Updated Strategies for Pulse Oximetry Screening for Critical Congenital Heart Disease.

Autor:	Martin GR; Children's National Heart Institute, Children's National Hospital, Washington, District of Columbia; gmartin@childrensnational.org., Ewer AK; School of Medicine, The George Washington University, Washington, District of Columbia., Gaviglio A; Newborn Screening Program, Minnesota Department of Health, St Paul, Minnesota., Hom LA; Children's National Heart Institute, Children's National Hospital, Washington, District of Columbia., Saarinen A; Newborn Foundation, St Paul, Minnesota., Sontag M; Center for Public Health Innovation, CI International, Littleton, Colorado., Burns KM; Children's National Heart Institute, Children's National Hospital, Washington, District of Columbia.; School of Medicine, The George Washington University, Washington, District of Columbia.; National Heart, Lung, and Blood Institute, Bethesda, Maryland., Kemper AR; Division of Ambulatory Pediatrics, Nationwide Children's Hospital, Columbus, Ohio., Oster ME; Children's Healthcare of Atlanta and School of Medicine, Emory University, Atlanta, Georgia; and.
Jazyk:	angličtina
Zdroj:	Pediatrics [Pediatrics] 2020 Jul; Vol. 146 (1). Date of Electronic Publication: 2020 Jun 04.
DOI:	10.1542/peds.2019-1650
Abstrakt:	Seven years after its addition to the US Recommended Uniform Screening Panel, newborn screening for critical congenital heart disease (CCHD) using pulse oximetry became mandatory in the United States. Although CCHD newborn screening reduces morbidity and mortality, there remain important opportunities to improve. An expert panel convened for a 1-day meeting in September 2018, including subject matter experts and representatives from stakeholder organizations. Presentations on CCHD outcomes, variations in approach to screening, and data and quality improvement helped identify improvement opportunities. The expert panel concluded that sufficient evidence exists to recommend modifying the current American Academy of Pediatrics algorithm by (1) requiring an oxygen saturation of at least 95% in both (formerly either) the upper and lower extremities to pass and (2) requiring only 1 repeat screen instead of 2 for cases that neither pass nor fail initially. The panel underscored the importance of improving public health reporting by further specifying the targets of screening and criteria for reporting outcomes (false-negative and false-positive cases). The panel also highlighted the need to ensure sufficient public health funding for CCHD newborn screening and opportunities for education and global implementation. Newborn screening for CCHD using pulse oximetry has led to significant improvements in child health outcomes. However, further important work is required to understand and improve the effectiveness and efficiency of screening. Competing Interests: POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose. (Copyright © 2019 by the American Academy of Pediatrics.)
Databáze:	MEDLINE
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