Implementation of Congenital Heart Diseases Screening at the Bihac Cantonal Hospital

Abstract

Introduction:Congenital heart defects (CHD) were the most common birth defects, and the most common cause of death in infants with congenital anomalies in developed countries. Early detection of these anomalies would greatly enhance the effect of therapeutic procedures and the final outcome. Lately, pulse oximetry (PO) is used for the purpose of screening the cyanotic congenital heart defects. PO in combination with the clinical examination has greater diagnostic sensitivity in detection of CHD.Objective:Application of PO screening in combination with a novel clinical examination methodology of cardiovascular system in neonate towards earlier detection of CHD.Patients and methods:Study included newborn children in Bihac Cantonal Hospital in the year 2012. The sample included 1,865 children. A total of 29 children with congenital heart disease was diagnosed during the neonatal period.Conclusion:Modern algorithm for early detection can significantly improve the diagnosis of congenital heart anomalies. Early detection allows optimal care for these children. This concept is simple, inexpensive and reproducible in most maternity wards.

Pulse oximetry test for screening congenital heart diseases: a systematic review

“…Subsequently, subgroup analyses were carried out for sensitivity and specificity, according to the time of birth and the first POT measurement between 24 and 48 hours (Figures S1 and S2). In this meta-analysis, 20 studies were included (21)(22)(23)(24)27,28,(31)(32)(33)(35)(36)(37)(38)(40)(41)(42)(44)(45)(46)(47)(48) with a sample of 203,992 participants. An increase in sensitivity to 67% (95% CI: 62% to 72%) and specificity to 97% (95% CI: 97% to 97) was demonstrated.…”

“…A third analysis including studies that were carried out with protocols that contained retests after the first measurement, comprising 13 studies (21,24,27,28,31,32,34,35,37,38,42,44,45) and a sample of 124,469 participants was also developed (Figures S3 and S4). In this analysis, there was a similar increase in sensitivity to 91% (95% CI: 85% to 95%) and specificity to 100% (95% CI: 100% to 100%).…”

“…<94%: assessment by a pediatric cardiologist. Furthermore, there were studies that performed retests over a period of time greater than one hour and up to two hours, including eight studies (21,23,28,31,32,35,37,41) and a total sample of 27,473 participants (Figures S7 and S8). In this case, sensitivity was 76% (95% CI: 65% to 84%) and specificity was 99% (95% CI: 99% to 99%).…”

Teste de oximetria de pulso para triagem de cardiopatias congênitas: revisão sistemática

“…Kardasevic et al (31) 1.745 24 a 48 ≥95%: sem condutas adicionais. <95%: nova avaliação entre 1 e 2 horas.…”

“…de nascimento e a primeira mensuração do TOP entre 24 a 48h (Figuras S1 e S2). Nesta metanálise foram incluídos 20 estudos (21)(22)(23)(24)27,28,(31)(32)(33)(35)(36)(37)(38)(40)(41)(42)(44)(45)(46)(47)(48) com a amostra de 203.992 participantes. Demonstrou-se um aumento da sensibilidade para 67% (IC 95%: 62% a 72%) e a especificidade de 97% (IC 95%: 97% a 97).…”