Nordic pulse oximetry screening - implementation status and proposal for uniform guidelines

作者:Granelli Anne de Wahl*; Meberg Alf; Ojala Tiina; Steen**erg Jesper; Oskarsson Gylfi; Mellander Mats
来源:Acta Paediatrica, 2014, 103(11): 1136-1142.
DOI:10.1111/apa.12758

摘要

AimPulse oximetry screening of newborn infants increases early detection of critical congenital heart disease and minimises the risk of circulatory collapse before surgery. This study provides an update on the implementation of pulse oximetry screening in the Nordic countries and proposes standardised guidelines. %26lt;br%26gt;MethodsA questionnaire exploring pulse oximetry screening, clinical examination routines and availability of echocardiography was distributed to all 157 delivery units in the Nordic countries in June 2013. %26lt;br%26gt;ResultsWe received responses from 156 of the 157 delivery units, and 116 (74%) were using pulse oximetry screening by September 2013. Preductal and postductal screening were both used in 59 of 116 units (51%), with just postductal screening in 51 of 116 (44%) and just preductal screening alone in 6 of 116 (5%). Screening was performed before 24h in 105 of 116 units (91%). The implementation of screening was highest in Finland (29/30, 97%), Sweden (42/46, 91%) and Norway (43/48, 90%) and lowest in Denmark (2/24, 8%) and Iceland (0/8 units). %26lt;br%26gt;ConclusionIn Sweden, Norway and Finland, the implementation of pulse oximetry screening is currently the highest in the world and coverage will be close to 100% in 2014. We propose uniform Nordic guidelines using preductal and postductal screening before 24h of age.

  • 出版日期2014-11