A novel, more efficient, staged approach for critical congenital heart disease screening.

ABSTRACT:

Objective

Screening for critical congenital heart disease (CCHD) using pulse oximetry has been endorsed by the American Academy of Pediatrics and the American Heart Association. The recommended screening requires two saturation readings. We sought to determine the incidence of undetected CCHD in Tennessee for the 2 years following implementation of an algorithm that assigned an immediate pass to a single lower extremity saturation of 97% or higher.

Study design

State Genetic Screening records and reports of missed cases from the Tennessee Initiative for Perinatal Quality Care were used to determine if CCHD cases were missed by the new screening algorithm.

Result

During the study, 232 infants failed the screen with 51 or 22% true positives, 13 infants had undetected CC

SUBMITTER: Mouledoux J 

PROVIDER: S-EPMC5334208 | biostudies-literature | 2017 Mar

REPOSITORIES: biostudies-literature