A nationwide survey of pulse oximetry screening for critical congenital heart disease in Japan
Critical congenital heart disease（CCHD）is defined as congenital heart disease that requires surgery or other treatment in the neonatal period. Pulse oximetry screening（POS）has been reported to improve the detection of CCHD in European and American countries, although POS algorithm is not established...
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| Published in | Journal of Japan Society of Perinatal and Neonatal Medicine Vol. 58; no. 1; pp. 92 - 97 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japan Society of Perinatal and Neonatal Medicine
2022
一般社団法人 日本周産期・新生児医学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1348-964X 2435-4996 |
| DOI | 10.34456/jjspnm.58.1_92 |
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| Abstract | Critical congenital heart disease（CCHD）is defined as congenital heart disease that requires surgery or other treatment in the neonatal period. Pulse oximetry screening（POS）has been reported to improve the detection of CCHD in European and American countries, although POS algorithm is not established in Japan. The aim of this study is to investigate the implementation challenges of POS to detect CCHD in Japan. In this nationwide survey, 1, 323 of 2, 374 facilities responded to the questionnaire（valid response rate 56%）. Ninety one percent of them agree with the need of POS in their facilities. Seventy three percent of them conceive of the implementation of POS in their facilities as a feasible strategy to detect CCHD. This study showed a need for establishment of universal POS protocol in Japan. |
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| AbstractList | Critical congenital heart disease（CCHD）is defined as congenital heart disease that requires surgery or other treatment in the neonatal period. Pulse oximetry screening（POS）has been reported to improve the detection of CCHD in European and American countries, although POS algorithm is not established in Japan. The aim of this study is to investigate the implementation challenges of POS to detect CCHD in Japan. In this nationwide survey, 1, 323 of 2, 374 facilities responded to the questionnaire（valid response rate 56%）. Ninety one percent of them agree with the need of POS in their facilities. Seventy three percent of them conceive of the implementation of POS in their facilities as a feasible strategy to detect CCHD. This study showed a need for establishment of universal POS protocol in Japan. Critical congenital heart disease（CCHD）is defined as congenital heart disease that requires surgery or other treatment in the neonatal period. Pulse oximetry screening（POS）has been reported to improve the detection of CCHD in European and American countries, although POS algorithm is not established in Japan. The aim of this study is to investigate the implementation challenges of POS to detect CCHD in Japan. In this nationwide survey, 1, 323 of 2, 374 facilities responded to the questionnaire（valid response rate 56%）. Ninety one percent of them agree with the need of POS in their facilities. Seventy three percent of them conceive of the implementation of POS in their facilities as a feasible strategy to detect CCHD. This study showed a need for establishment of universal POS protocol in Japan. 重症先天性心疾患は新生児期に侵襲的な治療を要する重篤な疾患群と定義される．欧米ではパルスオキシメータによるスクリーニングの有効性が報告されているが，国内では普及していない．本研究では国内でのパルスオキシメータによるスクリーニング実施状況および導入に関するアンケート調査を行った．スクリーニング導入の必要性については，「必要である」57％，「どちらかと言えば必要である」34％，「どちらかと言えば不必要である」7％，「不必要である」2％．スクリーニングの実行可能性については，「実施しているので実行可能」23％，「実行可能であり是非実行する」50％，「実行可能であるが実行するか不明」22％，「実行困難であり実行出来ない」1％，「その他」4％．本調査では，パルスオキシメータによるスクリーニングの必要性および実行可能性について肯定的な回答が多いことが明らかとなった． |
| Author | Toyoshima, Katsuaki Nakano, Reiji Yoda, Hitoshi |
| Author_FL | 中野 玲二 Toyoshima Katsuaki Yoda Hitoshi |
| Author_FL_xml | – sequence: 1 fullname: 中野 玲二 – sequence: 2 fullname: Toyoshima Katsuaki – sequence: 3 fullname: Yoda Hitoshi |
| Author_xml | – sequence: 1 fullname: Nakano, Reiji organization: Department of Neonatology, Shizuoka Children’s Hospital – sequence: 1 fullname: Toyoshima, Katsuaki organization: Department of Neonatology, Kanagawa Children’s Medical Center – sequence: 1 fullname: Yoda, Hitoshi organization: Department of Neonatology, Toho University |
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| Publisher | Japan Society of Perinatal and Neonatal Medicine 一般社団法人 日本周産期・新生児医学会 |
