Feasibility of implementing pulse oximetry screening for congenital heart disease in a community hospital.

Feasibility of implementing pulse oximetry screening for congenital heart disease in a community hospital.
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DOI:
10.1038/jp.2011.179
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发表时间:
2012-09
影响因子:
2.9
通讯作者:
Martin, G. R.
Martin, G. R.
中科院分区:
医学3区
文献类型:
--
作者:
Bradshaw, E. A.;Cuzzi, S.;Kiernan, S. C.;Nagel, N.;Becker, J. A.;Martin, G. R.

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脉搏血氧饱和度已被公认为是一种有前途的危重先天性心脏病(CCHD)筛查工具。这项研究的目的是研究在社区医院环境下实施的可行性。举行了会议以确定执行计划。24 h后对右手和右足进行脉搏血氧饱和度测定。⩽饱和度为95%或⩾差值为3%的新生儿被认为是阳性筛查。注意筛查障碍、筛查时间和有效筛查所有符合条件的新生儿的能力。从2009年1月至2010年5月,在6841名符合条件的新生儿中,6745名新生儿(98.6%)接受了筛查。在9名脉搏血氧仪筛查阳性的婴儿中,1名患有CCHD,4名患有CHD,另外4名被确定为假阳性。平均筛查时间为3.5min(0~35 min)。脉搏血氧饱和度可以在社区医院成功实施,而不会出现过多的假阳性或增加护理人员。
Pulse oximetry has been recognized as a promising screening tool for critical congenital heart disease (CCHD). The aim of this research was to study the feasibility of implementation in a community hospital setting. Meetings were conducted to determine an implementation plan. Pulse oximetry was performed on the right hand and foot after 24 h of age. Newborns with a saturation ⩽95% or a ⩾3% difference were considered to have a positive screen. Screening barriers, screening time and ability to effectively screen all eligible newborns were noted. From January 2009 through May 2010, of 6841 eligible newborns, 6745 newborns (98.6%) were screened. Of the nine infants with positive pulse oximetry screens, one had CCHD, four had CHD and four others were determined to have false positive screens. Average screening time was 3.5 min (0 to 35 min). Pulse oximetry can be implemented successfully in community hospitals without an excessive number of false positives or additional nursing staff.
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