Pulse Oximetry and Congenital Heart Disease Screening: Results of the First Pilot Study in Morocco
| Autor: | Lisa A. Hom, Amal Fadel, Youssef Mouaffak, Gerard R. Martin, Drissi Boumzebra, S. Younous, Fatiha Bennaoui, Fadl Mrabih Rabou Maoulainine, Nadia El Idrissi Slitine, Soufiane El Moussaoui, Craig Sable, Nadir Inajjarne, Lahcen Boukhanni |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Mohammed VI Hospital
Pediatrics medicine.medical_specialty Marrakesh Heart disease Heart disease screening 030204 cardiovascular system & hematology Asymptomatic Article 03 medical and health sciences 0302 clinical medicine Immunology and Microbiology (miscellaneous) 030225 pediatrics medicine neonatal screening Critical congenital heart disease medicine.diagnostic_test business.industry lcsh:RJ1-570 Obstetrics and Gynecology lcsh:Pediatrics medicine.disease University hospital congenital heart disease pulse oximetry Pulse oximetry Morocco Negative case Newborn screening panel Pediatrics Perinatology and Child Health telemedicine medicine.symptom business |
| Zdroj: | International Journal of Neonatal Screening Volume 6 Issue 3 International Journal of Neonatal Screening, Vol 6, Iss 53, p 53 (2020) |
| ISSN: | 2409-515X |
| Popis: | Congenital heart disease (CHD) is the most common congenital malformation. Diagnosis of critical congenital heart disease (CCHD), the most severe type of congenital heart disease, in a newborn may be difficult. The addition of CCHD screening, using pulse oximetry, to clinical assessment significantly improves the rate of detection. We conducted a pilot study in Morocco on screening neonates for critical congenital heart disease. This study was conducted in the maternity ward of Mohammed VI University Hospital of Marrakesh, Morocco, and included asymptomatic newborns delivered between March 2019 and January 2020. The screening of CCHD was performed by pulse oximetry measuring the pre- and post-ductal saturation. Screening was performed on 8013/10,451 (76.7%) asymptomatic newborns. According to the algorithm, 7998 cases passed the screening test (99.82%), including one inconclusive test that was repeated an hour later and was normal. Fifteen newborns failed the screening test (0.18%): five CCHD, five false positives, and five CHD but non-critical. One false negative case was diagnosed at 2 months of age. Our results encourage us to strengthen screening for CCHD by adding pulse oximetry to the routine newborn screening panel. |
| Databáze: | OpenAIRE |
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