›› 2014, Vol. 32 ›› Issue (1): 26-29.

• Original Article • Previous Articles     Next Articles

Value of heart murmurs, dyspnea and transcutaneous oxygen satuation in screening for neonatal congenital heart diseases HU Yu1, YU Jing1, GUAN Lirong1, LI Zhuoya2, ZHENG Xiaolan1, WU Xiaofang1, WANG Xiaoshuang1 (1.Department of Pediatrics, Mianyang Central Hospital; 2.Department of Pediatrics, Mianyang City People's Hos-pital , Mianyang 621000, Sichuan, China)

  

  • Received:2013-06-30 Online:2014-01-15 Published:2014-01-15

Abstract:  Objective  To explore a more reliable and easy-to-use method for the screening of neonatal congenital heart diseases (CHD). Methods Totally 5 350 newborns delivered from January 2012 to December 2012 were involved in this study. All participants received cardiac color ultrasound to make a definite diagnosis which was used to evaluate the validity, reliability and benefit ratio of such indicators as heart murmur, dyspnea and transcutaneous oxygen satuation (SpO2)<95% in the screening of neonatal CHD. Results The sensitivity and specificity were in the range of 29.03% to 81.71%, reliability was 39.10% to 81.35%, and benefit ratio was 1.49% to 99.37% when heart murmur, dyspnea and abnormal SpO2 were used separately as the screening indicators for CHD. When their combination such as heart murmurs plus dyspnea, heart murmurs plus abnormal SpO2, dyspnea plus abnormal SpO2, and heart murmurs plus dyspnea plus abnormal SpO2 were used for screening, the sensitivity was decreased, while the specificity, reliability and benefit ratio were increased. Conclusions The combination of heart murmur, dyspnea and abnormal SpO2 is useful in the screening of neonatal congenital heart disease.