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| References | 2) 川滝元良：先天性心疾患の胎児診断 現状の問題点および新しい診断法について．INNERVISION 2013；28：55-59 8) Ailes EC, Gilboa SM, Honein MA, et al.：Estimated number of infants detected and missed by critical congenital heart defect screening. Pediatrics 2015；135：1000-1008 14) 中野玲二，豊島勝昭，与田仁志：パルスオキシメータによる重症先天性心疾患の出生後スクリーニングの標準化プロトコール案．日本新生児成育医学会雑誌 2019；31：715（会議録） 1) Oster ME, Lee KA, Honein MA, et al.：Temporal trends in survival among infants with critical congenital heart defects. Pediatrics 2013；131：e1502-8 9) O’Donnell CP, Kamlin CO, Davis PG, et al.：Clinical assessment of infant colour at delivery. Arch Dis Child Fetal Neonatal Ed 2007；92：F465-467 11) Mouledoux J, Guerra S, Ballweg J, et al.：A novel, more efficient, staged approach for critical congenital heart disease screening. J Perinatol 2017；37：288-290 10) Mahle WT, Newburger JW, Matherne GP, et al.：Role of Pulse Oximetry in Examining Newborns for Congenital Heart Disease：A Scientific Statement from the AHA and AAP. Pediatrics 2009；124：823-836 15) 杉浦崇浩：蘇生の初期処置後の評価．細野茂春監修．日本版救急蘇生ガイドライン2020に基づく 第4版新生児蘇生法テキスト．東京：メジカルビュー社，2021：75-78 6) 日本胎児心臓病学会，日本小児循環器学会：胎児心エコー検査ガイドライン 改訂第2版．日小児循環器会誌 2021；37：S1.1-57 3) Kemper AR, Mahle WT, Martin GR, et al.：Strategies for implementing screening for critical congenital heart disease. Pediatrics 2011；128：e1259-1267 5) 胎児心エコー検査ガイドライン作成委員会：胎児心エコー検査ガイドライン．日小児循環器会誌 2006；22：591-613 7) Eckersley L, Sadler L, Parry E, et al.：Timing of diagnosis affects mortality in critical congenital heartdisease. Arch Dis Child 2016；101：516-520 12) Martin GR, Ewer AK, Gaviglio A, et al.：Updated strategies for pulse oximetry screening for critical congenital disease. Pediatrics 2020；146：e20191650 4) Abouk R, Grosse SD, Ailes EC, et al.：Association of US state implementation of newborn screening policies for critical congenital heart disease with early infant cardiac deaths. JAMA 2017；318：2111-2118 13) 小野博，林泰佑，賀藤均，ほか：パルスオキシメトリーによる重症先天性心疾患の新生児スクリーニング．日小児会誌 2019；123：558-565 |
| References_xml | – reference: 8) Ailes EC, Gilboa SM, Honein MA, et al.：Estimated number of infants detected and missed by critical congenital heart defect screening. Pediatrics 2015；135：1000-1008 – reference: 12) Martin GR, Ewer AK, Gaviglio A, et al.：Updated strategies for pulse oximetry screening for critical congenital disease. Pediatrics 2020；146：e20191650 – reference: 1) Oster ME, Lee KA, Honein MA, et al.：Temporal trends in survival among infants with critical congenital heart defects. Pediatrics 2013；131：e1502-8 – reference: 3) Kemper AR, Mahle WT, Martin GR, et al.：Strategies for implementing screening for critical congenital heart disease. Pediatrics 2011；128：e1259-1267 – reference: 15) 杉浦崇浩：蘇生の初期処置後の評価．細野茂春監修．日本版救急蘇生ガイドライン2020に基づく 第4版新生児蘇生法テキスト．東京：メジカルビュー社，2021：75-78 – reference: 10) Mahle WT, Newburger JW, Matherne GP, et al.：Role of Pulse Oximetry in Examining Newborns for Congenital Heart Disease：A Scientific Statement from the AHA and AAP. Pediatrics 2009；124：823-836 – reference: 11) Mouledoux J, Guerra S, Ballweg J, et al.：A novel, more efficient, staged approach for critical congenital heart disease screening. J Perinatol 2017；37：288-290 – reference: 2) 川滝元良：先天性心疾患の胎児診断 現状の問題点および新しい診断法について．INNERVISION 2013；28：55-59 – reference: 4) Abouk R, Grosse SD, Ailes EC, et al.：Association of US state implementation of newborn screening policies for critical congenital heart disease with early infant cardiac deaths. JAMA 2017；318：2111-2118 – reference: 5) 胎児心エコー検査ガイドライン作成委員会：胎児心エコー検査ガイドライン．日小児循環器会誌 2006；22：591-613 – reference: 14) 中野玲二，豊島勝昭，与田仁志：パルスオキシメータによる重症先天性心疾患の出生後スクリーニングの標準化プロトコール案．日本新生児成育医学会雑誌 2019；31：715（会議録） – reference: 7) Eckersley L, Sadler L, Parry E, et al.：Timing of diagnosis affects mortality in critical congenital heartdisease. Arch Dis Child 2016；101：516-520 – reference: 9) O’Donnell CP, Kamlin CO, Davis PG, et al.：Clinical assessment of infant colour at delivery. Arch Dis Child Fetal Neonatal Ed 2007；92：F465-467 – reference: 13) 小野博，林泰佑，賀藤均，ほか：パルスオキシメトリーによる重症先天性心疾患の新生児スクリーニング．日小児会誌 2019；123：558-565 – reference: 6) 日本胎児心臓病学会，日本小児循環器学会：胎児心エコー検査ガイドライン 改訂第2版．日小児循環器会誌 2021；37：S1.1-57 |
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| SubjectTerms | critical congenital heart disease cyanotic heart disease fetal echocardiography newborn screening pulse-oximetry |
| Title | A nationwide survey of pulse oximetry screening for critical congenital heart disease in Japan |
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