Title: A Modified Algorithm for Critical Congenital Heart Disease Screening Using Pulse Oximetry | American Academy of Pediatrics
Headings: A Modified Algorithm for Critical Congenital Heart Disease Screening Using Pulse Oximetry
A Modified Algorithm for Critical Congenital Heart Disease Screening Using Pulse Oximetry
Abstract
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Identifying True-Positives, False-Positives, True-Negatives, and False-Negatives
Simulation Study
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Current CCHD screening recommendations involve the use of pulse oximetry to detect levels of hypoxemia in the newborn infant. On the basis of the pulse oximetry values, an algorithm is used to determine if a child has passed or failed screening; however, there is no single algorithm that has been proven to be superior. 6,11 In most states in the United States, screening is performed by using the algorithm endorsed by the AAP ( Fig 1 ), 12 although other states such as New Jersey 13 and Tennessee 14 have adopted modifications of that algorithm. The AAP algorithm is based off of previous work performed in Sweden. 15
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FIGURE 1
AAP CCHD screening algorithm for the well-baby nursery at ≥24 hours of age or just before discharge if <24 hours of age. Adapted from Kemper AR, Mahle WT, Martin GR, et al. Strategies for implementing screening for critical congenital heart disease. Pediatrics. 2011;128 (5).