A single-extremity staged approach for critical congenital heart disease screening: Results from Tennessee

William Walsh, Jean A. Ballweg

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Tennessee initiated single-extremity staged screening by pulse oximetry for undetected CCHD in 2012. The algorithm begins with a saturation reading in the foot and allows an automatic pass if the foot pulse oximetry is 97% or greater. This was based on the principle that it is not possible to have a greater than 4% difference in the pulse oximetry between upper and lower extremities if the lower extremity is equal to or greater than 97%. This approach eliminates over 75,000 “unnecessary” pulse oximetry determinations in Tennessee each year without affecting the ability to detect CCHD before hospital discharge.

Original languageEnglish (US)
Article number31
JournalInternational Journal of Neonatal Screening
Volume3
Issue number4
DOIs
StatePublished - Dec 2017

Keywords

  • Coarctation of aorta
  • Critical congenital heart disease
  • Pulse oximetry screening
  • Screening algorithm
  • State screening

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Immunology and Microbiology (miscellaneous)
  • Obstetrics and Gynecology

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