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Pediatric Cardiology

, Volume 23, Issue 4, pp 403–409 | Cite as

Oxygen Saturation as a Screening Test for Critical Congenital Heart Disease: A Preliminary Study

  • T.R. Hoke
  • P.K. Donohue
  • P.K. Bawa
  • R.D. Mitchell
  • A. Pathak
  • P.C. Rowe
  • B.J. Byrne
Article

Abstract

The aim of this study was to assess the utility of arm and leg oxygen saturation as a candidate screening test for the early detection of ductal-dependent left heart obstructive disease. We measured arm and leg oxygen saturation in 2876 newborns admitted to well baby nurseries and 32 newborns with congenital heart disease. Fifty-seven newborns in the well baby nurseries (0.02%) had an abnormal test (leg saturation less than 92% in room air or 7% lower saturation in the leg than in the arm). Four of the 57 had critical congenital heart disease, including 1 with coarctation of the aorta. Of the 32 newborns with congenital heart disease, 11/13 (85%) with left heart obstructive disease had abnormal oxygen saturation tests, as did 15/19 (79%) with other forms of congenital heart disease. Pulse oximetry deserves further study as a screening test for critical congenital heart disease.

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Copyright information

© Springer-Verlag New York Inc. 2002

Authors and Affiliations

  • T.R. Hoke
    • 1
  • P.K. Donohue
    • 1
  • P.K. Bawa
    • 1
  • R.D. Mitchell
    • 1
  • A. Pathak
    • 1
  • P.C. Rowe
    • 1
  • B.J. Byrne
    • 1
  1. 1.Divisions of Neonatology, Pediatric Cardiology, and General Pediatrics and Adolescent Medicine, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USAUS

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