Trends in diagnosis and prevalence of critical congenital heart defects in the Podkarpacie province in 2002–2004, based on data from the Polish Registry of Congenital Malformations

Górska–Kot, Aneta; Błaż, Witold; Pszeniczna, Ewa; Rusin, Józef; Materna‐Kiryluk, Anna; Homa, Ewa; Hejda, Grażyna; Franus, Józef

doi:10.1007/bf03194621

Cited by 8 publications

(3 citation statements)

References 7 publications

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“…Today, prenatal fetal heart ultrasound can detect many such cases, but still some of them can be missed [2]. In addition, both physical examination of the neonate after birth can further detect congenital cardiac malformations, but not all are found [3,4]. Moreover, low oxygen saturation can also be missed clinically [5,6].…”

Section: Introductionmentioning

confidence: 99%

Congenital Critical Heart Defect Screening in a Health Area of the Community of Valencia (Spain): A Prospective Observational Study

Cubells

Torres

Núñez-Ramiro

et al. 2018

IJNS

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Despite the progress in the fetal echocardiographic detection of congenital critical heart defects and neonatal physical examination, a significant number of newborn infants are discharged and readmitted to the hospital in severe condition due to cardiac failure or collapse. The aim of this study was to assess the incidence of undetected critical congenital heart disease (CCHD) by a pulse oximetry-screening program in the maternity wards of hospitals with Perinatal Services in a specific geographic area. This is a prospective observational study performed in in the health area corresponding to the city of Valencia. Eligible infants were consecutively admitted newborn infants in the maternities of the participating hospitals with negative fetal echocardiography after normal physical examination in the delivery room. All patients were screened following a specific pulse oximetry protocol before discharge. A total of 8856 newborn infants were screened. A total of three babies presented with severe congenital cardiac malformation and two babies presented with early onset sepsis. Sensitivity was 100% and specificity was 99.97%, with a positive predictive value of 60% and negative predictive value of 100%. Pulse oximetry screening programs in the early neonatal period constitute a valuable tool to avoid inadvertent hospital discharge of severe cardiac malformations and the subsequent life-threatening complications derived.

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Section: Introductionmentioning

confidence: 99%

Congenital Critical Heart Defect Screening in a Health Area of the Community of Valencia (Spain): A Prospective Observational Study

Cubells

Torres

Núñez-Ramiro

et al. 2018

IJNS

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“…Postnatally, 20–30% of CCHD are still missed by physical examination, as symptoms often occur later, when the ductus arteriosus closes 8 9. Murmurs are not always present with CCHD, and may occur in up to 60% of healthy newborns 10.…”

Section: Introductionmentioning

confidence: 99%

Aspects of pulse oximetry screening for critical congenital heart defects: when, how and why?

Narayen

Blom

Ewer

et al. 2015

Arch Dis Child Fetal Neonatal Ed

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Pulse oximetry (PO) screening for critical congenital heart defects (CCHD) has been studied extensively and is being increasingly implemented worldwide. This review provides an overview of all aspects of PO screening that need to be considered when introducing this methodology. PO screening for CCHD is effective, simple, quick, reliable, cost-effective and does not lead to extra burden for parents and caregivers. Test accuracy can be influenced by targets definition, gestational age, timing of screening and antenatal detection of CCHD. Early screening can lead to more false positive screenings, but has the potential to detect significant pathology earlier. There is no apparent difference in accuracy between screening with post-ductal measurements only, compared with screening using pre-ductal and post-ductal measurements. However, adding pre-ductal measurements identifies cases of CCHD which would have been missed by post-ductal screening. Screening at higher altitudes leads to more false positives. Important non-cardiac pathology is found in 35-74% of false positives in large studies. Screening is feasible in neonatal intensive care units and out-of-hospital births. Training caregivers, simplifying the algorithm and using computer-based interpretation tools can improve the quality of the screening. Caregivers need to consider all aspects of screening to enable them to choose an optimal protocol for implementation of CCHD screening in their specific setting.

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“…Some of the lesions are rare and therefore, occur only once in a while even in large centres. In addition, a substantial number of the neonates and infants present with critical lesions, needing urgent diagnostic and treatment and thus are not suitable for training purposes 4 5. On the other hand, hands-on training is extremely important to ensure correct identification of such lesions when they occur, especially in remote settings.…”

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confidence: 99%

Simulation of congenital heart defects: a novel way of training in echocardiography

Weidenbach

Rázek

Wild

et al. 2008

Heart

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Trends in diagnosis and prevalence of critical congenital heart defects in the Podkarpacie province in 2002–2004, based on data from the Polish Registry of Congenital Malformations

Cited by 8 publications

References 7 publications

Congenital Critical Heart Defect Screening in a Health Area of the Community of Valencia (Spain): A Prospective Observational Study

Congenital Critical Heart Defect Screening in a Health Area of the Community of Valencia (Spain): A Prospective Observational Study

Aspects of pulse oximetry screening for critical congenital heart defects: when, how and why?

Simulation of congenital heart defects: a novel way of training in echocardiography

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