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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 137 - 143 (7page)
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Purpose: This study was performed to determine the clinical features of full-term infants with hypoxemia detected by pulse oximetry and to establish the diagnosis of critical congenital heart disease (CCHD). Methods: We retrospectively reviewed the medical records of neonates who had been admitted to the neonatal intensive care unit within 2 weeks of birth at Korea University Ansan Hospital between January 2013 and October 2017 (n=450). We classified these neonates based on the presence of hypoxemia at admission and investigated neonatal characteristics, initial symptoms, echocardiographic findings, and final diagnosis associated with hypoxemic diseases. Results: Of 450 term infants, 265 infants (58.9%) were identified hypoxemia by pulse oximetry at admission. The most common symptoms of them were cyanosis and tachypnea. Among them, 80.1% of infants (214/265) were diagnosed with respiratory tract disease and 8.3% of infants (22/265) had congenital heart disease. Thirteen infants (13/265, 4.9%) had CCHD and were treated with urgent surgery or transcatheter intervention within 28 days of birth. Majority of infants with respiratory tract disorder were transferred from hospital immediately after birth, but 46.1% of infants (6/13) with CCHD remained asymptomatic after birth and were admitted after 48 hours after birth. In addition, other hypoxemic illnesses were identified as neonatal infectious and neurological diseases. Conclusion: This study showed the importance of assessment in neonates with hypoxemia, including those diagnosed with CCHD. The possibility of CCHD should be considered in the differential diagnosis in neonates demonstrating hypoxemia after 48 hours of birth. A larger prospective study is needed to assess the effectiveness and outcomes of pulse oximetry for neonatal screening in Korea.
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참고문헌 (28)
참고문헌 신청
Salyer JW / 2003 / Neonatal and pediatric pulse oximetry / Respir Care 48:386~396
Mower WR / 1998 / Pulse oximetry as a fifth vital sign in emergency geriatric assessment / Acad Emerg Med 5:858~865
O'Brien LM / 2000 / Oxygen saturation during the first 24 hours of life / Arch Dis Child Fetal Neonatal Ed 83:F35~F38
Levesque BM / 2000 / Pulse oximetry: what's normal in the newborn nursery / Pediatr Pulmonol 30:406~412
Heron MP / 2007 / Deaths: leading causes for 2003 / Natl Vital Stat Rep 55:1~92
Mower WR / 1998 / Pulse oximetry as a fifth vital sign in emergency geriatric assessment / Acad Emerg Med 5:858~865
O'Brien LM / 2000 / Oxygen saturation during the first 24 hours of life / Arch Dis Child Fetal Neonatal Ed 83:F35~F38
Levesque BM / 2000 / Pulse oximetry: what's normal in the newborn nursery / Pediatr Pulmonol 30:406~412
Heron MP / 2007 / Deaths: leading causes for 2003 / Natl Vital Stat Rep 55:1~92
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