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Journal Article
Pulse oximetry screening: do we have enough evidence now?
2014
Overview
In high-income countries, examination and, increasingly, antenatal ultrasound have formed the basis of screening, but test accuracy of these procedures is variable and many babies with critical congenital heart defects are discharged before diagnosis.1,2 Screening with pulse oximetry to detect hypoxaemia associated with most critical congenital heart defects has already been introduced in the USA3 and some Scandinavian countries, and is being considered by European countries including the UK.4 In The Lancet, Qu-ming Zhao and colleagues5 publish the results of a large study including 122 738 babies (120 707 asymptomatic and 2031 symptomatic), from 13 provinces in China. Because China does not have a national screening policy for congenital cardiac defects, individual clinicians were trained to undertake both a clinical assessment and pulse oximetry measurement in all eligible babies as part of the study.
Publisher
Elsevier Ltd,Elsevier Limited
Subject
