Lower pass threshold (≥93%) for critical congenital heart disease screening at high altitude prevents repeat screening and reduces false positives
Year: 2022
Type: article
Study design: Observational Study
Abstract: OBJECTIVE: ) screening at higher altitude. STUDY DESIGN: pass threshold ≥93% (high-altitude screen) were applied to first measurements to compare pass frequencies. RESULTS: was lower in high-altitude newborns (96% vs 99%-p < 0.001). The high-altitude newborns passed the AAP algorithm first screen less often (89.3% vs 99.6%-p < 0.001). With the high-altitude algorithm, 98% of high-altitude newborns passed the first screen. CONCLUSION: pass threshold by 2% at >6000 ft, significantly increased first screen pass rate. Adjustments for altitude may reduce nursing time to conduct repeat measurements and prevent transfers for echocardiograms. Larger studies are necessary to assess impact on false negatives.
Source: Journal of Perinatology
Institution: University of California, Davis
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $4,190
Awards: G156123175, G1854775919, G2826625206, Improving Critical Congenital Heart Disease Screening and Detection of "Secondary" Targets, G5495515084, G5977927362, G6361196638, G6793234042, G7006020220, Optimal Oxygenation in Neonatal Lung Injury, G9000025022, G9000036510, Institutional Career Development Core (KL2)
OpenAlex ID: W4292133604