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Document Details
Document Type
:
Article In Journal
Document Title
:
combining pulse oximetry and clinical examination in screening for congenital heart disease
الجمع بين قياس التأكسج النبض والفحص السريري في الكشف عن أمراض القلب الخلقية
Subject
:
combining pulse oximetry and clinical examination in screening for congenital heart disease
Document Language
:
English
Abstract
:
The objective of this study was to evaluate combined pulse oximetry and clinical examination as a screening method for congenital heart disease (CHD) in asymptomatic newborns. Asymptomatic newborns were screened for CHD using pulse oximetry and clinical examination before their discharge from the nursery. Oxygen saturation ≥94% was considered normal. Echocardiography was done for newborns with abnormal readings and for those with significant murmurs. Data concerning undetected cases were collected from the pediatric referral hospital. A total of 5211 cases were screened. Echocardiographic evaluations were done based on low pulse oximetry in five cases and on murmur detection in ten others. The sensitivity of the combined method of screening was 77%, whereas it was 31% for oximetry alone and 46% for clinical examination alone. Specificity was ∼100% for all methods. The positive predictive value of the combined tool was 66.7%. We conclude that combining pulse oximetry and clinical examination can enhance the clinician’s ability to detect life-threatening CHD in a timely manner. This screening method should become a part of the discharge plan for every newborn.
ISSN
:
1399-5448
Journal Name
:
pediatric diabetes
Volume
:
26
Issue Number
:
1
Publishing Year
:
1425 AH
2005 AD
Article Type
:
Article
Added Date
:
Monday, March 11, 2013
Researchers
Researcher Name (Arabic)
Researcher Name (English)
Researcher Type
Dr Grade
Email
حامد سعيد حبيب
Habib, Hamid Saeed
Investigator
Doctorate
hamedhabib@hotmail.com
Files
File Name
Type
Description
35179.pdf
pdf
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