Volume 29, Issue 5 (8-2021)                   JSSU 2021, 29(5): 3765-3774 | Back to browse issues page


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Amiri Simkouii F, Jamshidi M, Behjati Ardakani M, Toosi F, Alipour M R, Namayandeh S M. Comparative study of pulse oximetry, physical examination and echocardiography results in the diagnosis of congenital heart defects in neonates in the first 24 hours of life. JSSU 2021; 29 (5) :3765-3774
URL: http://jssu.ssu.ac.ir/article-1-5083-en.html
Abstract:   (1418 Views)
Introduction: Congenital heart disease is the most common congenital anomaly. About 50% of Neonates with congenital heart disease are asymptomatic in the first few days of life and are not diagnosed on initial examination. Pulse oximetry is a non-invasive method that can show the percentage of oxygen saturation in the blood and congenital heart disease.
Methods: This was a descriptive cross-sectional study and the sampling method was census. Echocardiography was performed for all neonates with spo2 less than 95% and also neonates who were diagnosed with a problem by a cardiologist. After collecting the samples, the results obtained from pulse oximetry, physical examination and echocardiography were analyzed using SPSS software version 16 and statistical tests of Kolmogorov-Smirnov normality and Spearman correlation. Was investigated.
Results: In pulse oximetry evaluation, 1.9% of neonates had spo2 (arterial oxygen saturation) less than 95%. 1.7% of neonates had heart problems in physical examination and 2.12% of neonates had heart problems in echocardiography. The highest correlation between pulse oximetry and echocardiography was 0.917.
Conclusion: Considering the diagnostic importance of congenital heart diseases and their impact on a person's life, it is recommended that pulse oximetry be added to physical examinations at birth as a screening method for heart disease.
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Type of Study: Original article | Subject: Pediatrics
Received: 2020/02/19 | Accepted: 2020/10/11 | Published: 2021/08/1

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