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[秘鲁对严重先天性心脏病的新生儿筛查:紧急呼吁]

[Neonatal screening for critical congenital heart diseases in Peru: an urgent call].

作者信息

Bravo-Jaimes Katia, Lozano Moreno Daniel, Orozco Jeannette, Rosales William, Macedo Nely, Medina Mónica, Huamán Gian, Márquez Rafael, Valdez Miriam, Vásquez Choy Ana Lucía, Zapata Henry A, Sánchez Tonohuye Julio, Dávila Aliaga Carmen

机构信息

Clínica Mayo, Florida, EE.UU. Clínica Mayo FloridaEE.UU.

Hospital Nacional Ramiro Prialé Prialé, Huancayo, Perú. Hospital Nacional Ramiro Prialé Prialé Huancayo Perú.

出版信息

Arch Peru Cardiol Cir Cardiovasc. 2024 Sep 29;5(3):157-166. doi: 10.47487/apcyccv.v5i3.366. eCollection 2024 Jul-Sep.

Abstract

Congenital heart diseases are the most common congenital malformations worldwide and represent one of the leading causes of neonatal death, in addition to the significant use of human and financial resources by health systems. The purpose of this document is to support the implementation of neonatal screening for critical congenital heart diseases using pulse oximetry according to the different geographical altitudes of Peru. This technology is widely used worldwide and has high sensitivity, specificity, and cost-effectiveness. At many latitudes, it has led to better survival in this group of patients and in the neonatal population in general since its use in the early detection of sepsis, pneumonia, and other conditions that affect the oxygenation of the newborn. Neonatal screening for critical congenital heart disease is applicable at all levels of healthcare at a national level, and its implementation must be a priority to improve neonatal health.

摘要

先天性心脏病是全球最常见的先天性畸形,是新生儿死亡的主要原因之一,此外还耗费卫生系统大量人力和财力资源。本文档的目的是支持根据秘鲁不同地理海拔地区,使用脉搏血氧饱和度仪对危重型先天性心脏病进行新生儿筛查。这项技术在全球广泛应用,具有高灵敏度、高特异性和成本效益。在许多地区,自其用于早期检测败血症、肺炎及其他影响新生儿氧合的疾病以来,已使这组患者以及新生儿总体存活率得到提高。危重型先天性心脏病的新生儿筛查适用于国家层面的各级医疗保健机构,其实施必须作为改善新生儿健康的优先事项。

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