Evaluation of Pulse Oximetry in the Early Diagnosis of Cardiac and NonCardiac Diseases in Healthy Newborns

سال انتشار: 1399
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 465

فایل این مقاله در 8 صفحه با فرمت PDF قابل دریافت می باشد

استخراج به نرم افزارهای پژوهشی:

لینک ثابت به این مقاله:

شناسه ملی سند علمی:

JR_IRJN-11-1_007

تاریخ نمایه سازی: 21 فروردین 1399

چکیده مقاله:

Background: Critical congenital heart diseases (CCHDs) are among the most common birth malformations. This study aimed to determine the cardiac and noncardiac diseases in the Iranian healthy newborns using pulse oximetry (POX) as a suggested screening method.Methods: In this cross-sectional study, healthy term and near term neonates who were born from October 2017 to March 2018 were evaluated. Preductal and postductal POX was performed in all asymptomatic healthy newborns after 24 hours of life or at any time before discharge from the nursery. Oxygen saturation (SPO2) was considered normal if SPO2 was  95%, and the difference between preductal O2 saturation and postductal POX was obtained at ≤ 3%. The POX was repeated after 2 hours for abnormal patients. In the case of the same results in both repeated measures, echocardiography, chest X-ray, sepsis screening, and blood glucose were conducted.Results: A total of 413 asymptomatic healthy term and near term neonates underwent the pulse oximetry screening (POX). The mean birth weight and gestational age of the neonates were 3256.31±509.62 gr and 38.2 weeks, respectively. The POX was performed averagely 19.5 hours after birth. Finally, a total of 10 cases were detected with abnormal POX. Among these 10 patients, three cases had cardiac diseases (i.e., transposition of the great arteries, ventricular septal defect/pulmonary atresia, and ventricular septal defect/pulmonary hypertension), three cases had noncardiac diseases (i.e., esophageal stenosis, hypoglycemia, and persistent pulmonary hypertension/sepsis), and four subjects were healthy.Conclusion: The obtained findings showed that routine pox, along with clinical examinations could be applied, especially in developing countries for the early detection of cardiac and noncardiac diseases in asymptomatic newborns.

کلیدواژه ها:

Cardiac and noncardiac diseases ، Critical Congenital Heart Disease ، Newborns ، Pulse Oximetry ، Pre and Postductal Saturation

نویسندگان

Ziba Mosayebi

Department of Neonatal Care Unit, Children’s Medical Center, Breastfeeding Research Center, Tehran University of Medical Sciences, Tehran, Iran

Amir Hossein Movahedian

Pediatric Department, Tehran University of Medical Sciences, Tehran, Iran

Elaheh Amini

Pediatric Department, Tehran University of Medical Sciences, Tehran, Iran

Parvin Akbari Asbagh

Pediatric Department, Tehran University of Medical Sciences, Tehran, Iran

مراجع و منابع این مقاله:

لیست زیر مراجع و منابع استفاده شده در این مقاله را نمایش می دهد. این مراجع به صورت کاملا ماشینی و بر اساس هوش مصنوعی استخراج شده اند و لذا ممکن است دارای اشکالاتی باشند که به مرور زمان دقت استخراج این محتوا افزایش می یابد. مراجعی که مقالات مربوط به آنها در سیویلیکا نمایه شده و پیدا شده اند، به خود مقاله لینک شده اند :
  • Shahzad M, Waqar T, Waheed KAI, Gul R, Fatima ST. ...
  • Plana MN, Zamora J, Suresh G, Fernandez‐Pineda L, Thangaratinam S, ...
  • Thangaratinam S, Brown K, Zamora J, Khan KS, Ewer AK. ...
  • Tsao PC, Shiau YS, Chiang SH, Ho HC, Liu YL, ...
  • Jawin V, Ang H-L, Omar A, Thong M-K. Beyond critical ...
  • Narayen IC, Blom NA, van Geloven N, Blankman EI, van ...
  • discharge. J Pediatr. 2018; 197:29-35.e1. ...
  • Narayen IC, Blom NA, Ewer AK, Vento M, Manzoni P, ...
  • Ewer AK. Pulse oximetry screening for critical congenital heart defects ...
  • Movahedian AH, Mosayebi Z, Sagheb S. Evaluation of pulse oximetry ...
  • Ismail AQT, Cawsey M, Ewer AK. Newborn pulse oximetry screening ...
  • Mahle WT, Newburger JW, Matherne GP, Smith FC, Hoke TR, ...
  • Ewer AK, Martin GR. Newborn pulse oximetry screening: which algorithm ...
  • Johnson LC, Lieberman E, O’Leary E, Geggel RL. Prenatal and ...
  • Mosayebi Z, Movahedin AH, Safari A, Akbari H. Evaluation of ...
  • نمایش کامل مراجع