Prevalence of Critical Congenital Heart Disease Detected in the Pulse Oximetry Test in Asymptomatic Newborns, ≥35 Gestational Weeks, in a Maternity in Southern Brazil

Abstract Background Congenital heart diseases (CHD) are one of the most prevalent malformations, and the screening tests to identify critical congenital heart disease (CCHD) is the pulse oximetry test, with subsequent investigation and treatment. Objective To quantify positive pulse oximetry tests and verify the prevalence of CCHD detected by it in asymptomatic newborns, ≥35 gestational weeks, in a Brazilian maternity hospital. Methodology This is an observational, retrospective, quantitative, analytical and cross-sectional study, conducted from October 2020 to May 2022, in a maternity hospital in southern Brazil, through the collection of records of positive oximetry pulse tests, following the norms of screening CCHD test of the Brazilian Society of Pediatrics (SBP), after they were evaluated with echocardiography for confirmation or exclusion of CHD. Results A total of 5,667 newborns were evaluated in this study, according to the inclusion criteria; 0.17% (n = 10) had a positive pulse oximetry test. Regarding the results of the echocardiography of the neonates with a positive test, two were normal, seven were cases of patent foramen ovale (PFO), and one was a case (0,017%) with interatrial communication (IAC) diagnosis. In the same period, five neonates with CCHD were born, symptomatic, diagnosed by physical examination, and referred to neonatal intensive care units (NICU) before taking the neonatal cardiac screening (< 24 hours of life). Conclusion The prevalence of positive pulse oximetry tests was 0.17% and none CCHD was detected. Five cases of CCHD were born in this period, but they were diagnosed before the recommend time to perform the screening test.

A perspectiva de uma unidade de terapia intensiva pediátrica ideal a partir do olhar das crianças internadas / The perspective of an ideal pediatric intensive care unit from the point of view of hospitalized children

As Unidades de Terapia Intensivas Pediátricas configuram-se em ambientes estressantes, de isolamento, ansiedade e de hiperestimulação sensorial. O presente estudo, de natureza qualitativa, tem como objetivo conhecer a perspectiva de uma UTI Pediátrica ideal a partir olhar das crianças hospitalizadas. Participaram sete crianças com idades entre sete a 12 anos. A coleta de dados ocorreu por meio de entrevista semiestruturada individual, associada à solicitação de desenho realizado pelas crianças. Os depoimentos foram analisados pela Técnica de Análise de Conteúdo que possibilitou que emergissem as seguintes categorias de análise: ao aumento de atividades lúdicas e à família em tempo integral na UTI.A UTI denominada de "ideal" foi mostrada pelas crianças como um ambiente alegre, divertido, colorido e cheio de vida. Um local onde, além de cuidar de sua enfermidade, a criança possa simplesmente ser criança, brincar e se divertir como costuma fazer todos os dias de sua vida.

Pediatric Intensive Care Units are set up in stressful, isolation, anxiety and sensory hyperstimulation environments. This qualitative study aims to know the perspective of an ideal Pediatric ICU from the perspective of hospitalized children. Seven children aged 7 to 12 years participated. Data collection occurred through individual semi-structured interviews, associated with the drawing request made by the children. The statements were analyzed through the Content Analysis Technique that allowed the emergence of the following categories of analysis: the increase of playful activities and the family full time in the ICU. The "ideal" ICU was shown by children as a happy, fun, colorful and lively environment. A place where, in addition to taking care of their illness, the child could simply be a child, play and have fun as they usually do every day of their lives.