財團法人預防醫學基金會

Preventive Medicine Foundation


崇明地區危急型新生兒先天性心臟病篩查推廣計畫成果文獻發表

                                                                     

本會與上海交通大學醫學院附屬新華醫院崇明分院合作推廣危急型新生兒先天性心臟病篩查的篩檢成果

即將在荷蘭海牙舉辦的第九屆新生兒篩檢國際學術研討會 (The 9th ISNS International Meeting 2016) 中發表

                                                                      



NEWBORN SCREENING FOR CRITICAL CONGENITAL HEART DISEASES IN A REMOTE COUNTY OF SHANGHAI, CHINA

Szu-Hui Chiang (1), Yu-Shih Shiau (1), Yi Shen (2), Yan Yu (2), Hui-Chen Ho (4), Lan Liu (3), Yu-Rong Wu (5), Sun Chen (5), Xiao-Qing Liu(2), Kwang-Jen Hsiao (1)

Preventive Medicine Foundation, Taipei, Taiwan (1); Depts. of Pediatrics (2) and Ultrasonography (3), Xin Hua Hospital affiliated to Shanghai Jiao Tong University School of Medicine Chongming Branch, Shanghai, China; Taipei Institute of Pathology (4), Taipei, Taiwan; Dept. of Pediatric Cardiology (5), Xin Hua Hospital affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China


Abstract

Critical congenital heart diseases (CCHD) are severe and life-threatening diseases requiring surgical or catheter intervention within first year of life. Recently, pulse oximetry (POxS) was adopted for newborn screening of CCHD. A community-based newborn CCHD screening program was developed for Chongming Island, which is a remote county located in Shanghai, China. The birthing facilities on the Island are located about 90km (~2 hr traffic time) from the city referral medical centers and without any pediatric cardiologist on the Island.

Two birthing facilities were participated in this program between 2014.8 and 2015.12. At the age of 24-36 hr, POxS tests were performed. A result decision chart and a CCHD Screening Assistant App <cchd.pmf.tw> were provided to assist result decision at bedside. If the newborn failed the screening test, after clinical examination the newborn was referred for an echocardiography by a local ultrasonographer immediately. The echocardiographs were reviewed by a pediatric cardiologist of the referral medical center via free WeChat App remotely.

Of 3,303 live births on the island during the period, 98.2% underwent POxS. Five (0.15%) newborns had failed the screening test. All the screen failed cases were referred and confirm diagnosed before 48 hr after birth. Four of them were confirmed as CCHD, 3 IAA and 1 single ventricle, one of them had diagnoses solely attributable to the CCHD screening. The other referred case was diagnosed with pulmonary dysfunction.

This efficient and effective community-based newborn CCHD screening program in Chongming Island successfully integrated screening and referral systems which provided a scheme for implementation of the newborn CCHD screening program in remote area without local pediatric cardiologist in China.







                                                                   

[回到首頁]


門診查詢網站保健營養 先天代謝異常疾病 認識肝癌 華人基因變異資料庫 新生兒篩檢及確診檢驗品質保證計畫

結核病防治 新生兒聽力篩檢 CRS流行病學調查 新生兒危急型先天心臟病篩檢


~預防醫學基金會 關心您的健康~

10699 台北郵政 26-624 號信箱  電話:(02) 2703-6080 傳真:(02) 2703-6070

 Copyright: 預防醫學基金會    Updated on : 25 Mar, 2016