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Why?
How?
When?
100

TRUE or FALSE: The CCHD screen can only detect critical congenital heart defects. 

False. The CCHD screen can detect 6 non-CCHDs.

  • Hemoglobinopathy
  • Hypothermia
  • Infection, including sepsis
  • Lung disease (congenital or acquired)
  • Noncritical congenital heart defect
  • Persistent pulmonary hypertension
  • Other hypoxemic conditions not otherwise specified
100

The pulse ox can be placed on either (hand/foot). 

Foot.

100

What is the rationale for the CCHD screen?

CHDs are the leading cause of birth defect-associated infant illness and death.

About 20 per 10,000 babies are born with CCHDs, which are life threatening and require catheter-based intervention or heart surgery during the neonatal period. Delayed diagnosis of CCHD may result in the child having a poorer preoperative condition and worse cardiopulmonary and neurological outcomes after treatment.

100

TRUE or FALSE: The CCHD screen has a blood test component.

False. The CCHD screen uses pulse oximetry.

100

TRUE or FALSE: The CCHD screen can be done on newborns requiring supplemental oxygen.

False. One of the criteria for the CCHD screen is being off of supplemental oxygen.

200

The CCHD screen detects ____ (number) of CCHDs?

12. 

  • Coarcation of the aorta
  • Double-outlet right ventricle
  • Ebstein’s anomaly
  • Hypoplastic left heart syndrome
  • Interrupted aortic arch
  • Pulmonary atresia
  • Single ventricle (not otherwise specified)
  • Tetralogy of Fallot
  • Total anomalous pulmonary venous return
  • D-transposition of the great arteries
  • Tricuspid atresia
  • Truncus arteriosus
  • Other critical cyanotic lesions not otherwise specified
200

TRUE or FALSE: If the CCHD screen needs to be repeated, you must move the pulse ox to the left hand to test for symmetry. 

FALSE. Repeat CCHDs are still done with the right hand and either foot.

200

Delayed closure of the _____ is a big reason why many CCHDs are not detected on pure physical exam in the newborn nursery. 

Ductus arteriosus.

Often the ductus arteriosus does not close until after the baby goes home. Before closing, the ductus arteriosus may provide a significant amount of blood flow to the lungs or body. As a result, babies with CCHD can quickly decompensate when the ductus arteriosus closes. Pulse oximetry can accurately detect the lower oxygen saturations associated with CCHD with ductal-dependent systemic or pulmonary blood flow.

200

As of 2018, ___ out of 50 states have included the CCHD screen as part of the newborn screen. 

50!

Although, the role of state health departments in supporting CCHD screening adoption and monitoring of screening rates and outcomes varies.

200

The CCHD screen is done for newborns >24hrs or newborns who are ______.

pending discharge!