Strategies for implementing screening for critical congenital heart disease

Alex R. Kemper, William T. Mahle, Gerard R. Martin, W. Carl Cooley, Praveen Kumar, W. Robert Morrow, Kellie Kelm, Gail D. Pearson, Jill Glidewell, Scott D. Grosse, R. Howell

Research output: Contribution to journalArticle

222 Citations (Scopus)

Abstract

BACKGROUND: Although newborn screening for critical congenital heart disease (CCHD) was recommended by the US Health and Human Services Secretary's Advisory Committee on Heritable Disorders in Newborns and Children to promote early detection, it was deemed by the Secretary of the HHS as not ready for adoption pending an implementation plan from HHS agencies. OBJECTIVE: To develop strategies for the implementation of safe, effective, and efficient screening. METHODS: A work group was convened with members selected by the Secretary's Advisory Committee on Heritable Disorders in Newborns and Children, the American Academy of Pediatrics, the American College of Cardiology Foundation, and the American Heart Association. RESULTS: On the basis of published and unpublished data, the work group made recommendations for a standardized approach to screening and diagnostic follow-up. Key issues for future research and evaluation were identified. CONCLUSIONS: The work-group members found sufficient evidence to begin screening for low blood oxygen saturation through the use of pulse-oximetry monitoring to detect CCHD in well-infant and intermediate care nurseries. Research is needed regarding screening in special populations (eg, at high altitude) and to evaluate service infrastructure and delivery strategies (eg, telemedicine) for nurseries without on-site echocardiography. Public health agencies will have an important role in quality assurance and surveillance. Central to the effectiveness of screening will be the development of a national technical assistance center to coordinate implementation and evaluation of newborn screening for CCHD.

Original languageEnglish
JournalPediatrics
Volume128
Issue number5
DOIs
StatePublished - Nov 1 2011

Fingerprint

Heart Diseases
Newborn Infant
Nurseries
Advisory Committees
Infant Care
Oximetry
Telemedicine
Health Services
Echocardiography
Public Health
Pediatrics
Oxygen
Screening
Research
Population
Newborn

Keywords

  • Congenital heart defects
  • Neonatal screening
  • Oximetry

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Arts and Humanities (miscellaneous)

Cite this

Kemper, A. R., Mahle, W. T., Martin, G. R., Cooley, W. C., Kumar, P., Morrow, W. R., ... Howell, R. (2011). Strategies for implementing screening for critical congenital heart disease. Pediatrics, 128(5). https://doi.org/10.1542/peds.2011-1317

Strategies for implementing screening for critical congenital heart disease. / Kemper, Alex R.; Mahle, William T.; Martin, Gerard R.; Cooley, W. Carl; Kumar, Praveen; Morrow, W. Robert; Kelm, Kellie; Pearson, Gail D.; Glidewell, Jill; Grosse, Scott D.; Howell, R.

In: Pediatrics, Vol. 128, No. 5, 01.11.2011.

Research output: Contribution to journalArticle

Kemper, AR, Mahle, WT, Martin, GR, Cooley, WC, Kumar, P, Morrow, WR, Kelm, K, Pearson, GD, Glidewell, J, Grosse, SD & Howell, R 2011, 'Strategies for implementing screening for critical congenital heart disease', Pediatrics, vol. 128, no. 5. https://doi.org/10.1542/peds.2011-1317
Kemper AR, Mahle WT, Martin GR, Cooley WC, Kumar P, Morrow WR et al. Strategies for implementing screening for critical congenital heart disease. Pediatrics. 2011 Nov 1;128(5). https://doi.org/10.1542/peds.2011-1317
Kemper, Alex R. ; Mahle, William T. ; Martin, Gerard R. ; Cooley, W. Carl ; Kumar, Praveen ; Morrow, W. Robert ; Kelm, Kellie ; Pearson, Gail D. ; Glidewell, Jill ; Grosse, Scott D. ; Howell, R. / Strategies for implementing screening for critical congenital heart disease. In: Pediatrics. 2011 ; Vol. 128, No. 5.
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