Diagnostic Accuracy of Physical Examination and Pulse Oximetry for Critical Congenital Cardiac Disease Screening in Newborns

Bibliographic Data

ID15718900
AuthorsJari T van Vliet (0009-0005-7969-2859, University Medical Center Utrecht), Naizihijwa Majani (0000-0003-3101-8257, University Medical Center Utrecht), Naizihijwa G Majani (Department of Pediatric Cardiology, Wilhelmina Childrens Hospital, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands), Pilly Chillo (0000-0001-7073-1122, Muhimbili University of Health and Allied Sciences), Martijn G Slieker (0000-0001-8198-511X, University Medical Center Utrecht, corresponding author)
Year2023
Volume11
Issue1
Pages47-47
Publication date2023-12-29
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children11010047
PMID38255361
OpenAlexW4390437008
LanguageEN
Citations received1
References cited48

The evidence indicates that combining both physical examination and pulse oximetry to screen for critical congenital heart disease exceeds the accuracy of either separate method. The main limitation is that solely newborns with suspected critical congenital heart disease were subjected to the reference standard. We recommend adapting both methods to screen for critical congenital heart diseases, especially in settings lacking standard fetal ultrasound screening. To increase the sensitivity further, we recommend increasing the screening time window and employing the peripheral perfusion index

Guideline · Heart disease · Meta-analysis · Neonatal intensive care unit · Pathology · Physical examination · Pulse oximetry · Congenital Heart Disease Studies · Coronary Artery Anomalies · Medicine · Ultrasound in Clinical Applications · Internal Medicine · Pediatrics

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Open DOIOpen Access