Hines Amanda J
Maria Fareri Children's Hospital at Westchester Medical Center, Neonatal Intensive Care Unit, Valhalla, New York 10595, USA.
Adv Neonatal Care. 2012 Jun;12(3):151-7. doi: 10.1097/ANC.0b013e3182569983.
Routine pulse oximetry screening (POS) performed on asymptomatic newborns after 24 hours of life, but before hospital discharge, may detect critical congenital heart defects (cCHD) when used as an adjunct to physical examination. Timely identification of this small percentage of newborns prompts early intervention and improves outcomes. New-generation, highly accurate pulse oximeters provide a simple, low-risk, low-cost tool to improve detection of potentially lethal cardiac lesions. The purpose of this study was to develop, implement, and test the utility of a nurse-driven algorithm that would support and serve as a guide for detection of cCHD in asymptomatic newborns using POS prior to discharge home from the hospital. Results showed that this collaborative protocol was easily implemented in a community hospital. The universal algorithm enhances POS and clinical examination to identify asymptomatic infants with undiagnosed cCHD prior to discharge from the hospital.
对出生24小时后、出院前无症状的新生儿进行常规脉搏血氧饱和度筛查（POS），作为体格检查的辅助手段时，可能检测出危重型先天性心脏病（cCHD）。及时识别这一小部分新生儿可促使早期干预并改善预后。新一代高度精确的脉搏血氧仪提供了一种简单、低风险、低成本的工具，以提高对潜在致命性心脏病变的检测能力。本研究的目的是开发、实施并测试一种由护士主导的算法的效用，该算法将支持并指导在新生儿出院前使用POS检测无症状新生儿的cCHD。结果表明，这一协作方案在社区医院易于实施。通用算法增强了POS和临床检查，以在医院出院前识别未被诊断出患有cCHD的无症状婴儿。
