EFEKTIVITAS PULSE OXIMETRY SEBAGAI SKRINING PENYAKIT JANTUNG BAWAAN KRITIS BAYI BARU LAHIR : LITERATUR REVIEW
DOI:
https://doi.org/10.31004/jkt.v6i3.46932Keywords:
pulse oximetry screening, critical congenital heart diseaseAbstract
Penyakit jantung bawaan (PJB) kritis merupakan salah satu klasifikasi dari PJB yaitu malformasi struktur jantung sejak lahir dan memerlukan intervensi segera dalam satu tahun kehidupan. Penyakit ini dapat dideteksi menggunakan pulse oximetry screening. Literature review ini bertujuan untuk mengetahui efektivitas pulse oximetry screening dalam skrining PJB kritis pada bayi baru lahir. Sumber data yang digunakan adalah original article, original investigation, dan original research mengenai efektivitas pulse oximetry screening untuk mendeteksi PJB kritis pada bayi baru lahir. Artikel berbahasa Inggris, menggunakan e-database dari Pubmed, Proquest, dan ScienceDirect. Artikel dilakukan ekstraksi data, item data, dan sintesis hasil untuk menjawab tujuan penelitian. Ada 8 artikel yang telah ditelaah, didapatkan bahwa pulse oximetry screening memiliki sensitivitas dan spesifisitas yang cukup tinggi pada beberapa penelitian. Usia bayi baru lahir menentukan hasil penelitian ini. Terdapat penelitian yang melakukan skrining pada usia < 12 jam, 12-24 jam, dan 24-48 jam. Selain itu, berbagai jenis PJB kritis dapat dideteksi melalui pulse oximetry dan pemeriksaan ekokardiografi. Pemeriksaan laboratorium dan USG dapat menjadi pemeriksaan penunjang jika didapatkan hasil negatif pada pulse oximetry screening untuk menyingkirkan penyebab infeksi. Pulse oximetry screening efektif sebagai deteksi dini PJB kritis. Hal ini diketahui dari angka sensitivitas dan spesifitas yang tinggi pada skrining ini. Dan jenis-jenis PJB kritis dapat diketahui dengan pemeriksaan ekokardiografi.References
Almawazini, A. M., Hanafi, H. K., Madkhali, H. A., & Majrashi, N. B. (2017). Effectiveness of the critical congenital heart disease screening program for early diagnosis of cardiac abnormalities in newborn infants. Saudi Medical Journal, 38(10), 1019–1024. https://doi.org/10.15537/smj.2017.10.20295
Bello, H. C. A., Trujillo, D. L., Moreno, G. A. T., Torres, M. T. D., Restrepo, A. T., Fonseca, A., Reyes, N. S., Chamorro, C. L., & Verano, R. J. D. (2019). Oximetry and neonatal examination for the detection of critical congenital heart disease: A systematic review and meta-analysis. In F1000Research (Vol. 8). F1000 Research Ltd. https://doi.org/10.12688/f1000research.17989.1
Bernstein, D. (2016). The Fetal Circulation. In Nelson Textbook of Pediatrics (20th ed., Vol. 2, pp. 2161–2162). Elsevier.
Crouch, L., Speroni, K. G., Jones, R. A., MacDougall, E. P., & Daniel, M. G. (2016). Timing of Newborn Pulse Oximetry Screenings for Critical Congenital Heart Defects Before Discharge. JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, 45(1), 39–44. https://doi.org/10.1016/j.jogn.2015.10.007
Eka Putra, B., Prakoso, R., Kardiologi Rumah Sakit Umum Daerah Berkah Pandeglang, D., Pediatrik Kardiologi, D., Penyakit Jantung dan Pembuluh Darah, D., Sakit Pusat Jantung Nasional Harapan Kita, R., & Kedokteran, F. (2022). Pentingnya Mendeteksi Penyakit Jantung Bawaan Lebih Dini: Skrining Fase Prenatal dan Postnatal Penyakit Jantung Bawaan: Seberapa Sering dan Apa Implikasinya? www.cdc.gov/ncbddd/heartdefects/data.
