ISSN 0975-3583

Journal of Cardiovascular Disease Research

    Role of Pulse Oximetry as Screening Tool in detecting Cyanotic Congenital Heart Disease inSick Neonates at Tertiary Care Hospital Neonatal Intensive Care Unit in Jharkhand

    Partha KumarChaudhuri ,Divya Singh , Kiran Shankar Das
    JCDR. 2019: 103-106


    To evaluate pulse oximetry for detection of congenital cyanotic heart disease in sick neonates using echocardiography as gold standard. Methods: Pulse oximetry readings were taken at admission from 500 neonates from right upper limb and either foot with infant breathing room air. Pulse oximetry was considered abnormal if oxygen saturation at room air measured <90% or difference between right hand and foot was more than 3%. Persistent abnormality was considered positive result. Echocardiography was performed on all neonates with positive pulse oximetry (study group) as well as on neonates with negative pulse oximetry (controls).Results: Pulse oximetry was positive in 24 neonates. It detected 9 out of 10 (90 %) true positives. The sensitivity, specificity, positive predictive value, negative predictive value and odds ratio (95% CI) of pulse oximetry was 90 %, 55.58 %, 5.62 %, 99.47 and 11.3 respectively. Conclusion: Pulse oximetry screening is useful in detecting cyanotic heart disease.



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    Volume 10 Issue 2