Lozano DCM, Hernández BR, Iglesias LJ, Bernárdez ZI, Vidaña PD

Language: Spanish
References: 12
Page: 146-150
PDF size: 162.64 Kb.

ABSTRACT

Objective: To describe the pre and post ductal saturation performed by the cardiac screen recommended by the American Academy of Pediatrics (AAP) of all newborns admitted to the physiological nursery, at a height of 2,640 meters above sea level (Mexico City). Material and methods: A cross-sectional study conducted during the period from March to August of 2018, all the sieves were performed after 24 hours of life, we use the algorithm recommended by the AAP. Oximetry was taken at two sites: right hand (preductal) and any of the feet (postductal). We included 292 newborns (RN), of which 256 were term RN, and 36 late preterm RN. Results: Mean preductal saturation was 95.5% (95% CI 95.2-95.8) and 95.8% postductal (95% CI 95.5-96.1). Conclusions: Values were established for newborns at the height of the City of Mexico, with which we can suggest the application of a safe cardiac sieve with the guidelines of the AAP in our environment.

REFERENCES

1. Tennant PW, Pearce MS, Bythell M, Rankin J. 20-year survival of children born with congenital anomalies: a population-based study. Lancet. 2010; 375 (9715): 649-656. doi: 10.1016/S0140-6736(09)61922-X.

2. Bird TM, Hobbs CA, Cleves MA, Tilford JM, Robbins JM. National rates of birth defects among hospitalized newborns. Birth Defects Res Part A Clin Mol Teratol. 2006; 76 (11): 762-769. doi: 10.1002/bdra.20323.

3. Canfield MA, Honein MA, Yuskiv N et al. National estimates and race/ethnic-specific variation of selected birth defects in the United States, 1999-2001. Birth Defects Res Part A Clin Mol Teratol. 2006; 76 (11): 747-756. doi: 10.1002/bdra.20294.

4. Garg LF, Van Naarden Braun K, Knapp MM et al. Results from the new jersey statewide critical congenital heart defects screening program. Pediatrics. 2013; 132 (2): e314-e323. doi: 10.1542/peds.2013-0269.

5. Abouk R, Grosse SD, Ailes EC, Oster ME. Association of US state implementation of newborn screening policies for critical congenital heart disease with early infant cardiac deaths. JAMA. 2017; 318 (21): 2111-2118. doi: 10.1001/jama.2017.17627.

6. Cullen BPJ, Guzmán CB. Tamiz de cardiopatías congénitas críticas. Recomendaciones actuales. Acta Med. 2014; 12 (1): 24-29.

7. Marino BS, Lipkin PH, Newburger JW et al. Neurodevelopmental outcomes in children with congenital heart disease: evaluation and management. Circulation. 2012; 126 (9): 1143-1172. doi: 10.1161/CIR.0b013e318265ee8a.

8. Kemper AR, Mahle WT, Martin GR et al. Strategies for implementing screening for critical congenital heart disease. Pediatrics. 2011; 128 (5): e1259-e1267. doi: 10.1542/peds.2011-1317.

9. Koestenberger M, Nagel B, Ravekes W et al. Systolic right ventricular function in preterm and term neonates: reference values of the tricuspid annular plane systolic excursion (TAPSE) in 258 patients and calculation of z-score values. Neonatology. 2011; 100 (1): 85-92. doi: 10.1159/000322006.

10. Orozco Gutiérrez A, Pereira Díaz A, Marcelo Orozco S. Diferencias entre la saturación de oxígeno al nacer y las 48 horas en neonatos a término reanimados con y sin oxígeno. Acta Med. 2017; 15 (4): 264-268.

11. Tapia-Rombo CA, Rosales-Cervantes MGI, Saucedo-Zavala VJ et al. Saturación periférica de oxígeno por oximetría de pulso en recién nacidos clínicamente sanos a la altitud de la Ciudad de México (2240 m). Gac Med Mex. 2008; 144 (3): 207-212.

12. Peña-Juárez RA, Chávez-Sáenz JA, García-Canales A et al. Comparación de oxímetros para detección de cardiopatías congénitas críticas. Arch Cardiol Mex. 2019; 89 (2): 172-180.