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Title of Journal: Pediatr Cardiol

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Abbravation: Pediatric Cardiology

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Springer-Verlag

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DOI

10.1016/0022-1759(93)90303-o

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1432-1971

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Screening Newborns for Congenital Heart Disease wi

Authors: RueyKang R Chang Sandra Rodriguez Thomas S Klitzner
Publish Date: 2008/07/25
Volume: 30, Issue: 1, Pages: 20-
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Abstract

Controversies exist regarding the use of pulse oximetry for routine screening of newborns This study aimed to evaluate current practices and opinions of pediatric cardiologists in relation to newborn screening for congenital heart disease CHD using pulse oximetryA total of 363 responses 35 were returned In terms of experience 40 of the respondents had more than 20 years 32 had 10 to 20 years 21 had 5 to 10 years and 6 had less than 5 years of experience More than 90 agreed that an early diagnosis of CHD for newborns prevents morbidity and mortality In terms of practice 96 reported that all newborns are examined by a clinician before discharge 29 reported that newborns get a pulse oximetry reading and 14 n = 5 reported the use of electrocardiogram Only 58 of respondents thought that current practice is adequate for detecting significant CHD With regard to their experience with pulse oximetry 26 reported “too many falsepositives” 21 described it as “prone to noise and artifact” and 30 viewed it as “very operator dependent” The overall support for mandated pulse oximetry screening was 55 The support for mandate decreased with years of experience with 76 of the supporters having less than 5 years 58 of those having 5 to 10 years 53 of those having 10 to 20 years and 51 of those having more than 20 years of experiencePediatric cardiologists recognize that current practice is inadequate for detecting significant CHD Slightly more than half of the pediatric cardiologists in this study supported a mandate for pulse oximetry screening but there were many concerns and the support decreased with increasing years of clinical experienceDr Chang received research funding from the National Center for Research Resources the National Institutes of Health 1 K23 RR1704101 and the American Heart Association 0365041Y Dr Klitzner’s salary is supported in part by a grant from the Skirball Foundation

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  12. “Baby Heart Project”: The Italian Project for Accreditation and Quality Management in Pediatric Cardiology and Cardiac Surgery
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