دورية أكاديمية

Critical CHD screening programme: a 3-year multicentre experience in Mexico.

التفاصيل البيبلوغرافية
العنوان: Critical CHD screening programme: a 3-year multicentre experience in Mexico.
المؤلفون: Gómez-Gutiérrez R; Genomi-k, Monterrey, Nuevo León, 64060, Mexico.; CHRISTUS Muguerza, Hospital Alta Especialidad, Monterrey, Nuevo León, 64060, Mexico., Galindo-Hayashi JM; Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, Nuevo León, 64710, Mexico., Cantú-Reyna C; Genomi-k, Monterrey, Nuevo León, 64060, Mexico.; Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, Nuevo León, 64710, Mexico., Vazquez-Cantu DL; Genomi-k, Monterrey, Nuevo León, 64060, Mexico.; Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, Nuevo León, 64710, Mexico., Britton-Robles C; Genomi-k, Monterrey, Nuevo León, 64060, Mexico.; Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, Nuevo León, 64710, Mexico., Cruz-Camino H; Genomi-k, Monterrey, Nuevo León, 64060, Mexico.; Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, Nuevo León, 64710, Mexico.
المصدر: Cardiology in the young [Cardiol Young] 2022 Jul 08, pp. 1-7. Date of Electronic Publication: 2022 Jul 08.
Publication Model: Ahead of Print
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Cambridge University Press Country of Publication: England NLM ID: 9200019 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1467-1107 (Electronic) Linking ISSN: 10479511 NLM ISO Abbreviation: Cardiol Young Subsets: MEDLINE
أسماء مطبوعة: Publication: <2005->: Cambridge : Cambridge University Press
Original Publication: Chapel Hill, NC : World Publishers, c1991-
مستخلص: Introduction: CHDs are the most common type of birth defect. One in four newborns with a heart defect has a critical CHD. In Mexico, there is a lack of data available to determine its prevalence. Pulse oximetry screening programmes have been implemented worldwide, reporting opportunity areas in algorithm interpretation and data management. Our study aims to share preliminary results of a 3-year experience of a multicentre pulse oximetry screening programme that addresses critical challenges.
Materials and Methods: This retrospective study examined the reports of newborns screened from February 2016 to July 2019 from five hospitals. Two algorithms -the New Jersey and the American Academy of Pediatrics- were implemented over consecutive periods. The algorithms' impact was assessed through the calculation of the false-positive rate in an eligible population.
Results: A total of 8960 newborns were eligible for the study; from it, 32.27% were screened under the New Jersey and 67.72% under the American Academy of Pediatrics algorithm - false-positive rate: 1% (CI 95: ± 0.36%) and 0.71% (CI 95: ± 0.21%), respectively. Seventy-nine newborns were referred, six were diagnosed with critical CHD, and six with CHD. The critical CHD estimated prevalence was 6.69:10,000 newborns (CI 95: ± 5.36). Our results showed that the algorithm was not related to the observable false-positive rate reduction.
Discussion: Other factors may play a role in decreasing the false-positive rate. Our experience implementing this programme was that a systematic screening process led to more confident results, newborn's report interpretation, and follow-up.
فهرسة مساهمة: Keywords: Newborn; congenital; data management; false-positive rate; heart defects; mass screening
تواريخ الأحداث: Date Created: 20220708 Latest Revision: 20240216
رمز التحديث: 20240217
DOI: 10.1017/S1047951122001974
PMID: 35801272
قاعدة البيانات: MEDLINE
الوصف
تدمد:1467-1107
DOI:10.1017/S1047951122001974