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Original Articles

Pulse oximetry screening for critical congenital heart disease in term and late pre-term newborn

Authors:

Pinar Arican ,

Izmir Tepecik Education and Research Hospital, TR
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Sultan Kavuncuoglu

Kanuni Sultan Suleyman Education and Research Hospital, TR
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Abstract

Introduction: Neonatal screening for critical congenital heart disease (CCHD) aids in identifying infants for whom early diagnosis and therapy are beneficial.

 

Objective: To study utilisation of pulse oximetry in term and late preterm neonates for early diagnosis of CCHD.

 

Method: This prospective study was conducted in newborns in the Kanuni Sultan Suleyman Education and Research Hospital, Turkey from December 2012 to August 2013. Pre-ductal and post-ductal pulse oximetry was carried out on all neonates between 24-72 hours of age. Screening was considered to be positive when the oxygen saturation level was ≤ 95% or if the pre-ductal and post-ductal saturations, taken after 3 hours from the initial measurements, differed by more than 3%.

 

Results: There were 971 (97%) babies with negative screening and 29 (3%) babies with positive screening. The sensitivity was 93%, specificity 99%, positive predictive value 81% and negative predictive value 99%.

 

Conclusions: Pulse oximetry screening in term and late preterm neonates is effective for early diagnosis of CCHD.

 

Sri Lanka Journal of Child Health, 2019; 48(4): 308-311

How to Cite: Arican, P. and Kavuncuoglu, S., 2019. Pulse oximetry screening for critical congenital heart disease in term and late pre-term newborn. Sri Lanka Journal of Child Health, 48(4), pp.308–311. DOI: http://doi.org/10.4038/sljch.v48i4.8823
Published on 05 Dec 2019.
Peer Reviewed

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