Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2007
ReviewAccuracy of pulse oximetry in screening for congenital heart disease in asymptomatic newborns: a systematic review.
To evaluate the accuracy of pulse oximetry as a screening tool for congenital heart disease in asymptomatic newborns. DESIGN, DATA SOURCES AND METHODS: Systematic review of relevant studies identified through MEDLINE, EMBASE, Cochrane Library, MEDION, and bibliographies of retrieved primary and review articles. Two reviewers independently extracted data on study characteristics, quality and results to construct 2x2 tables with congenital heart disease as the reference standard. A random-effects bivariate model was used to meta-analyse estimates of sensitivity and specificity. Logit pairs of sensitivity and specificity of each study were analysed in a single model, accounting for their correlation due to differences in threshold between studies. ⋯ Pulse oximetry was found to be highly specific tool with very low false positive rates to detect congenital heart disease. Large, well-conducted prospective studies are needed to assess its sensitivity with higher precision.
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2007
Biography Historical ArticleArvo Ylppö (1887-1992): pioneer of Finnish paediatrics.
Besides developing the clinical and social care of children throughout Finland from 1920 onwards, the earlier research of Ylppö in Germany had laid the foundations world wide for scientific progress in the understanding and care of the premature infant.
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2007
Impact of service changes on neonatal transfer patterns over 10 years.
Many changes have been made to the staffing and organisation of neonatal care in the UK in the past 10 years. This study assessed the extent to which these changes had affected the transfer of babies between different parts of the service. ⋯ Organisational changes in neonatal care during the 10-year period have been insufficient to deal with the rising demand, as reflected by the persistently high rate of inappropriate transfers.