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
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Content: 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. Data collected from birth records at Northside Hospital included (1) saturation levels from the right hand and either foot for the initial and any repeat screenings, (2) the results of any echocardiographic evaluations, and (3) other significant noncardiac diagnoses identified during the newborn hospitalization for infants who failed CCHD screening. Provider interpretation of results was also included, although this was noted to be missing or incorr