (bpm)) and PO HR (mean difference (95% CI) by −5 (−12 to 2) bpm). The median (IQR) time to HR by auscultation was 14 (10–18) s. As HR was determined quickly and with reasonable accuracy by auscultation in low-risk newborns, study in high-risk infants is warranted. |
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AbstractList | Clinical assessment of an infant’s heart rate (HR) in the delivery room (DR) has been reported to be inaccurate. We compared auscultation of the HR using a stethoscope with electrocardiography (ECG) and pulse oximetry (PO) for determining the HR in 92 low-risk newborn infants in the DR. Caregivers auscultated the HR while masked to the HR on the monitor. Auscultation underestimated ECG HR (mean difference (95% CI) by −9 (−15 to –2) beats per minute (bpm)) and PO HR (mean difference (95% CI) by −5 (−12 to 2) bpm). The median (IQR) time to HR by auscultation was 14 (10–18) s. As HR was determined quickly and with reasonable accuracy by auscultation in low-risk newborns, study in high-risk infants is warranted. Clinical assessment of an infant's heart rate (HR) in the delivery room (DR) has been reported to be inaccurate. We compared auscultation of the HR using a stethoscope with electrocardiography (ECG) and pulse oximetry (PO) for determining the HR in 92 low-risk newborn infants in the DR. Caregivers auscultated the HR while masked to the HR on the monitor. Auscultation underestimated ECG HR (mean difference (95% CI) by -9 (-15 to -2) beats per minute (bpm)) and PO HR (mean difference (95% CI) by -5 (-12 to 2) bpm). The median (IQR) time to HR by auscultation was 14 (10-18) s. As HR was determined quickly and with reasonable accuracy by auscultation in low-risk newborns, study in high-risk infants is warranted. |
Author | Murphy, Madeleine C De Angelis, Laura McCarthy, Lisa K O’Donnell, Colm Patrick Finbarr |
Author_xml | – sequence: 1 givenname: Madeleine C surname: Murphy fullname: Murphy, Madeleine C email: codonnell@nmh.ie organization: School of Medicine, University College Dublin, Dublin, Ireland – sequence: 2 givenname: Laura surname: De Angelis fullname: De Angelis, Laura email: codonnell@nmh.ie organization: Vittore Buzzi Hospital, University of Milan, Dublin, Ireland – sequence: 3 givenname: Lisa K surname: McCarthy fullname: McCarthy, Lisa K email: codonnell@nmh.ie organization: Department of Neonatology, Our Lady’s Children’s Hospital, Dublin, Ireland – sequence: 4 givenname: Colm Patrick Finbarr surname: O’Donnell fullname: O’Donnell, Colm Patrick Finbarr email: codonnell@nmh.ie organization: Department of Neonatology, Our Lady’s Children’s Hospital, Dublin, Ireland |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29802102$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1016/j.resuscitation.2010.03.021 10.1016/j.jpeds.2005.07.025 10.1016/j.resuscitation.2006.04.015 10.1016/j.resuscitation.2015.07.029 10.1016/j.resuscitation.2012.07.035 10.1136/archdischild-2017-313149 10.1136/archdischild-2017-312866 10.1542/9781610020251 |
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References | Kamlin, O’Donnell, Everest 2006; 71 Chitkara, Rajani, Oehlert 2013; 84 Voogdt, Morrison, Wood 2010; 81 Murphy, De Angelis, McCollum 2017; 102 O’Donnell, Kamlin, Davis 2005; 147 Murphy, Angelis, Fitzgerald 2017; 102 Wyllie, Bruinenberg, Roehr 2015; 95 2020061507293012000_103.5.F490.2 2020061507293012000_103.5.F490.4 2020061507293012000_103.5.F490.3 Voogdt (2020061507293012000_103.5.F490.1) 2010; 81 2020061507293012000_103.5.F490.6 2020061507293012000_103.5.F490.5 2020061507293012000_103.5.F490.8 2020061507293012000_103.5.F490.7 |
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Snippet | Clinical assessment of an infant’s heart rate (HR) in the delivery room (DR) has been reported to be inaccurate. We compared auscultation of the HR using a... Clinical assessment of an infant's heart rate (HR) in the delivery room (DR) has been reported to be inaccurate. We compared auscultation of the HR using a... |
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SubjectTerms | Accuracy Babies Cardiac arrhythmia Caregivers Data analysis Data collection Ethics Heart rate Infants Medical instruments Newborn babies Scholarships & fellowships |
Title | Comparison of infant heart rate assessment by auscultation, ECG and oximetry in the delivery room |
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