الفهرس | Only 14 pages are availabe for public view |
Abstract Congenital heart disease (CHD) is the most common congenital anomaly of newborns. (CHD) are mostly asymptomatic at birth, which challenges it diagnosis. Objective: To evaluate the combination of simple tools (ECG, BL/ P, PULSE OXIMETER), as a screening method for detection of CCHD in apparent healthy full term neonate. Methods: This prospective observational study included 100 full term, apparent healthy neonate, with gestinal age from completed 37 weeks to completed 42 weeks were selected from deliveries at Alzahraa university hospital Cairo, Egypt. Data were collected from to May 2021 to march 2022. Results: There was statistically significant relation found between echo abnormality and ECG parameters left axis of QRS and ppulmonale showed higher percentage in neonates with abnormal echo than with normal eho with p-value = 0.023 and p-value = 0.006 respectively. There was no statistically significant difference found between neonates with abnormal echo than those with normal echo regarding SBP of UL and the SBP of LL, the difference between SBP of upper and lower limb the combination of PO2 post ductal, difference between pre and post ductal have a sensitivity of 83.3%, specificity of 97.7% and AUC of 0.968; the total combination between vital data, ECG and PO2 increase the sensitivity of 83.3 0%, specificity of 96.6 % and AUC of 0.950. Conclusion: This combination can enhance the clinician‟s ability to detect life-threatening congenital heart disease in a timely manner. This issue requires the formulation of national policy that will make screening for CCHD a priority |