The Role of Pulse Oximetry In The Early Detection of Congenital Heart Disease In Neonates Before Hospital Discharge | [Pakistan Heart Journal • 2022]

Author(s):

1. Abdollah Dehvari: Children and Adolescents Health research Center, Research Institute of Cellular and Molecular Science in Infectious Diseases, Zahedan University of Medical Science's, Zahedan, Iran

2. Noor Mohammad Noori: Children and Adolescents Health research Center, Research Institute of Cellular and Molecular Science in Infectious Diseases, Zahedan University of Medical Science's, Zahedan, Iran

3. Tahereh Boryri: Children and Adolescents Health research Center, Research Institute of Cellular and Molecular Science in Infectious Diseases, Zahedan University of Medical Science's, Zahedan ,Iran

4. Alireza Teimouri: Children and Adolescents Health research Center, Research Institute of Cellular and Molecular Science in Infectious Diseases, Zahedan University of Medical Science's, Zahedan, Iran

5. Fatimah Davoudi: Children and Adolescents Health research Center, Research Institute of Cellular and Molecular Science in Infectious Diseases, Zahedan University of Medical Science's, Zahedan, Iran

Abstract:

Objectives: Infant screening for congenital heart disease (CHD) includes a straightforward bedside test called pulse oximetry. Low degrees of oxygen in the blood can be an indication of a critical CHD. The aim of the present study was to evaluate the role of pulse oxi metry in the early detection of asymptomatic CHD in new borns before discharge from Hospital. Methodology: This cross-sectional study conducted on 3151 term neonates first stage of SPO2 was performed 2-12 hours after birth. If SPO2 was < 95%, premeasured within the first 12 to 24 hours of life. If the neonates maintained their SPO2 <95, they shifted to pediatric cardiologist for echocardiography. For the statistical analyses, SPSS 18.0 (SPSS Inc., Chicago, IL) was used. The significant level considered less than 0.05. Results: From 3151 neonates, 29 individuals had SPO2<95% in which 26 went under echocardiography and 3 missed. In these neonates 22 had CHD. The SPO2 had a diagnostic value of 85%. Maternal age and neonates' height at birth not changed based on healthy status and SPO2 levels. Gestational age had no association with healthy status and SPO2 levels, when maternal Diseases and weight at birth had a significant association with SPO2 levels at the second stage and health status. Conclusion: From the present study concluded that a high and acceptable diagnostic value of 85% found for SPO2 to detect CHD in neonates in the first 24 hours of life. The factors of maternal diseases and weight at birth had a significant effect in this issue.

Page(s): 22-27

DOI: DOI not available

Published: Journal: Pakistan Heart Journal, Volume: 55, Issue: 1, Year: 2022

Keywords:

neonates , Early detection , CHD , pulse oximetry

References:

References are not available for this document.

Citations

Citations are not available for this document.

Citations

Downloads

Views