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Critical congenital heart disease screening does not predict car seat tolerance screen outcomes |
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| Institution: | 1. University of Maryland School of Medicine, Baltimore, MD, USA;2. Division of Neonatology, University of Maryland Children''s Hospital, Baltimore, MD, USA;1. The Townsville Hospital, Australia;2. James Cook University, Australia;3. Cerebral Palsy Alliance, Australia;1. Biophotonics Lab, Department of Electrical Engineering, University of Wisconsin Milwaukee, Milwaukee, WI, 53211, USA;2. Ionizing and Non-ionizing Radiation Protection Research Center (INIRPRC), Shiraz University of Medical Sciences, Shiraz, Iran;1. Neonatal Staff Nurse in Our Lady of Lourdes Hospital, Drogheda, Co. Louth, Ireland;2. Royal College of Surgeons in Ireland, School of Nursing and Midwifery, 123 St. Stephens Green, Dublin 2, Ireland;1. City, University of London, Division of Language and Communication Science, Northampton Square, London, EC1V 0HB, United Kingdom;2. Barnet Neonatal Unit, Royal Free London NHS Foundation Trust, United Kingdom;3. Royal Free London NHS Foundation Trust, United Kingdom |
| Abstract: | BackgroundCar Seat Tolerance Screening (CSTS) and Critical Congenital Heart Disease (CCHD) screens were both implemented to identify infants with cardiorespiratory distress. We hypothesized that the CCHD screen would be poorly sensitive to predict a failed CSTS for many reasons.MethodsRetrospective record review of infants in 2013 who qualified for CSTS. Calculated sensitivity, specificity, predictive value (PV) of a failed CCHD screen to identify those infants who failed their CSTS.Results270 subjects underwent both screens and 14 failed a CSTS (5.2%). Of these, 1 failed the CCHD and 1 had an equivocal result. None were diagnosed with CCHD. An abnormal CCHD (failed or equivocal) had a sensitivity = 14.3% and a PV = 40% for predicting CSTS failure.ConclusionsCCHD screening is poorly sensitive and has poor PV for identifying those infants who are at risk of failing a CSTS. We therefore cannot recommend replacement of the CSTS with routine CCHD screening. |
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