Pulse oximetry screening: a review of diagnosing critical congenital heart disease in newborns

Melissa S Engel,1 Lazaros K Kochilas2 1Division of Neonatology, University of Minnesota, Minneapolis, MN, 2Children’s Healthcare of Atlanta, Emory University, Atlanta, GA, USA Abstract: Congenital heart disease (CHD) is one of the most common birth defects, with an incidence of nine out o...

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Main Authors: Engel MS, Kochilas LK
Format: Article
Language:English
Published: Dove Medical Press 2016-07-01
Series:Medical Devices: Evidence and Research
Subjects:
Online Access:https://www.dovepress.com/pulse-oximetry-screening-a-review-of-diagnosing-critical-congenital-he-peer-reviewed-article-MDER
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author Engel MS
Kochilas LK
author_facet Engel MS
Kochilas LK
author_sort Engel MS
collection DOAJ
description Melissa S Engel,1 Lazaros K Kochilas2 1Division of Neonatology, University of Minnesota, Minneapolis, MN, 2Children’s Healthcare of Atlanta, Emory University, Atlanta, GA, USA Abstract: Congenital heart disease (CHD) is one of the most common birth defects, with an incidence of nine out of every 1,000 live births. The mortality of infants with CHD has decreased over the past 3 decades, but significant morbidity and mortality continue to occur if not diagnosed shortly after birth. Pulse oximetry was recommended as a screening tool to detect critical CHD in 2011 by the American Academy of Pediatrics and the American Heart Association. Pulse oximetry is a tool to measure oxygen saturation, and based on the presence of hypoxemia, many cardiac lesions are detected. Due to its ease of application to the patient, providing results in a timely manner and without the need for calibrating the sensor probe, pulse oximetry offers many advantages as a screening tool. However, pulse oximetry has also important limitations of which physicians should be aware to be able to assess the significance of the pulse oximetry measurement for a given patient. This review aims to highlight the benefits and shortcomings of pulse oximetry within the context of screening for critical CHD and suggests future avenues to cover existing gaps in current practices. Keywords: congenital heart disease, critical congenital heart disease, pulse oximetry, newborn, newborn screening
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spelling doaj.art-d52355593b6d4575ba8833c31557bd322022-12-21T20:28:43ZengDove Medical PressMedical Devices: Evidence and Research1179-14702016-07-012016Issue 119920327840Pulse oximetry screening: a review of diagnosing critical congenital heart disease in newbornsEngel MSKochilas LKMelissa S Engel,1 Lazaros K Kochilas2 1Division of Neonatology, University of Minnesota, Minneapolis, MN, 2Children’s Healthcare of Atlanta, Emory University, Atlanta, GA, USA Abstract: Congenital heart disease (CHD) is one of the most common birth defects, with an incidence of nine out of every 1,000 live births. The mortality of infants with CHD has decreased over the past 3 decades, but significant morbidity and mortality continue to occur if not diagnosed shortly after birth. Pulse oximetry was recommended as a screening tool to detect critical CHD in 2011 by the American Academy of Pediatrics and the American Heart Association. Pulse oximetry is a tool to measure oxygen saturation, and based on the presence of hypoxemia, many cardiac lesions are detected. Due to its ease of application to the patient, providing results in a timely manner and without the need for calibrating the sensor probe, pulse oximetry offers many advantages as a screening tool. However, pulse oximetry has also important limitations of which physicians should be aware to be able to assess the significance of the pulse oximetry measurement for a given patient. This review aims to highlight the benefits and shortcomings of pulse oximetry within the context of screening for critical CHD and suggests future avenues to cover existing gaps in current practices. Keywords: congenital heart disease, critical congenital heart disease, pulse oximetry, newborn, newborn screeninghttps://www.dovepress.com/pulse-oximetry-screening-a-review-of-diagnosing-critical-congenital-he-peer-reviewed-article-MDERcongenital heart disease (CHD)critical congenital heart disease (CCHD)pulse oximetrynewbornnewborn screening
spellingShingle Engel MS
Kochilas LK
Pulse oximetry screening: a review of diagnosing critical congenital heart disease in newborns
Medical Devices: Evidence and Research
congenital heart disease (CHD)
critical congenital heart disease (CCHD)
pulse oximetry
newborn
newborn screening
title Pulse oximetry screening: a review of diagnosing critical congenital heart disease in newborns
title_full Pulse oximetry screening: a review of diagnosing critical congenital heart disease in newborns
title_fullStr Pulse oximetry screening: a review of diagnosing critical congenital heart disease in newborns
title_full_unstemmed Pulse oximetry screening: a review of diagnosing critical congenital heart disease in newborns
title_short Pulse oximetry screening: a review of diagnosing critical congenital heart disease in newborns
title_sort pulse oximetry screening a review of diagnosing critical congenital heart disease in newborns
topic congenital heart disease (CHD)
critical congenital heart disease (CCHD)
pulse oximetry
newborn
newborn screening
url https://www.dovepress.com/pulse-oximetry-screening-a-review-of-diagnosing-critical-congenital-he-peer-reviewed-article-MDER
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