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Int. J. Neonatal Screen. 2017, 3(4), 31; doi:10.3390/ijns3040031

A Single-Extremity Staged Approach for Critical Congenital Heart Disease Screening: Results from Tennessee

1
Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN 37232, USA
2
Department of Pediatrics, University of Nebraska Medical Center, Nashville, TN 37232, USA
*
Author to whom correspondence should be addressed.
Received: 9 October 2017 / Revised: 14 November 2017 / Accepted: 14 November 2017 / Published: 20 November 2017
(This article belongs to the Special Issue Neonatal Screening for Critical Congenital Heart Defects)
View Full-Text   |   Download PDF [372 KB, uploaded 20 November 2017]   |  

Abstract

Tennessee initiated single-extremity staged screening by pulse oximetry for undetected CCHD in 2012. The algorithm begins with a saturation reading in the foot and allows an automatic pass if the foot pulse oximetry is 97% or greater. This was based on the principle that it is not possible to have a greater than 4% difference in the pulse oximetry between upper and lower extremities if the lower extremity is equal to or greater than 97%. This approach eliminates over 75,000 “unnecessary” pulse oximetry determinations in Tennessee each year without affecting the ability to detect CCHD before hospital discharge. View Full-Text
Keywords: pulse oximetry screening; screening algorithm; critical congenital heart disease; state screening; coarctation of aorta pulse oximetry screening; screening algorithm; critical congenital heart disease; state screening; coarctation of aorta
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Walsh, W.; Ballweg, J.A. A Single-Extremity Staged Approach for Critical Congenital Heart Disease Screening: Results from Tennessee. Int. J. Neonatal Screen. 2017, 3, 31.

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