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dc.contributor.authorTaksande, Amar M.-
dc.contributor.authorMeshram, Rewat-
dc.contributor.authorLohakare, Amol-
dc.contributor.authorPurandare, Sadhana-
dc.contributor.authorBiyani, U.-
dc.contributor.authorVagha, Jayant-
dc.identifier.citationTaksande, A. M., Meshram, R., Lohakare, A., Purandare, S., Biyani, U., & Vagha, J. (2017). An update work of pulse oximetry screening for detecting critical congenital heart disease in the newborn. Images in Paediatric Cardiology, 19(3), 12-18.en_GB
dc.description.abstractBackground: Congenital Heart Disease (CHD) is the commonest group of congenital malformations and affects 7-8 per 1000 live born newborns. Nevertheless, it is estimated that more than 50% of babies with undiagnosed CHD are not detected by routine neonatal cardiac examination. Aim: To find the incidence of CHD in newborns and to determine the accuracy of pulse oximetry for detecting clinically unrecognized critical congenital heart disease (CCHD) in the newborns. Methods: Pulse oximetry was performed on clinically normal newborns within 4 hours of first day of life. Inclusion criteria: All newborns who were admitted in postnatal ward & Neonatal Intensive care unit (NICU). Exclusion criteria: babies and neonates with a prenatal diagnosis of duct dependent circulation. If oxygen saturation (SpO2) was below 90%, then echocardiography was performed. Results: During the study period, 4926 live born neonates were examined. Nine out of 12 neonates with SpO2<90% had CCHD. Four neonates had tetralogy of Fallot (TOF), two had tricuspid atresia, two had transposition of great arteries (TGA) and one had truncus arteriosus. The incidence of CHD was 33.49 per 1000 live births and CCHD was 1.82 per 1000. A pulse oximetry cut-off value of below 90% for detecting CCHD showed 90% sensitivity, 99.94% specificity, 75% positive predictive value (PPV) and 99.98% negative predictive value (NPV). Conclusion: Pulse oximetry is safe, feasible and noninvasive and also used to screen for CCHD. It is the nice method to detect the CHD along with the physical examination of neonates by medical personal.en_GB
dc.publisherImages in Paediatric Cardiologyen_GB
dc.subjectCongenital heart disease in childrenen_GB
dc.subjectNewborn infants -- Abnormalitiesen_GB
dc.subjectHeart -- Abnormalitiesen_GB
dc.subjectMedical screeningen_GB
dc.titleAn update work of pulse oximetry screening for detecting critical congenital heart disease in the newbornen_GB
dc.rights.holderThe copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder.en_GB
dc.publication.titleImages in Paediatric Cardiologyen_GB
Appears in Collections:IPC, Volume 19, Issue 3
IPC, Volume 19, Issue 3

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