John Collin, Phillips John, Hamilton Candice, Lastliger Allison
W V Med J. 2016 Jul-Aug;112(4):42-6.
In March 2012 the West Virginia legislature passed a law that mandates birth hospitals to perform pulse oximetry screening for all well-babies in the newborn nursery to improve the detection of critical congenital heart disease (CCHD). CCHD screening data collection began on September 1, 2012 at all 28 birthing hospitals. The purpose of this study was to review the first year of pulse oximetry screening outcomes and identify barriers to implementation and solutions to improve tracking and policy.
All WV birth hospitals were provided with the U.S. Department of Health and Human Services recommendations for CCHD screening, and the Center for Disease Control's recommended screening algorithm for review and reference. 20,115 infants were entered into the Birth Score database between September 1, 2012 and August 31, 2013. 19,283 (91%) infants were screened for CCHD.
17,101 (88.5%) infants passed, 19 infants failed, and 2,163 (11.2%) infants had missing data for the screening. 832 infants were not screened due to being admitted to the neonatal intensive care unit for reasons unknown. 17 of the 19 infants who failed the screening had a transthoracic echo report available for review. Of those 17 infants reviewed, seven were diagnosed with CCHD.
85% of the infants born in WV who received a Birth Score during the year reviewed were screened for CCHD. Given that the goal is to have 100% compliance with the pulse oximetry screening, additional investigations into factors affecting compliance may be necessary.
2012年3月，西弗吉尼亚州立法机构通过了一项法律，要求分娩医院对新生儿重症监护室的所有健康婴儿进行脉搏血氧饱和度筛查，以提高对严重先天性心脏病（CCHD）的检测率。2012年9月1日，所有28家分娩医院开始收集CCHD筛查数据。本研究的目的是回顾脉搏血氧饱和度筛查结果的第一年，并确定实施过程中的障碍以及改进跟踪和政策的解决方案。
向所有西弗吉尼亚州的分娩医院提供了美国卫生与公众服务部关于CCHD筛查的建议，以及疾病控制中心推荐的筛查算法以供参考。2012年9月1日至2013年8月31日期间，20115名婴儿被录入出生评分数据库。其中19283名（91%）婴儿接受了CCHD筛查。
17101名（88.5%）婴儿通过筛查，19名婴儿未通过，2163名（11.2%）婴儿筛查数据缺失。832名婴儿因不明原因入住新生儿重症监护室而未接受筛查。19名未通过筛查的婴儿中有17名有经胸超声心动图报告可供审查。在这17名接受审查的婴儿中，7名被诊断患有CCHD。
在本回顾年度内，西弗吉尼亚州出生且获得出生评分的婴儿中有85%接受了CCHD筛查。鉴于目标是使脉搏血氧饱和度筛查的依从率达到100%，可能需要对影响依从性的因素进行进一步调查。
