The value of peripheral perfusion index measurements for early detection of critical cardiac defects
Background: Approximately 25% of congenital heart diseases (CHD) are estimated to be critical and require an intervention. In this study, we aimed to investigate the additional value of peripheral perfusion index (PPI) measurements to pulse oximetry screening for critical CHD (CCHD). Methods: Infant...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-02-01
|
| Series: | Pediatrics and Neonatology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1875957217303820 |
| _version_ | 1811320597562523648 |
|---|---|
| author | Ozgun Uygur Ozge Altun Koroglu Erturk Levent Merve Tosyali Mete Akisu Mehmet Yalaz Nilgun Kultursay |
| author_facet | Ozgun Uygur Ozge Altun Koroglu Erturk Levent Merve Tosyali Mete Akisu Mehmet Yalaz Nilgun Kultursay |
| author_sort | Ozgun Uygur |
| collection | DOAJ |
| description | Background: Approximately 25% of congenital heart diseases (CHD) are estimated to be critical and require an intervention. In this study, we aimed to investigate the additional value of peripheral perfusion index (PPI) measurements to pulse oximetry screening for critical CHD (CCHD). Methods: Infants born at Ege University Hospital between May 2013 and September 2015 were prospectively included in the study. In addition to physical examination, pre- and postductal oxygen saturations and PPI values were measured with a new generation pulse oximeter before discharge from the hospital. Results: A total of 3175 newborns (33 with an antenatal diagnosis of CCHD) were included in the study. With the combination of physical examination, pulse oximetry screening and peripheral perfusion index (PPI) measurements, all newborns with CCHD were detected in our study including three infants without an antenatal diagnosis in whom pulse oximetry screening was negative. Conclusion: PPI measurements may be valuable for early detection of obstructive left heart lesions where pulse oximetry screening has limitations in diagnosis. Key Words: congenital heart disease, perfusion index, pulse oximetry, screening |
| first_indexed | 2024-04-13T13:02:10Z |
| format | Article |
| id | doaj.art-948556eeab524003a9fe6a42f90950f5 |
| institution | Directory Open Access Journal |
| issn | 1875-9572 |
| language | English |
| last_indexed | 2024-04-13T13:02:10Z |
| publishDate | 2019-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Pediatrics and Neonatology |
| spelling | doaj.art-948556eeab524003a9fe6a42f90950f52022-12-22T02:45:53ZengElsevierPediatrics and Neonatology1875-95722019-02-016016873The value of peripheral perfusion index measurements for early detection of critical cardiac defectsOzgun Uygur0Ozge Altun Koroglu1Erturk Levent2Merve Tosyali3Mete Akisu4Mehmet Yalaz5Nilgun Kultursay6Ege University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Izmir, TurkeyEge University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Izmir, Turkey; Corresponding author. Division of Neonatology, Department of Pediatrics, Ege University Faculty of Medicine, Bornova, Izmir 35100, Turkey. Fax: +90 232 3901357.Ege University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Cardiology, Izmir, TurkeyEge University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Izmir, TurkeyEge University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Izmir, TurkeyEge University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Izmir, TurkeyEge University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Izmir, TurkeyBackground: Approximately 25% of congenital heart diseases (CHD) are estimated to be critical and require an intervention. In this study, we aimed to investigate the additional value of peripheral perfusion index (PPI) measurements to pulse oximetry screening for critical CHD (CCHD). Methods: Infants born at Ege University Hospital between May 2013 and September 2015 were prospectively included in the study. In addition to physical examination, pre- and postductal oxygen saturations and PPI values were measured with a new generation pulse oximeter before discharge from the hospital. Results: A total of 3175 newborns (33 with an antenatal diagnosis of CCHD) were included in the study. With the combination of physical examination, pulse oximetry screening and peripheral perfusion index (PPI) measurements, all newborns with CCHD were detected in our study including three infants without an antenatal diagnosis in whom pulse oximetry screening was negative. Conclusion: PPI measurements may be valuable for early detection of obstructive left heart lesions where pulse oximetry screening has limitations in diagnosis. Key Words: congenital heart disease, perfusion index, pulse oximetry, screeninghttp://www.sciencedirect.com/science/article/pii/S1875957217303820 |
| spellingShingle | Ozgun Uygur Ozge Altun Koroglu Erturk Levent Merve Tosyali Mete Akisu Mehmet Yalaz Nilgun Kultursay The value of peripheral perfusion index measurements for early detection of critical cardiac defects Pediatrics and Neonatology |
| title | The value of peripheral perfusion index measurements for early detection of critical cardiac defects |
| title_full | The value of peripheral perfusion index measurements for early detection of critical cardiac defects |
| title_fullStr | The value of peripheral perfusion index measurements for early detection of critical cardiac defects |
| title_full_unstemmed | The value of peripheral perfusion index measurements for early detection of critical cardiac defects |
| title_short | The value of peripheral perfusion index measurements for early detection of critical cardiac defects |
| title_sort | value of peripheral perfusion index measurements for early detection of critical cardiac defects |
| url | http://www.sciencedirect.com/science/article/pii/S1875957217303820 |
| work_keys_str_mv | AT ozgunuygur thevalueofperipheralperfusionindexmeasurementsforearlydetectionofcriticalcardiacdefects AT ozgealtunkoroglu thevalueofperipheralperfusionindexmeasurementsforearlydetectionofcriticalcardiacdefects AT erturklevent thevalueofperipheralperfusionindexmeasurementsforearlydetectionofcriticalcardiacdefects AT mervetosyali thevalueofperipheralperfusionindexmeasurementsforearlydetectionofcriticalcardiacdefects AT meteakisu thevalueofperipheralperfusionindexmeasurementsforearlydetectionofcriticalcardiacdefects AT mehmetyalaz thevalueofperipheralperfusionindexmeasurementsforearlydetectionofcriticalcardiacdefects AT nilgunkultursay thevalueofperipheralperfusionindexmeasurementsforearlydetectionofcriticalcardiacdefects AT ozgunuygur valueofperipheralperfusionindexmeasurementsforearlydetectionofcriticalcardiacdefects AT ozgealtunkoroglu valueofperipheralperfusionindexmeasurementsforearlydetectionofcriticalcardiacdefects AT erturklevent valueofperipheralperfusionindexmeasurementsforearlydetectionofcriticalcardiacdefects AT mervetosyali valueofperipheralperfusionindexmeasurementsforearlydetectionofcriticalcardiacdefects AT meteakisu valueofperipheralperfusionindexmeasurementsforearlydetectionofcriticalcardiacdefects AT mehmetyalaz valueofperipheralperfusionindexmeasurementsforearlydetectionofcriticalcardiacdefects AT nilgunkultursay valueofperipheralperfusionindexmeasurementsforearlydetectionofcriticalcardiacdefects |