Journal of Pediatric Perspectives

Pulse Oximetry Screening for Detecting Congenital Heart Disease in Neonates – Experience from Tertiary Referral Children’s Hospital in South India

Ashwini R C; Sushil Kumar K; Shashidhar Sankratti; Mugangowda Patil

Volume 12, Issue 3 , March 2024, , Pages 18620-18627

https://doi.org/10.22038/ijp.2024.77015.5408

Abstract

Background: Congenital heart disease is the most common type of birth defect in infancy with incidence of 8 to 12 per 1000 live births in India. Pulse oximetry has emerged as a good ... Read More Background: Congenital heart disease is the most common type of birth defect in infancy with incidence of 8 to 12 per 1000 live births in India. Pulse oximetry has emerged as a good screening tool in the recent past in many countries being noninvasive and cost effective. This study aimed at estimating the accuracy of pulse oximetry as a standard screening method to detect congenital heart diseases (CHD) in neonates.Methods: This prospective observational study was conducted in a tertiary referral medical college hospital from December 2018 to June 2020. Pulse oximetry readings were taken of 1603 asymptomatic neonates breathing in room air from right hand and either foot after 24 hours of birth. Pulse oximetry was considered positive if oxygen saturation in room air measured <95% or difference between right hand and foot was more than 3% persistently for 3 readings as per the standard American Academy of Pediatrics algorithm. Neonates with positive pulse oximetry or those with persistent abnormal clinical examination underwent echocardiography.Results: Of the term neonates (n=1603) screened, incidence of CHD was 0.7 per 1000 live births and critical CHD was 0.3 per 1000 live births. The sensitivity, specificity, positive predictive value, and negative predictive value of pulse oximetry to detect any CHD were 70.6%, 98.8%, 38.7%, and 99.7%, major CHD was found to be 60%, 98.4%, 19.4%, and 99.7%, and critical CHD to be 85.7%, 98.4%, 19.4%, and 99.9%, respectively. Pulse oximetry had significant positive correlation with abnormal clinical examination (R=0.29, p<0.001) and ECHO findings in detecting CHD (R=0.49, p<0.001). Regression model to evaluate whether abnormal clinical examination and positive pulse oximetry are significant predictors of CHD detected by ECHO was statistically significant (R2 =0.34, p value <0.001) and both were significant independent predictors (p<0.001).Conclusion: Pulse oximetry screening is a useful tool for detecting congenital heart diseases in newborns.

Diagnostic Accuracy of the Children's Communication Checklist-Persian in Identifying Children with Autism Spectrum Disorder

Alireza Aghaz; Yalda Kazemi; Afsaneh Karbasi-Amel; Mahbubeh Nakhshab

Volume 10, Issue 2 , February 2022, , Pages 15482-15494

https://doi.org/10.22038/ijp.2022.61564.4736

Abstract

Background: This study examined the diagnostic accuracy of the children's communication checklist-Persian version (CCC-Persian) in differentiating children with autism spectrum disorders ... Read More

Effects of Educating Mothers about the National Child Development Screening Plan on Detecting Abnormal Child Development

Farzaneh Soleymani; Hossein Shahnazi; Akbar Hassanzadeh

Volume 5, Issue 9 , September 2017, , Pages 5631-5641

https://doi.org/10.22038/ijp.2017.24779.2094

Abstract

Introduction: The early diagnosis of developmental disorders and timely interventions profoundly affect the health of children and their families; however, the detection rate of these ... Read More

Early Diagnosis and Intervention for Hearing Loss in Newborns Discharged from Intensive Care Units: a Four-year Follow-up Study in North of Iran

Sima Tajik; Mousa Ahmadpour-kacho

Volume 4, Issue 8 , August 2016, , Pages 3283-3291

https://doi.org/10.22038/ijp.2016.7154

Abstract

Background Hearing loss is the most common congenital disorder the incidence of which is further increased in the presence of risk factors for hearing loss among newborns admitted to ... Read More

The Sensitivity, Specificity and Predictive Values of Snellen Chart Compared to the Diagnostic Test in Amblyopia Screening Program in Iran

Fatemeh Rivakani; Leila Torabi; Minoo Rafiei; Ashraf Arabi; Farshid Alaeddini; Abbas Abbasi-Ghahramanloo; Saeid Safiri

Volume 3, Issue 6.2 , December 2015, , Pages 1125-1133

https://doi.org/10.22038/ijp.2015.6168

Abstract

Introduction Amblyopia is a leading cause of visual impairment in both childhood and adult populations. Our aim in this study was to assess the epidemiological characteristics of the ... Read More

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Keywords = Screening

Pulse Oximetry Screening for Detecting Congenital Heart Disease in Neonates – Experience from Tertiary Referral Children’s Hospital in South India

Abstract

Diagnostic Accuracy of the Children's Communication Checklist-Persian in Identifying Children with Autism Spectrum Disorder

Abstract

Effects of Educating Mothers about the National Child Development Screening Plan on Detecting Abnormal Child Development

Abstract

Early Diagnosis and Intervention for Hearing Loss in Newborns Discharged from Intensive Care Units: a Four-year Follow-up Study in North of Iran

Abstract

The Sensitivity, Specificity and Predictive Values of Snellen Chart Compared to the Diagnostic Test in Amblyopia Screening Program in Iran

Abstract