Skip to main content
Erschienen in: Pediatric Cardiology 6/2022

04.03.2022 | Original Article

Providers’ Attitudes to Proposed Changes in the Critical Congenital Heart Disease Screening Algorithm

verfasst von: Julia Claire Walters, Xiao Zhang, John Smith Hokanson

Erschienen in: Pediatric Cardiology | Ausgabe 6/2022

Einloggen, um Zugang zu erhalten

Abstract

Screening for critical congenital heart disease (CCHD) in newborns based on a 2009 Swedish study has become the standard of care despite the complexity of the algorithm. A simplified algorithm which might increase the false-positive rate was proposed in 2020 but not formally endorsed by the American Academy of Pediatrics. We sought to determine how the current protocol and the proposed changes are perceived by clinicians. We performed an anonymous survey of professionals involved in the care of newborns regarding their perception of the current and proposed CCHD screening algorithms. 335 responses were evaluated. Less than 2% of respondents were dissatisfied with the existing screening algorithm or felt it was difficult to perform. 47% endorsed and 12% opposed the adoption of the proposed modifications with those most familiar with the proposed changes more likely to endorse them. Although many providers would accept a higher false-positive rate in CCHD screening, those who would have to transfer a baby from the birth site for assessment after a failed CCHD screening were less tolerant of an increased false-positive rate. Although the existing CCHD screening mechanisms appear to be very well received, the proposed changes to the CCHD algorithm were viewed positively by many respondents. Changes in this algorithm would likely be better tolerated in those setting where the consequences of a failed CCHD screening are more easily addressed.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Wren C, Reinhardt Z, Khawaja K (2008) Twenty-year trends in diagnosis of life-threatening neonatal cardiovascular malformations. Arch Dis Child Fetal Neonatal Ed 93(1):F33–F35CrossRef Wren C, Reinhardt Z, Khawaja K (2008) Twenty-year trends in diagnosis of life-threatening neonatal cardiovascular malformations. Arch Dis Child Fetal Neonatal Ed 93(1):F33–F35CrossRef
2.
Zurück zum Zitat Mellander M, Sunnegardh J (2006) Failure to diagnose critical heart malformations in newborns before discharge–an increasing problem? Acta Paediatr 95(4):407–413CrossRef Mellander M, Sunnegardh J (2006) Failure to diagnose critical heart malformations in newborns before discharge–an increasing problem? Acta Paediatr 95(4):407–413CrossRef
3.
Zurück zum Zitat Hoffman JI, Kaplan S (2002) The incidence of congenital heart disease. J Am Coll Cardiol 39(12):1890–1900CrossRef Hoffman JI, Kaplan S (2002) The incidence of congenital heart disease. J Am Coll Cardiol 39(12):1890–1900CrossRef
4.
Zurück zum Zitat de-Wahl Granelli A, Wennergren M, Sandberg K, Mellander M, Bejlum C, Inganas L et al (2009) Impact of pulse oximetry screening on the detection of duct dependent congenital heart disease: a Swedish prospective screening study in 39,821 newborns. BMJ 338:a3037CrossRef de-Wahl Granelli A, Wennergren M, Sandberg K, Mellander M, Bejlum C, Inganas L et al (2009) Impact of pulse oximetry screening on the detection of duct dependent congenital heart disease: a Swedish prospective screening study in 39,821 newborns. BMJ 338:a3037CrossRef
5.
Zurück zum Zitat Martin GR, Beekman RH 3rd, Mikula EB, Fasules J, Garg LF, Kemper AR et al (2013) Implementing recommended screening for critical congenital heart disease. Pediatrics 132(1):e185–e192CrossRef Martin GR, Beekman RH 3rd, Mikula EB, Fasules J, Garg LF, Kemper AR et al (2013) Implementing recommended screening for critical congenital heart disease. Pediatrics 132(1):e185–e192CrossRef
6.
Zurück zum Zitat Kemper AR, Mahle WT, Martin GR, Cooley WC, Kumar P, Morrow WR et al (2011) Strategies for implementing screening for critical congenital heart disease. Pediatrics 128(5):e1259–e1267CrossRef Kemper AR, Mahle WT, Martin GR, Cooley WC, Kumar P, Morrow WR et al (2011) Strategies for implementing screening for critical congenital heart disease. Pediatrics 128(5):e1259–e1267CrossRef
7.
Zurück zum Zitat Abouk R, Grosse SD, Ailes EC, Oster ME (2017) Association of US state implementation of newborn screening policies for critical congenital heart disease with early infant cardiac deaths. JAMA 318(21):2111–2118CrossRef Abouk R, Grosse SD, Ailes EC, Oster ME (2017) Association of US state implementation of newborn screening policies for critical congenital heart disease with early infant cardiac deaths. JAMA 318(21):2111–2118CrossRef
9.
Zurück zum Zitat Garg LF, Van Naarden BK, Knapp MM, Anderson TM, Koppel RI, Hirsch D et al (2013) Results from the New Jersey statewide critical congenital heart defects screening program. Pediatrics 132(2):e314–e323CrossRef Garg LF, Van Naarden BK, Knapp MM, Anderson TM, Koppel RI, Hirsch D et al (2013) Results from the New Jersey statewide critical congenital heart defects screening program. Pediatrics 132(2):e314–e323CrossRef
11.
Zurück zum Zitat Ewer AK, Middleton LJ, Furmston AT, Bhoyar A, Daniels JP, Thangaratinam S et al (2011) Pulse oximetry screening for congenital heart defects in newborn infants (PulseOx): a test accuracy study. Lancet 378(9793):785–794CrossRef Ewer AK, Middleton LJ, Furmston AT, Bhoyar A, Daniels JP, Thangaratinam S et al (2011) Pulse oximetry screening for congenital heart defects in newborn infants (PulseOx): a test accuracy study. Lancet 378(9793):785–794CrossRef
12.
Zurück zum Zitat Zhao QM, Ma XJ, Ge XL, Liu F, Yan WL, Wu L et al (2014) Pulse oximetry with clinical assessment to screen for congenital heart disease in neonates in China: a prospective study. Lancet 384:747CrossRef Zhao QM, Ma XJ, Ge XL, Liu F, Yan WL, Wu L et al (2014) Pulse oximetry with clinical assessment to screen for congenital heart disease in neonates in China: a prospective study. Lancet 384:747CrossRef
14.
Zurück zum Zitat Lhost JJ, Goetz EM, Belling JD, van Roojen WM, Spicer G, Hokanson JS (2014) Pulse oximetry screening for critical congenital heart disease in planned out-of-hospital births. J Pediatr 165:485CrossRef Lhost JJ, Goetz EM, Belling JD, van Roojen WM, Spicer G, Hokanson JS (2014) Pulse oximetry screening for critical congenital heart disease in planned out-of-hospital births. J Pediatr 165:485CrossRef
15.
Zurück zum Zitat Miller KK, Vig KS, Goetz EM, Spicer G, Yang AJ, Hokanson JS (2016) Pulse oximetry screening for critical congenital heart disease in planned out of hospital births and the incidence of critical congenital heart disease in the plain community. J Perinatol 36(12):1088–1091CrossRef Miller KK, Vig KS, Goetz EM, Spicer G, Yang AJ, Hokanson JS (2016) Pulse oximetry screening for critical congenital heart disease in planned out of hospital births and the incidence of critical congenital heart disease in the plain community. J Perinatol 36(12):1088–1091CrossRef
17.
Zurück zum Zitat Beissel DJGEM, Hokanson JS (2011) Pulse oximetry screening for congenital heart disease in Wisconsin. Congenit Heart Dis 6(5):521–522 Beissel DJGEM, Hokanson JS (2011) Pulse oximetry screening for congenital heart disease in Wisconsin. Congenit Heart Dis 6(5):521–522
18.
Zurück zum Zitat McClain MR, Hokanson JS, Grazel R, Van Naarden BK, Garg LF, Morris MR et al (2017) Critical congenital heart disease newborn screening implementation: lessons learned. Matern Child Health J 21(6):1240–1249CrossRef McClain MR, Hokanson JS, Grazel R, Van Naarden BK, Garg LF, Morris MR et al (2017) Critical congenital heart disease newborn screening implementation: lessons learned. Matern Child Health J 21(6):1240–1249CrossRef
Metadaten
Titel
Providers’ Attitudes to Proposed Changes in the Critical Congenital Heart Disease Screening Algorithm
verfasst von
Julia Claire Walters
Xiao Zhang
John Smith Hokanson
Publikationsdatum
04.03.2022
Verlag
Springer US
Erschienen in
Pediatric Cardiology / Ausgabe 6/2022
Print ISSN: 0172-0643
Elektronische ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-022-02858-4

