Pamela Aprilia Lumentut, Erling David Kaunang
OBJECTIVE : Screening for congenital heart defects relies on ultrasound antenatal and postnatal physical examination, however sometimes life-threatening defect is not detected. We tested the accuracy of pulse oximetry as a screening test for congenital heart defects. METHOD : This study was aimed to obtain the profile of CHD in the Neonatal Intensive Care Unit (NICU) of Prof. Dr. R. D. Kandou Hospital Manado collection CHD screening results including pulse oximetry saturation value pre and postductal analyzed in accordance with the third threshold pulse oximetry, ? 90, ?92 and ?95%. Neonati of 276, 208 clinically well when it arrives, without comorbidities, gestation> 34 weeks and birth weight> 1.8 kg. A retrospective cohort study using medical record data of patients suffering from CHD confirmed by echocardiography in the period 2018. RESULTS : There were 27 neonates with congenital heart disease, consist of 88,89% non-cyanotic CHD and 11.11% cyanotic CHD. The most common heart defect was atrial septal defect (62.96%). Proportion of detected CHD in initial screening was significantly higher in ?95% oxygen saturation subgroup (72% [95% CI 66-78]) compared to ?92% oxygen saturation subgroup (46% [95% CI 39-52]). Low oxygen saturation was found in aortic stenosis, coarctacio aorta, and pulmonary stenosis. CONCLUSION : Pulse oximetry is a safe and easy which adds to the value of screening at this time. It can identify cases of critical congenital heart defects that are not detected during antenatal ultrasonography. Early detection of other diseases is an additional advantage. This study can assist in the development of pulse oximetry screening policies.