Accuracy of Pulse Oximetry Measurement of Heart Rate of Newborn Infants in the Delivery Room
Received 16 July 2007; received in revised form 25 October 2007; accepted 3 January 2008. published online 07 March 2008.
Refers to article:
Physical Examination and Pulse Oximetry in Newborn Infants: Out with the Old, in with the New?
William T. Mahle
The Journal of Pediatrics
June 2008 (Vol. 152, Issue 6, Pages 747-748) Full Text |
Full-Text PDF (63 KB)
First Day of Life Pulse Oximetry Screening to Detect Congenital Heart Defects
, 07 March 2008
Alf Meberg, Sabine Brügmann-Pieper, Reidar Due, Leif Eskedal, Ingebjørg Fagerli, Teresa Farstad, Dag Helge Frøisland, Catharina Hovland Sannes, Ole Jakob Johansen, Jasmina Keljalic, Trond Markestad, Egil Andre Nygaard, Alet Røsvik, Inger Elisabeth Silberg
The Journal of Pediatrics
June 2008 (Vol. 152, Issue 6, Pages 761-765) Abstract |
Full Text |
Full-Text PDF (125 KB)
Objective
To determine the accuracy of heart rate obtained by pulse oximetry (HRPO) relative to HR obtained by 3-lead electrocardiography (HRECG) in newborn infants in the delivery room.
Study design
Immediately after birth, a preductal PO sensor and ECG leads were applied. PO and ECG monitor displays were recorded by a video camera. Two investigators reviewed the videos. Every two seconds, 1 of the investigators recorded HRPO and indicators of signal quality from the oximeter while masked to ECG, whereas the other recorded HRECG and ECG signal quality while masked to PO. HRPO and HRECG measurements were compared using Bland-Altman analysis.
Results
We attended 92 deliveries; 37 infants were excluded due to equipment malfunction. The 55 infants studied had a mean (±standard deviation [SD]) gestational age of 35 (±3.7) weeks, and birth weight 2399 (±869) g. In total, we analyzed 5877 data pairs. The mean difference (±2 SD) between HRECG and HRPO was −2 (±26) beats per minute (bpm) overall and −0.5 (±16) bpm in those infants who received positive-pressure ventilation and/or cardiac massage. The sensitivity and specificity of PO for detecting HRECG <100 bpm was 89% and 99%, respectively.
Conclusion
PO provided an accurate display of newborn infants' HR in the delivery room, including those infants receiving advanced resuscitation.
aNeonatal Services, The Royal Women's Hospital, Melbourne, Australia
bNeonatal Unit, National Maternity Hospital, Dublin, Ireland
cDepartment of Obstetrics, University of Melbourne, Melbourne, Australia
dMurdoch Children's Research Institute, Melbourne, Australia.
Reprint requests: C. Omar F. Kamlin, Neonatal Paediatrician, Division of Newborn Services, The Royal Women's Hospital, 132 Grattan St, Carlton, Victoria, Australia, 3053.
Supported in part by a RWH Postgraduate degree scholarship (C.O., C.K., J.D.) an NHMRC Practitioner Fellowship (P.D.), and an Australian National Health and Medical Research Council Program grant (384100).
ABSTRACT