Pulse Oximetry Screening and Critical Congenital Heart Disease in the State of Oregon

Andrew T. Cave, Sarah A. Lowenstein, Christena McBride, Joylyn Michaud, Erin J. Madriago, Christina Ronai

Research output: Contribution to journalArticlepeer-review

Abstract

Late diagnosis of critical congenital heart disease (CCHD) is associated with higher levels of morbidity and mortality in neonates. Nearly all states have passed laws mandating universal pulse oximetry screening (POxS) of newborns to improve early detection rates of CCHD. We performed a retrospective chart review of all transthoracic echocardiograms (TTEs) interpreted by our institution on patients between 0 and 30 days of life in the years 2010 (prior to POxS) and 2015 (after POxS). Between 2010 and 2015, the number of neonatal TTEs interpreted by our institution decreased by 18.2%. In 2015, there were 46 neonates diagnosed with CCHD with a 78% prenatal detection rate. There was only one case of a true-positive POxS. Our study demonstrated that the initiation of POxS coincided with a significant decrease in neonatal TTEs, suggesting universal POxS may impart reassurance to primary providers leading to a decrease in TTE utilization.

Original languageEnglish (US)
Pages (from-to)290-297
Number of pages8
JournalClinical pediatrics
Volume60
Issue number6-7
DOIs
StatePublished - Jun 2021

Keywords

  • critical congenital heart disease
  • echocardiogram
  • newborn screen
  • prenatal detection

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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