Weitere Artikel der Ausgabe 6/2022

Pediatric Cardiology 6/2022 Zur Ausgabe

Die „Zehn Gebote“ des Endokarditis-Managements

30.04.2024 Endokarditis Leitlinie kompakt

Worauf kommt es beim Management von Personen mit infektiöser Endokarditis an? Eine Kardiologin und ein Kardiologe fassen die zehn wichtigsten Punkte der neuen ESC-Leitlinie zusammen.

Strenge Blutdruckeinstellung lohnt auch im Alter noch

30.04.2024 Arterielle Hypertonie Nachrichten

Ältere Frauen, die von chronischen Erkrankungen weitgehend verschont sind, haben offenbar die besten Chancen, ihren 90. Geburtstag zu erleben, wenn ihr systolischer Blutdruck < 130 mmHg liegt. Das scheint selbst für 80-Jährige noch zu gelten.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders gilt das offenbar für weibliche Kranke, wie eine Studie zeigt.

Dihydropyridin-Kalziumantagonisten können auf die Nieren gehen

30.04.2024 Hypertonie Nachrichten

Im Vergleich zu anderen Blutdrucksenkern sind Kalziumantagonisten vom Diyhdropyridin-Typ mit einem erhöhten Risiko für eine Mikroalbuminurie und in Abwesenheit eines RAS-Blockers auch für ein terminales Nierenversagen verbunden.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.