Pulse Oximetry Screening Results at a Tertiary Care Center in Central-Antolia, Turkey

Year 2020, Volume: 9 Issue: 3, 99 - 107, 21.12.2020

Fatma Hilal Yılmaz Nuriye Tarakçı Mehmet Burhan Oflaz Hüseyin Altunhan

https://doi.org/10.47493/abantmedj.2020.18

Cited By: 1

Abstract

Purpose: To evaluate the results of the pulse oximeter screening for the early diagnosis of critical congenital heart defects in newborns in our hospital and to share our results before the implementation of a nationwide screening program.
Methods: This was a retrospective study on 2261 infants between April 2018 and January 2020. Right-hand for preductal measurement and right or left foot for post-ductal measurement were measured using Nellcor pulse-oximetry (Covidien, MA, USA).
Results: In 2261 newborns, the average birth week of 2261 infants was 38.05±1.32 weeks and 3204.21±478.28 g birth weight. The mean screening time was 25.9±7.3 hours (median 25 hours; min–max 7–96 hours). The mean values of the pre-ductal and post-ductal measurements of the infants who passed the test at the first measurement were 96.46±1.65 and saturation 95.99±1.49. 2247 (99.38%) of the infants included in the study underwent screening, 14 (0.61%) could not pass. Overall test false positive rate was 0.6% for critical congenital heart defects. Critical congenital heart defects was not seen in any of those who could not pass the scan. Sensitivity and positive predictive value could not be calculated, as no critical congenital heart defects case was detected. Specificity and negative predictive value of the pulse-oximetry test were 99.3% and 100% respectively.
Conclusion: We highlight that screening with pulse-oximetry should be popularized particularly in peripheral regions providing secondary health care services. We are of the opinion that screening of critical congenital heart defects with pulse-oximetry should be included in the national screening program in our country.

Keywords

Pulse-oximetry screening,, Critical congenital heart defects,, Turkey

Project Number

Ethics Committee approval for this study was obtained from Necmettin Erbakan University with the Ethics Committee decision number of 2020/2333.

İç Anadolu'da Üçüncü Basamak Bir Merkezde Nabız Oksimetresi Tarama Sonuçları

Abstract

Amaç: Hastanemizdeki yenidoğanlarda kritik konjenital kalp defektlerinin erken tanısı için
nabız oksimetresi taramasının sonuçlarını değerlendirmek ve ülke çapında bir tarama
programı uygulanmadan önce sonuçlarımızı paylaşmak.
Yöntemler: Bu, Nisan 2018 ile Ocak 2020 arasında 2261 bebek üzerinde yapılan retrospektif
bir çalışmadır. Predüktal ölçüm için sağ taraf, duktal sonrası ölçüm için sağ veya sol ayak
Nellcor nabız oksimetresi (Covidien, MA, ABD) kullanılarak ölçüldü.
Bulgular: 2261 yenidoğanda 2261 bebeğin ortalama doğum haftası 38.05 ± 1.32 hafta ve
doğum kilosu 3204.21 ± 478.28 g idi. Ortalama tarama süresi 25.9 ± 7.3 saat idi (medyan 25
saat; min – maks 7-96 saat). İlk ölçümde testi geçen bebeklerin preduktal ve postduktal
satürasyon ölçümlerinin ortalama değerleri 96.46 ± 1.65 ve 95.99 ± 1.49 idi. Çalışmaya alınan
bebeklerin 2247'si (% 99,38) taramadan geçti, 14'ü (% 0,61) geçemedi. Kritik konjenital kalp
defektlerinde genel test yanlış pozitif oranı % 0.6 idi. Taramayı geçemeyenlerin hiçbirinde
kritik konjenital kalp defekti görülmedi. Kritik konjenital kalp defektleri vakası
saptanmadığından duyarlılık ve pozitif prediktif değer hesaplanamadı. Nabız oksimetre
testinin özgüllüğü ve negatif prediktif değeri sırasıyla% 99.3 ve% 100 idi.
Sonuç: Nabız oksimetreli taramanın özellikle ikinci basamak sağlık hizmeti sunan perifer
bölgelerde yaygınlaştırılması gerektiğinin altını çiziyoruz. Kritik konjenital kalp defektlerinin
nabız oksimetresi ile taranmasının ülkemizdeki ulusal tarama programına dahil edilmesi
gerektiğine inanıyoruz.

Keywords

Nabız oksimetri taraması,, Konjenital kalp defektleri,, Türkiye

Supporting Institution

yok

Project Number

Ethics Committee approval for this study was obtained from Necmettin Erbakan University with the Ethics Committee decision number of 2020/2333.

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