Newborn Screening with Pulse Oximetry
Laura Flannery
Manuella Lahoud-Rahme
Pulse Oximetry Screening for Congenital Heart Defects in Newborn Infants (Pulseox): A Test Accuracy Study
Ewer AK, Middleton LJ, Furmston AT, et al. Lancet. 2011;378(9793):785–794
Background
Congenital heart disease (CHD) is the leading cause of birth defect–associated neonatal death; approximately 6:1,000 newborns have moderate-to-severe CHD.1 Previously, screening relied on prenatal ultrasounds and newborn examinations which had fairly low detection rates; up to 23% of newborns with severe CHD were discharged undiagnosed, of whom 2% died.2 This study sought to investigate the benefit of addition of pulse oximetry screening.
Objectives
To assess the accuracy of pulse oximetry for screening of major CHD and determine additive value beyond prenatal ultrasonography screening.
Methods
Prospective study in 6 maternity units in the United Kingdom from 2008 to 2009.