Newborn oxygen saturation at mild altitude versus sea level: Implications for neonatal screening for critical congenital heart disease

Acta Paediatrica, International Journal of Paediatrics

Volumn 102, Issue 4, 2013, Pages 379-384

  Samuel, Tal Y ^a   Bromiker, Reuben ^a   Mimouni, Francis B ^a,b   Picard, Elie ^a   Lahav, Sigalit ^b   Mandel, Dror ^b   Goldberg, Shmuel ^a  

^a SHAARE ZEDEK MEDICAL CENTER   (Israel)

^b TEL AVIV SOURASKY MEDICAL CENTER   (Israel)

Author keywords

Congenital heart defects; neonatal screening; pulse oximetry

Indexed keywords

ALGORITHM; ALTITUDE; ARTICLE; BLOOD OXYGEN TENSION; CONFIDENCE INTERVAL; CONGENITAL HEART DISEASE; CONTROLLED STUDY; FALSE POSITIVE RESULT; FEMALE; FOOT; HAND; HUMAN; HUMAN EXPERIMENT; MALE; NEWBORN; NEWBORN SCREENING; NORMAL HUMAN; OXYGEN SATURATION; PREDICTION; PRIORITY JOURNAL; REGRESSION ANALYSIS; SEA LEVEL;

CONGENITAL HEART DEFECTS; NEONATAL SCREENING; PULSE OXIMETRY;

ALTITUDE; FEMALE; HEART DEFECTS, CONGENITAL; HUMANS; INFANT, NEWBORN; ISRAEL; MALE; NEONATAL SCREENING; OXIMETRY; OXYGEN; REFERENCE VALUES;

EID: 84875235907     PISSN: 08035253     EISSN: 16512227     Source Type: Journal    
DOI: 10.1111/apa.12155     Document Type: Article

References (19)

1. Thangaratinam S, Brown K, Zamora J, Khan KS, Ewer AK,. Pulse oximetry screening for critical congenital heart defects in asymptomatic newborn babies: a systematic review and meta-analysis. Lancet 2012; 379: 2459-64.
2. Kemper AR, Mahle WT, Martin GR, Cooley WC, Kumar P, Morrow WR, et al. Strategies for implementing screening for critical congenital heart disease. Pediatrics 2011; 128: e1259-67.
3. West JB,. The physiologic basis of high-altitude diseases. Ann Intern Med 2004; 141: 789-800.
4. Subhi R, Smith K, Duke T,. When should oxygen be given to children at high altitude? A systematic review to define altitude specific hypoxaemia. Arch Dis Child 2009; 94: 6-10.
5. Goldberg S, Buhbut E, Mimouni FB, Joseph L, Picard E,. Blood oxygen saturation in healthy young adults at mild elevation above sea level. Respiration. 2012 [Epub ahead of print] DOI: 10.1159/000336554.
6. Dollberg S, Haklai Z, Mimouni FB, Gorfein I, Gordon ES,. Birth weight standards in the liveborn population in Israel. Isr Med Assoc J 2005; 7: 311-14.
7. Hegyi T, Carbone T, Anwar M, Ostfeld B, Hiatt M, Koons A, et al. The Apgar score and its components in the preterm infant. Pediatrics 1998; 101: 77-81.
8. Lozano JM, Duque OR, Buitrago T, Behaine S,. Pulse oximetry reference values at high altitude. Arch Dis Child 1992; 67: 299-301.
9. Salas AA,. Pulse oximetry values in healthy term newborns at high altitude. Ann Trop Paediatr 2008; 28: 275-8.
10. Gonzales GF, Salirrosas A,. Arterial oxygen saturation in healthy newborns delivered at term in Cerro de Pasco (4340 m) and Lima (150 m). Reprod Biol Endocrinol 2005; 3: 46.
11. Ravert P, Detwiler TL, Dickinson JK,. Mean oxygen saturation in well neonates at altitudes between 4498 and 8150 feet. Adv Neonatal Care 2011; 11: 412-17.
12. Bakr AF, Habib HS,. Normal values of pulse oximetry in newborns at high altitude. J Trop Pediatr 2005; 51: 170-3.
13. Thilo EH, Park-Moore B, Berman ER, Carson BS,. Oxygen saturation by pulse oximetry in healthy infants at an altitude of 1610 m (5280 ft): what is normal? Am J Dis Child 1991; 145: 1137-40.
14. Levesque BM, Pollack P, Griffin BE, Nielsen HC,. Pulse oximetry: what's normal in the newborn nursery? Pediatr Pulmonol 2000; 30: 406-12.
15. Poets CF, Stebbens VA, Lang JA, O'Brien LM, Boon AW, Southall DP,. Arterial oxygen saturation in healthy term neonates. Eur J Pediatr 1996; 155: 219-23.
16. Brockmann PE, Poets A, Urschitz MS, Sokollik C, Poets CF,. Reference values for pulse oximetry recordings in healthy term neonates during their first 5 days of life. Arch Dis Child Fetal Neonatal Ed 2011; 96: F335-8.
17. de-Wahl Granelli A, Wennergren M, Sandberg K, Mellander M, Bejlum C, Inganäs L, et al. Impact of pulse oximetry screening on the detection of duct dependent congenital heart disease: a Swedish prospective screening study in 39,821 newborns. BMJ 2009; 338: a3037.
18. de Wahl Granelli A, Mellander M, Sunnegardh J, Sandberg K, Ostman-Smith I,. Screening for duct dependant congenital heart disease with pulse oximetry: a critical evaluation of strategies to maximize sensitivity. Acta Paediatr 2005; 94: 1590-6.
19. Phattraprayoon N, Sardesai S, Durand M, Ramanathan R,. Accuracy of pulse oximeter readings from probe placement on newborn wrist and ankle. J Perinatol 2012; 32: 276-80.