El Idrissi Slitine, N., Bennaoui, F., Sable, C. A., Martin, G. R., Hom, L. A., Fadel, A., Moussaoui, S., Inajjarne, N., Boumzebra, D., Mouaffak, Y., Younous, S., Boukhanni, L., & Maoulainine, F. M. R. (2020). Pulse oximetry and congenital heart disease screening: Results of the first pilot study in Morocco. International Journal of Neonatal Screening, 6(3). https://doi.org/10.3390/IJNS6030053
Gopalakrishnan, S., Karmani, S., Pandey, A., Singh, N., Ratheesh Kumar, J., Praveen, R., & Sodhi, K. (2021). Pulse oximetry screening to detect critical congenital heart diseases in asymptomatic neonates. Medical Journal Armed Forces India, 77(2), 214–219. https://doi.org/10.1016/j.mjafi.2020.09.004
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Kara, N., Arman, D., Gül, A., Şimşek, T., Ceylan, Ö., & Cömert, S. (2022). Evaluation of Critical Congenital Heart Disease Screening Results with Pulse Oximetry. Istanbul Medical Journal, 23(2), 102–106. https://doi.org/10.4274/imj.galenos.2022.45793
Majani, N., Chillo, P., Slieker, M. G., Sharau, G., Mlawi, V., Mongella, S., Nkya, D., Khuboja, S., Kwesigabo, G., Kamuhabwa, A., Janabi, M., & Grobbee, D. (2022). Newborn Screening for Critical Congenital Heart Disease in a Low-Resource Setting; Research Protocol and Preliminary Results of the Tanzania Pulse Oximetry Study. Global Heart, 17(1). https://doi.org/10.5334/gh.1110
Mawson, I. E., Babu, P. L., Simpson, J. M., & Fox, G. F. (2018). Pulse oximetry findings in newborns with antenatally diagnosed congenital heart disease. European Journal of Pediatrics, 177(5), 683–689. https://doi.org/10.1007/s00431-018-3093-2
Murni, I. K., Wibowo, T., Arafuri, N., Oktaria, V., Dinarti, L. K., Panditatwa, D., Patmasari, L., Noormanto, N., & Nugroho, S. (2022a). Feasibility of screening for critical congenital heart disease using pulse oximetry in Indonesia. BMC Pediatrics, 22(1). https://doi.org/10.1186/s12887-022-03404-0
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Singh, Y., & Chen, S. E. (2022). Impact of pulse oximetry screening to detect congenital heart defects: 5 years’ experience in a UK regional neonatal unit. European Journal of Pediatrics, 181(2), 813–821. https://doi.org/10.1007/s00431-021-04275-w
Almawazini, A. M., Hanafi, H. K., Madkhali, H. A., & Majrashi, N. B. (2017). Effectiveness of the critical congenital heart disease screening program for early diagnosis of cardiac abnormalities in newborn infants. Saudi Medical Journal, 38(10), 1019–1024. https://doi.org/10.15537/smj.2017.10.20295
Bello, H. C. A., Trujillo, D. L., Moreno, G. A. T., Torres, M. T. D., Restrepo, A. T., Fonseca, A., Reyes, N. S., Chamorro, C. L., & Verano, R. J. D. (2019). Oximetry and neonatal examination for the detection of critical congenital heart disease: A systematic review and meta-analysis. In F1000Research (Vol. 8). F1000 Research Ltd. https://doi.org/10.12688/f1000research.17989.1
Bernstein, D. (2016). The Fetal Circulation. In Nelson Textbook of Pediatrics (20th ed., Vol. 2, pp. 2161–2162). Elsevier.
Crouch, L., Speroni, K. G., Jones, R. A., MacDougall, E. P., & Daniel, M. G. (2016). Timing of Newborn Pulse Oximetry Screenings for Critical Congenital Heart Defects Before Discharge. JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, 45(1), 39–44. https://doi.org/10.1016/j.jogn.2015.10.007
Eka Putra, B., Prakoso, R., Kardiologi Rumah Sakit Umum Daerah Berkah Pandeglang, D., Pediatrik Kardiologi, D., Penyakit Jantung dan Pembuluh Darah, D., Sakit Pusat Jantung Nasional Harapan Kita, R., & Kedokteran, F. (2022). Pentingnya Mendeteksi Penyakit Jantung Bawaan Lebih Dini: Skrining Fase Prenatal dan Postnatal Penyakit Jantung Bawaan: Seberapa Sering dan Apa Implikasinya? www.cdc.gov/ncbddd/heartdefects/data.
