Feasibility of Pulse Oximetry Screening for Critical Congenital Heart Disease at 2643-Foot Elevation
To evaluate the feasibility of implementing a pulse oximetry screening protocol at a city of mild elevation with a specific focus on the false-positive screening rate. Pulse oximetry screening was performed according to the proposed guidelines endorsed by the American Academy of Pediatrics at a cent...
Saved in:
Published in | Pediatric cardiology Vol. 34; no. 8; pp. 1803 - 1807 |
---|---|
Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
New York
Springer US
01.12.2013
Springer |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Summary: | To evaluate the feasibility of implementing a pulse oximetry screening protocol at a city of mild elevation with a specific focus on the false-positive screening rate. Pulse oximetry screening was performed according to the proposed guidelines endorsed by the American Academy of Pediatrics at a center in Tucson, AZ, at an elevation of 2,643 ft (806 m). During a 10-month period in 2012, 1069 full-term asymptomatic newborns were screened ≥24 h after birth. The mean preductal oxygen saturation was 98.5 ± 1.3 % (range 92–100 %), and the mean postductal oxygen saturation was 98.6 ± 1.3 % (range 94–100 %). Of 1,069 patients screened, 7 were excluded secondary to protocol violations, and 1 screened positive. An echocardiogram was performed on the newborn with the positive screen, and it was normal with the exception of right-to-left shunting across a patent foramen ovale. The false-positive rate was 1/1,062 or 0.094 %. The pulse oximetry screening guidelines recommended by the American Academy of Pediatrics are feasible at an elevation of 2,643 ft (806 m) with a low false-positive rate. Adjustments to the protocol are not required for centers at elevations ≤2,643 ft. Future studies at greater elevations are warranted. |
---|---|
Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0172-0643 1432-1971 |
DOI: | 10.1007/s00246-013-0716-2 |