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Pulse oximetry as a screening test for congenital heart disease in newborns Cover

Pulse oximetry as a screening test for congenital heart disease in newborns

Open Access
|Jul 2022

Figures & Tables

Characteristics of the neonatal study population_

Neonatal characteristicsNMean ± SDRange
Maternal Age (years)1,08223.54 ± 2.8019–32
Gestational Age (weeks)1,08239.41 ± 1.3337–41
Hours of Life1,0828.30 ± 2.854–22
Birth Weight (Kg)1,0822.72 ± 0.1242.5–3.2
Heart Rate (beats per minute)1082151 ± 13120–168
Respiratory Rate (rate/ min)1,08243.5 ± 538–58
SpO2 (in %) First Reading (R1)1,06297 ± 195–100
1893 ± 192–94
286 ± 185–87
SpO2 (in %) Second Reading (R2)1596 ± 196–100
393 ± 192–94
SpO2 (in %) Third Reading (R3)1597 ± 196–100
393 ± 192–94

Group-wise distribution of neonates in the study_

GroupsFrequencyPercentage
Birth Weight2.5 to 3 Kgs1,02194.4
3.1 to 4 Kgs615.6
SexFemale51347.4
Male56952.6
Heart Rate (beats / min)120 to 14018316.9
141 to 16073367.7
161 to 18016615.3
Respiratory Rate (per minute)38 to 4782175.9
48 to 5826124.1
Hours of Life at Pulse oximetry Evaluation2 to 6 hours32429.9
6 to 12 hours69364.0
12 to 24 hours656.0
Total 1,082100.0

Distribution of Maternal Characteristics

Maternal characteristicsGroupFrequencyPercentage
Maternal Age (years)≤ 2010810.0
21 to 2559755.2
26 to 3034231.6
> 30353.2
Gestational Age (weeks)37979
3834431.7
3934829.4
4021720.1
411069.8
Registration StatusNon-registered42539.3
Registered65760.7
H/O DiabetesNo1,07999.7
Yes30.3
Mode of DeliveryNormal84277.8
LSCS24022.2
Infections during pregnancyNo1,04596.6
URTI191.8
Malaria80.7
Torch60.6
Hepatitis40.4
Total 1,082100.0

Oxygen Saturation (SpO2) by Pulse Oximeter

SpO2GroupsFrequencyPercentage
1st Reading (R1)≥ 95%1,06298.1
90%–94%181.7
< 90%20.2
Total1,082100.0
1st Repeat (R2)≥ 95%1583.3
90%–94%316.7
Total18100.0
2nd Repeat (R3)≥ 95%1583.3
90%–94%316.7
Total18100.0

Saturation and presentation of newborns suspected of having critical CHD_

Sr. NoSpO2 (%)Subsequent SpO2 (%)Neonatal PresentationSuspected By2D ECHO Diagnosis
18790Grade 3, Systolic murmurPOx and Clinical ExaminationTGA + VSD
28587Grade 4, Ejection systolic murmur at left upper parasternal regionPOx and Clinical ExaminationTOF
39292NormalPoxDORV
49292NormalPoxASD + PH
59596Bounding pulse, Grade 4, continuous murmur, left infra-clavicular regionClinical ExaminationPDA
69494AsymptomaticPOxNormal
7100Grade 2 systolic murmurClinical ExaminationNormal
898Grade 2 systolic murmurClinical ExaminationNormal
997Grade 2 systolic murmurClinical ExaminationNormal
10100Grade 2 systolic murmurClinical ExaminationNormal
DOI: https://doi.org/10.34763/jmotherandchild.20222601.d-21-00033 | Journal eISSN: 2719-535X | Journal ISSN: 2719-6488
Language: English
Page range: 1 - 9
Submitted on: Nov 27, 2021
Accepted on: Apr 22, 2022
Published on: Jul 20, 2022
Published by: Institute of Mother and Child
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2022 Dalwinder Janjua, Japna Singh, Amit Agrawal, published by Institute of Mother and Child
This work is licensed under the Creative Commons Attribution 4.0 License.