Accuracy of Pulse Oximetry Screening for Critical Congenital Heart Defects after Home Birth and Early Postnatal Discharge

To assess the accuracy of pulse oximetry screening for critical congenital heart defects (CCHDs) in a setting with home births and early discharge after hospital deliveries, by using an adapted protocol fitting the work patterns of community midwives. Pre- and postductal oxygen saturations (SpO2) we...

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Veröffentlicht in:	The Journal of pediatrics 2018-06, Vol.197, p.29-35.e1
Hauptverfasser:	Narayen, Ilona C., Blom, Nico A., van Geloven, Nan, Blankman, Ellen I.M., van den Broek, Annique J.M., Bruijn, Martijn, Clur, Sally-Ann B., van den Dungen, Frank A., Havers, Hester M., van Laerhoven, Henriëtte, Mir, Shahryar E., Muller, Moira A., Polak, Odette M., Rammeloo, Lukas A.J., Ramnath, Gracita, van der Schoor, Sophie R.D., van Kaam, Anton H., te Pas, Arjan B., van den Akker, E.S.A., van den Berg, E., de Boer, M.A., Bouwmeester, S., van Dorp, M.C., de Graaf, I.M., Haak, M.C., Hermsen, B.B.J., Hummel, P., Kok, B., Medema, T.J., Mérelle, M.E., Mooren, G.C.A.H.C.N., Onland, W., Pernet, P.J., von Rosenstiel, I.A., Schrijver-Levie, N., Six, S., Williams, J.M.
Format:	Artikel
Sprache:	eng
Schlagworte:	cardiology Cohort Studies Female Heart Defects, Congenital - diagnosis Home Childbirth Humans Infant, Newborn Midwifery Neonatal Screening - methods neonate neonatology Netherlands newborn Oximetry - methods Patient Discharge pediatrics Pregnancy Prospective Studies Sensitivity and Specificity
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Zusammenfassung:	To assess the accuracy of pulse oximetry screening for critical congenital heart defects (CCHDs) in a setting with home births and early discharge after hospital deliveries, by using an adapted protocol fitting the work patterns of community midwives. Pre- and postductal oxygen saturations (SpO2) were measured ≥1 hour after birth and on day 2 or 3. Screenings were positive if the SpO2 measurement was
ISSN:	0022-3476 1097-6833
DOI:	10.1016/j.jpeds.2018.01.039