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Nordic pulse oximetry screening--implementation status and proposal for uniform guidelines.
Anne de-Wahl Granelli1, Alf Meberg2, Tiina Ojala3
1Department of Paediatric Cardiology, Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden.
Acta Paediatrica (Oslo, Norway : 1992)
|July 26, 2014
Summary
Pulse oximetry screening for critical congenital heart disease is widely implemented in Nordic countries. Uniform guidelines for preductal and postductal screening before 24 hours are proposed to improve early detection.
Area of Science:
- Neonatal screening
- Pediatric cardiology
- Public health
Background:
- Pulse oximetry screening aids early detection of critical congenital heart disease (CCHD) in newborns.
- Early CCHD detection minimizes risks of circulatory collapse before surgical intervention.
Purpose of the Study:
- To update on the implementation of pulse oximetry screening in Nordic countries.
- To propose standardized guidelines for CCHD screening in the Nordic region.
Main Methods:
- A questionnaire was distributed to 157 Nordic delivery units in June 2013.
- The survey explored pulse oximetry screening practices, clinical examination routines, and echocardiography availability.
Main Results:
- 156 of 157 units responded; 116 (74%) used pulse oximetry screening by September 2013.
- Screening was performed before 24 hours of age in 91% of units.
- Implementation rates varied, with Finland (97%), Sweden (91%), and Norway (90%) showing the highest adoption.
Conclusions:
- Sweden, Norway, and Finland exhibit the highest global implementation of pulse oximetry screening.
- Near 100% coverage is anticipated in these countries by 2014.
- Uniform Nordic guidelines recommending preductal and postductal screening before 24 hours are proposed.
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