title: The use of newborn screening pulse oximetry to detect cyanotic congenital heart disease: a survey of current practice at Army, Navy, and Air Force hospitals.
abstract: OBJECTIVE
  To determine the prevalence of newborn screening pulse oximetry (+POx) among military hospitals, including barriers to instituting protocols.
  
  
  METHODS
  An internet-based questionnaire was forwarded to the senior pediatricians at military hospitals worldwide supporting newborn deliveries.
  
  
  RESULTS
  Forty seven of 53 hospitals (88%) supporting deliveries responded to the survey. Thirty percent of hospitals utilize a +POx protocol. Eight centers cited no problems with implementation. All hospitals screened at > or = 24 hours of life. The site of recording, positive values, and follow-up for positive screens varied. Cardiology consult and echocardiogram were not mandated. Most hospitals (34/47) are unable to obtain a pediatric cardiology consult without transfer. Few hospitals (9/47) utilize a telemedicine system. Seventy-five percent (24/32) of hospitals not utilizing a protocol are interested in instituting one.
  
  
  CONCLUSIONS
  Though slightly less than one-third of military hospitals use a +POx, there is a greater interest in its use. More reliable consultative services and a robust telemedicine system may aid its implementation.
authors: Tripler Army Medical Center, 1 Jarret White Road, Honolulu, HI 96819, USA.
authors: Ashley E
authors: AE
authors: Smith
authors: Timothy G
authors: TG
authors: Vedder
authors: Patrick K
authors: PK
authors: Hunter
authors: Michael R
authors: MR
authors: Carr
authors: Matthew A
authors: MA
authors: Studer
mesh_terms: D019538:Health Care Surveys; D006330:Heart Defects, Congenital / Q000175:diagnosis*; D006772:Hospitals, Military; D006801:Humans; D007231:Infant, Newborn; D015997:Neonatal Screening / Q000379:methods*; D010092:Oximetry / Q000706:statistics & numerical data*; D014481:United States