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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What’s Known on This Subject:
What This Study Adds:
Methods
Identifying True-Positives, False-Positives, True-Negatives, and False-Negatives
Simulation Study
Statistics
Results
Discussion
Strengths
Limitations
Conclusions
Footnotes
References
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Content: Available at: www.pediatrics.org/cgi/content/full/128/5/e1259. The purposes of this study were to (1) evaluate the experience of CCHD screening in a large tertiary birth hospital as part of a collaborative quality improvement initiative and (2) to determine the impact of CCHD screening by using pulse oximetry if modification was made to the existing AAP algorithm to have a single repeat screen instead of 2. Methods
Through a collaborative quality improvement project between the cardiology department at Children’s Healthcare of Atlanta (CHOA) and the neonatology department at Northside Hospital, a retrospective review was conducted on newborn CCHD screening results collected on term infants born between January 1, 2013, and December 31, 2016, at Northside Hospital, a large tertiary birth hospital with 2 delivery campuses in metropolitan Atlanta, Georgia. Full-time pediatric cardiology coverage is provided daily at Northside Hospital by physicians from CHOA. Approximately 80% of infants with CCHD were diagnosed prenatally. Infants with a prenatal diagnosis of CCHD and infants transferred to the NICU before screening were excluded from CCHD pulse oximetry screening. The study was submitted and approved by the Northside Hospital Institutional Review Board. Aggregate de-identified data were used for analysis. Informed consent was not required because of the retrospective observational nature of the study.