El Idrissi Slitine, N., Bennaoui, F., Sable, C. A., Martin, G. R., Hom, L. A., Fadel, A., Moussaoui, S., Inajjarne, N., Boumzebra, D., Mouaffak, Y., Younous, S., Boukhanni, L., & Maoulainine, F. M. R. (2020). Pulse oximetry and congenital heart disease screening: Results of the first pilot study in Morocco. International Journal of Neonatal Screening, 6(3). https://doi.org/10.3390/IJNS6030053
Gopalakrishnan, S., Karmani, S., Pandey, A., Singh, N., Ratheesh Kumar, J., Praveen, R., & Sodhi, K. (2021). Pulse oximetry screening to detect critical congenital heart diseases in asymptomatic neonates. Medical Journal Armed Forces India, 77(2), 214–219. https://doi.org/10.1016/j.mjafi.2020.09.004
Guyton, A. C., & Hall, J. E. (2016). Guyton and Hall Textbook of Medical Physiology (13th Ed.). Elsevier.
Hosein Movahedian, A., Mosayebi, Z., & Sagheb, S. (2016). Cyanotic Congenital Heart Disease in Newborns. In J Teh Univ Heart Ctr (Vol. 11, Issue 2). http://jthc.tums.ac.ir
Kara, N., Arman, D., Gül, A., Şimşek, T., Ceylan, Ö., & Cömert, S. (2022). Evaluation of Critical Congenital Heart Disease Screening Results with Pulse Oximetry. Istanbul Medical Journal, 23(2), 102–106. https://doi.org/10.4274/imj.galenos.2022.45793
Majani, N., Chillo, P., Slieker, M. G., Sharau, G., Mlawi, V., Mongella, S., Nkya, D., Khuboja, S., Kwesigabo, G., Kamuhabwa, A., Janabi, M., & Grobbee, D. (2022). Newborn Screening for Critical Congenital Heart Disease in a Low-Resource Setting; Research Protocol and Preliminary Results of the Tanzania Pulse Oximetry Study. Global Heart, 17(1). https://doi.org/10.5334/gh.1110
Mawson, I. E., Babu, P. L., Simpson, J. M., & Fox, G. F. (2018). Pulse oximetry findings in newborns with antenatally diagnosed congenital heart disease. European Journal of Pediatrics, 177(5), 683–689. https://doi.org/10.1007/s00431-018-3093-2
Murni, I. K., Wibowo, T., Arafuri, N., Oktaria, V., Dinarti, L. K., Panditatwa, D., Patmasari, L., Noormanto, N., & Nugroho, S. (2022a). Feasibility of screening for critical congenital heart disease using pulse oximetry in Indonesia. BMC Pediatrics, 22(1). https://doi.org/10.1186/s12887-022-03404-0
Ontoseno, T. (2018). Penyakit Jantung pada Anak (1st ed.). CV Sagung Seto.
Rahman, M. A. (2019). Diagnosa Dini Penyakit Jantung Bawaan Kritis. In A. Suryawan, D. Puspitasari, R. V. Prasetyo, & N. P. Kusumastuti (Eds.), The 2nd Pediatric Emergencies : Quick Responses and Prompt Management (2nd ed., pp. 19–44). Lentera Optima Pustaka.
Roebiono, P. S., Rahajoe, A. U., & Sastroasmoro, S. (2020). Embriogenesis Kardiovaskular dan Sirkulasi Janin. In S. Sastroasmoro & M. M. Djer (Eds.), Buku Ajar Kardiologi Anak (2nd ed., pp. 198–215). Badan Penerbit Ikatan Dokter Anak Indonesia.
Singh, Y., & Chen, S. E. (2022). Impact of pulse oximetry screening to detect congenital heart defects: 5 years’ experience in a UK regional neonatal unit. European Journal of Pediatrics, 181(2), 813–821. https://doi.org/10.1007/s00431-021-04275-w
Willim, H. A., Cristianto, & Alice Inda Supit. (2020). Critical Congenital Heart Disease in Newborn: Early Detection, Diagnosis, and Management. Bioscientia Medicina : Journal of Biomedicine and Translational Research, 5(1), 107–116. https://doi.org/10.32539/bsm.v5i1.180
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