Endorsement of Health and Human Services Recommendation for Pulse Oximetry Screening for Critical Congenital Heart Disease
Endorsement of Health and Human Services Recommendation for Pulse Oximetry Screening for Critical Congenital Heart Disease
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DOI：
10.1542/peds.2011-3211
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发表时间：
2012-01-01
期刊：
影响因子：
8
通讯作者：
Tweddell, James S.
中科院分区：
文献类型：
--
作者：
Mahle, William T.;Martin, Gerard R.;Tweddell, James S.
将脉搏血氧仪纳入新生儿评估可以加强对危重先天性心脏病 (CCHD) 的检测。最近，美国卫生与公众服务部 (HHS) 部长建议将 CCHD 筛查纳入统一筛查小组中。美国儿科学会 (AAP) 一直大力倡导早期发现 CCHD，并完全支持 HHS 部长的决定。AAP 发布了实施脉搏血氧饱和度筛查的策略，解决了必要的设备、人员和培训等关键问题，并为使用脉搏血氧饱和度评估以及阳性筛查结果的适当管理提供了具体建议。 AAP 致力于安全有效地实施脉搏血氧饱和度筛查，并与其他倡导团体和政府机构合作，推广脉搏血氧饱和度并支持对 CCHD 的广泛监测。展望未来，AAP 分会将与州卫生部门合作实施新的 CCHD 筛查策略，并将努力确保在筛查结果呈阳性后有足够的转诊系统进行超声心动图/儿科心脏评估。 AAP 成员必须让各自的政策制定者参与采纳 HHS 部长提出的建议并为其提供资金。儿科2012; 129：190-192
Incorporation of pulse oximetry to the assessment of the newborn infant can enhance detection of critical congenital heart disease (CCHD). Recently, the Secretary of Health and Human Services (HHS) recommended that screening for CCHD be added to the uniform screening panel. The American Academy of Pediatrics (AAP) has been a strong advocate of early detection of CCHD and fully supports the decision of the Secretary of HHS.The AAP has published strategies for the implementation of pulse oximetry screening, which addressed critical issues such as necessary equipment, personnel, and training, and also provided specific recommendations for assessment of saturation by using pulse oximetry as well as appropriate management of a positive screening result. The AAP is committed to the safe and effective implementation of pulse oximetry screening and is working with other advocacy groups and governmental agencies to promote pulse oximetry and to support widespread surveillance for CCHD.Going forward, AAP chapters will partner with state health departments to implement the new screening strategy for CCHD and will work to ensure that there is an adequate system for referral for echocardiographic/pediatric cardiac evaluation after a positive screening result. It is imperative that AAP members engage their respective policy makers in adopting and funding the recommendations made by the Secretary of HHS. Pediatrics 2012; 129: 190-192