Performing Pulse Oximetry Screening in the Delivery Room Identified Newborn Infants Who Required Early Medical Attention.

IF 2.1 4区医学 Q1 PEDIATRICS

Acta Paediatrica Pub Date : 2025-06-27 DOI:10.1111/apa.70202

Krista Taivassalo, Marita Valkama, Markku Leskinen, Marja Ojaniemi

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引用次数: 0

Abstract

Aim: This study assessed whether pulse oximetry screening was associated with maternal and newborn characteristics or predicted the need for early medical attention. Congenital heart defects (CHDs) were also monitored.

Methods: Pulse oximetry screening was performed during delivery room discharge on 638/698 (91.4%) consecutive live-born infants at Oulu University Hospital, Finland, in 2006. All 638 had peripheral oxygen saturation (SpO2) measurements and the peripheral perfusion index (PPI) was recorded for 459 infants, 103 ± 29 min after birth. CHDs were followed up until 13 years of age.

Results: The infants (51.7% male) were born at 39.8 ± 1.4 gestational weeks. Those admitted to the neonatal intensive care unit (NICU) had lower mean SpO2 values (97.2% vs. 98.4%, p = 0.048). Males had higher mean PPI values than females (1.96 vs. 1.66, p = 0.002). Low mean PPI values were associated with maternal labetalol (1.28 vs. 1.84, p = 0.033) and antimicrobial medication (1.61 vs. 1.86, p = 0.036). CHDs were rare and no surgery was required.

Conclusion: PPI values were gender-dependent and associated with maternal medication. Pulse oximetry screening had the potential to identify newborn infants in the delivery room who appeared healthy but required early medical attention.

查看原文本刊更多论文

在产房进行脉搏血氧仪筛查，确定需要早期医疗照顾的新生儿。

目的：本研究评估脉搏血氧仪筛查是否与孕产妇和新生儿特征相关或预测早期医疗护理的需要。先天性心脏缺陷（CHDs）也被监测。方法：2006年在芬兰奥卢大学医院对638/698例（91.4%）连续活产婴儿在产房出院时进行脉搏血氧仪筛查。638例患儿均进行外周血氧饱和度（SpO2）测定，459例患儿在出生后103±29 min记录外周血灌注指数（PPI）。冠心病患者随访至13岁。结果：出生时间为39.8±1.4孕周，男婴占51.7%。入住新生儿重症监护病房（NICU）的患者SpO2均值较低（97.2%比98.4%,p = 0.048）。男性PPI均值高于女性（1.96比1.66,p = 0.002）。较低的PPI平均值与母体拉贝他洛尔（1.28比1.84,p = 0.033）和抗菌药物（1.61比1.86,p = 0.036）相关。冠心病是罕见的，不需要手术。结论：PPI值具有性别依赖性，且与母体用药有关。脉搏血氧仪筛查有可能识别出产房里看起来健康但需要早期医疗照顾的新生儿。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Paediatrica 医学-小儿科

CiteScore

6.50

自引率

5.30%

发文量

384

审稿时长

2-4 weeks

期刊介绍： Acta Paediatrica is a peer-reviewed monthly journal at the forefront of international pediatric research. It covers both clinical and experimental research in all areas of pediatrics including: neonatal medicine developmental medicine adolescent medicine child health and environment psychosomatic pediatrics child health in developing countries