公众对先天性心脏病重症监护中脉搏血氧饱和度筛查的看法。
Public Views on Pulse Oximetry Screening for Critical Congenital Heart Disease.
作者信息
Kumar Praveen, Iyengar Hari, Kumar Prerna
机构信息
1 Departments of Pediatrics, Northwestern Memorial Hospital, Chicago, IL, USA.
2 Department of Pediatrics, Children's Hospital of Illinois, University of Illinois, Peoria, IL, USA.
出版信息
World J Pediatr Congenit Heart Surg. 2017 Mar;8(2):130-134. doi: 10.1177/2150135116674468.
OBJECTIVES
To understand public views on pulse oximetry screening for critical congenital heart disease.
METHODS
Two hundred thirteen adults read a brief vignette describing the importance of early detection of critical congenital heart disease and then answered five questions on a five-point scale of how likely or unlikely they were to support pulse oximetry screening. Responses were tabulated and analyzed using a Fisher exact test, and logistic regression was used to estimate odds ratios for adjusted associations using generalized estimating equations.
RESULTS
Almost 90% of all participants expressed support for routine pulse oximetry screening. The possibility of false positives leading to a delay in discharge, and the potential need for transfer to another facility lowered support but did not reach a statistical significance. The overall support for pulse oximetry screening was strong and consistent between different participant demographics.
CONCLUSION
A large majority of participants in this study support pulse oximetry screening for the early detection of critical congenital heart disease.
目的
了解公众对用于筛查严重先天性心脏病的脉搏血氧饱和度测定法的看法。
方法
213名成年人阅读了一篇简短的短文，描述了早期发现严重先天性心脏病的重要性，然后就他们支持脉搏血氧饱和度测定法筛查的可能性或不可能性，在五点量表上回答了五个问题。使用Fisher精确检验对回答进行列表和分析，并使用广义估计方程通过逻辑回归来估计调整后关联的比值比。
结果
几乎90%的参与者表示支持常规脉搏血氧饱和度测定法筛查。假阳性导致出院延迟的可能性以及转至另一机构的潜在需求降低了支持率，但未达到统计学意义。对脉搏血氧饱和度测定法筛查的总体支持力度很大，且在不同参与者人口统计学特征之间保持一致。
结论
本研究中的绝大多数参与者支持使用脉搏血氧饱和度测定法进行筛查，以早期发现严重先天性心脏病。
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