Screening for congenital heart disease with newborn pulse oximetry.

摘要

Andrew Ewer and colleagues (Aug 27, P785)1 claim that theirtesting protocol has superior sensitivity to that advocated by de-Wahl Granelli and colleagues.2 This claim is incorrect for several reasons.First, Ewer and colleagues' sensitivity figure includes patients known to have critical congenital heart disease by fetal ultrasound scanning. For infants screened blind, as ours were, the sensitivity of Ewer and colleagues' protocol was 58%; our protocol had a sensitivity of 62%.2 Second, Ewer and colleagues claim that our protocol would have missed one of their critical cases (prenatally diagnosed hypoplastic left heart syndrome).