Akurasi Pulse Oksimetri Fingertip Dibandingkan Pulse Oksimetri Generasi Baru dalam Deteksi Dini Penyakit Jantung Bawaan Kritis pada Bayi baru Lahir: Penelitian Pendahuluan
Sari
Latar belakang. Peningkatan morbiditas dan mortalitas bayi baru lahir dengan penyakit jantung bawaan kritis berkaitan dengan
diagnosis yang terlambat.
Tujuan. Mengetahui nilai diagnostik pulse oksimetri fingertip dibandingkan generasi baru untuk deteksi dini PJB kritis pada bayi
baru lahir.
Metode. Penelitian dilakukan di Ruang Rawat Gabung RSCM pada bayi bugar, usia gestasi ô€´37 minggu, dan berusia 24-72 jam.
Oksimetri dilakukan di tangan kanan (preduktal) dan kaki (postduktal). Subjek dengan SpO2 <95% /beda >3% antara tangan kanan
dan kaki diperiksa lebih lanjut.
Hasil. Pada 442 bayi, SpO2 preduktal kedua jenis pulse oksimetri bervariasi secara statistik namun tidak bermakna klinis. Tidak ada
subjek dengan hasil deteksi positif dan didiagnosis PJB kritis melalui pemeriksaan oksimetri.
Kesimpulan. Uji diagnostik pulse oksimetri fingertip dibandingkan generasi baru untuk deteksi dini PJB kritis pada bayi baru lahir
pada penelitian ini belum dapat dinilai.
Kata Kunci
Teks Lengkap:
PDFReferensi
Liske MR, Greeley CS, Law DJ, Walsh WF, dkk.
Report of the tennessee task force on screening newborn
infants for critical congenital hear disease. Pediatrics
;118:1250-7.
Hoffman JIE. It is time for routine neonatal screening
by pulse oximetry. Neonatol 2011;99:1–9.
Mahle WT, Newburger JW, Matherne GP, Grosse SD,
dkk. Role of pulse oximetry in examining newborns for
congenital heart disease: a scientific statement from the
AHA and AAP. Pediatrics 2009;124:823-36.
Wren C, Reinhardt Z, Khawaja K. Twenty-year trends
in diagnosis of life-threatening neonatal cardiovascular
malformations. Arch Dis Child Fetal Neonatal
;93:33–5.
Abu-Harb M, Hey E, Wren C. Death in infancy from
unrecognised congenital heart disease. Arch Dis Child
;71:3–7.
Badan Pusat Statistik. Perkembangan beberapa indikator
utama sosial-ekonomi Indonesia November 2010.
Jakarta: Badan Pusat Statistik;2010.h.9-45.
de-Wahl Granelli A, Wennergren M, Sandberg K,
Östman-Smith I, dkk. Impact of pulse oximetry
screening on the detection of duct dependent congenital
heart disease: a Swedish prospective screening study in
,821 newborns. BMJ 2009;338:1-12.
Ewer AK, Middleton LJ, Furmston AT, Khan KS, dkk.
Pulse oximetry screening for congenital heart defects in
newborn infants (PulseOx): a test accuracy study. Lancet
;378:785–94.
Meberg A, Brügmann-Pieper S, Due R Jr, Sielberg IE,
dkk. First day of life pulse oximetry screening to detect
congenital heart defects. J Pediatr 2008;152:761–5.
Thangaratinam S, Brown K, Zamora J, Khan KS, Ewer
AK. Pulse oximetry screening for critical congenital heart
defects in asymptomatic newborn babies: a systematic
review and meta-analysis. The Lancet 2012;379:2459-
Koppel RI, Druschel CM, Carter T, Bierman FZ, dkk.
Effectiveness of pulse oximetry screening for congenital
heart disease in asymptomatic newborns. Pediatrics
;111:451-5.
Hoke TR, Donohue PK, Bawa PK, Byrne BJ, dkk.
Oxygen saturation as a screening test for critical congenital heart disease: a preliminary study. Pediatr
Cardiol 2002;23:403-9.
Ortega R, Hansen CJ, Elterman K, Woo K. Pulse
oximetry. N Engl J Med 2011;364:33-7.
Knowles R, Griebsch I, Dezateux C, Brown J, Bull C,
Wren C. Newborn screening for congenital heart defects:
a systematic review and cost-effectiveness analysis. Health
Technol Assess 2005;9:1–152.
Nonin. Fingertip pulse oximetry. Diakses pada tanggal 12
Mei 2013. Diunduh dari: http://www.nonin.com/Oximetry/
Fingertip.
Hay WW, Rodden DJ, Collins SM, Melara DL, Hale KA,
Fashaw LM. Reliability of conventional and new pulse
oximetry in neonatal patients. J Perinatol 2002;22:360-6.
Sahni R, Gupta A, Rosen TS. Motion-resistant pulse oximetry
during circumcision in neonates. Arch Dis Child Fetal
Neonatal 2003;88:505-8.
Sendelbach DM, Jackson GL, Lai SS, Fixler DE, Stehel
EK, Engle WD. Pulse oximetry screening at 4 hours of
age to detect critical congenital heart defects. Pediatrics
;122:1-6.
O’Donnell CPF, Kamlin COF, Davis PG, Morley CJ.
Obtaining pulse oximetry data in neonates: a randomised
crossover study of sensor application techniques. Arch
Dis Child Fetal Neonatal 2005;90:84-5.
Bradshaw EA, Cuzzi S, Kiernan SC, Nagel N, Becker JA,
Martin GR. Feasibility of implementing pulse oximetry
screening for congenital heart disease in a community
hospital. J Perinatol 2012;32:710-5.
DOI: http://dx.doi.org/10.14238/sp17.2.2015.113-8
Refbacks
- Saat ini tidak ada refbacks.
##submission.copyrightStatement##
##submission.license.cc.by-nc-sa4.footer##
Email: editorial [at] saripediatri.org
Sari Pediatri diterbitkan oleh Badan Penerbit Ikatan Dokter Anak Indonesia
Ciptaan disebarluaskan di bawah Lisensi Creative Commons Atribusi-NonKomersial-BerbagiSerupa 4.0 Internasional.