Lower pass threshold (≥93%) for critical congenital heart disease screening at high altitude prevents repeat screening and reduces false positives.
Lower pass threshold (≥93%) for critical congenital heart disease screening at high altitude prevents repeat screening and reduces false positives.
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DOI：
10.1038/s41372-022-01491-6
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发表时间：
2022-09
影响因子：
2.9
通讯作者：
Siefkes, Heather
中科院分区：
文献类型：
--
作者：
Sneeringer, M. Rhonda;Vadlaputi, Pranjali;Lakshminrusimha, Satyan;Siefkes, Heather
We evaluated first screen pass rate for two pass thresholds for critical congenital heart disease (CCHD) oxygen saturation (SpO2) screening at higher altitude. A retrospective cohort of 948 newborns underwent CCHD screening near sea-level (n = 463) vs 6250 ft altitude (n = 485) over 3 years. Standard SpO2 pass threshold ≥95% and lower SpO2 pass threshold ≥93% (high-altitude screen) were applied to first measurements to compare pass frequencies. The median SpO2 was lower in high-altitude newborns (96% vs 99%—p < 0.001). The high-altitude newborns passed the AAP algorithm first screen less often (89.3% vs 99.6%—p < 0.001). With the high-altitude algorithm, 98% of high-altitude newborns passed the first screen. Lowering the SpO2 pass threshold by 2% at >6000 ft, significantly increased first screen pass rate. Adjustments for altitude may reduce nursing time to conduct repeat measurements and prevent transfers for echocardiograms. Larger studies are necessary to assess impact on false negatives.
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影响因子：
8
作者：
Oster ME;Aucott SW;Glidewell J;Hackell J;Kochilas L;Martin GR;Phillippi J;Pinto NM;Saarinen A;Sontag M;Kemper AR
通讯作者：
Kemper AR
影响因子：
105.7
作者：
de-Wahl Granelli, Anne;Wennergren, Margareta;Sandberg, Kenneth;Mellander, Mats;Bejlum, Carina;Inganas, Leif;Eriksson, Monica;Segerdahl, Niklas;Agren, Annelie;Ekman-Joelsson, Britt-Marie;Sunnegardh, Jan;Verdicchio, Mario;Ostman-Smith, Ingegerd
通讯作者：
Ostman-Smith, Ingegerd
DOI：
10.1080/08035250510039900
发表时间：
2005-11-01
期刊：
Acta paediatrica (Oslo, Norway : 1992)
影响因子：
--
作者：
de Wahl Granelli, Anne;Mellander, Mats;Ostman-Smith, Ingegerd
通讯作者：
Ostman-Smith, Ingegerd
影响因子：
2.9
作者：
Paranka, Michael S.;Brown, Jeffrey M.;Clark, Reese H.
通讯作者：
Clark, Reese H.
影响因子：
3.3
作者：
NELSON, NM;PRODHOM, LS;CHERRY, RB
通讯作者：
CHERRY, RB