Table 3 Frequency of diagnostic failure in congenital heart disease with and without pulse oximetry screening.
Diagnostic methods | No. | Category of diagnostic failure | Cyanotic defects* | All comparable defects† | ||
---|---|---|---|---|---|---|
No. | Frequency | No. | Frequency | |||
Clinical follow‐up and routine examination1 | 300 102 | Discharged undiagnosed | 116 | 1:2587 | 351 | 1:855 |
Discharged undiagnosed (normal routine examination) | 82 | 1:3660 | 245 | 1:1224 | ||
Death without diagnosis after routine examination | 5‡ | 15* | 1:20 006 | |||
Death without diagnosis after discharge | 2 | 11 | 1:25 008 | |||
Pulse oximetry screen, clinical follow‐up and routine examination¶ | 40 286 | Discharged undiagnosed | 2 | 1:20 143 | 8 | 1:5036 |
Death without diagnosis after routine examination | 0 | 0 | 0 | 0 | ||
Death without diagnosis after discharge | 0 | 0 | 0 | 0 |
*Transposition of great arteries, Tetralogy of Fallot, pulmonary atresia, hypoplastic left heart, total anomalous pulmonary venous return, common arterial trunk.
†Transposition of great arteries, Tetralogy of Fallot, pulmonary atresia, hypoplastic left heart, total anomalous pulmonary venous return, common arterial trunk, pulmonary stenosis, coarctation of aorta, aortic atresia or stenosis, interrupted aortic arch, atrioventricular septal defect.
‡Includes two newborns (hypoplastic left heart, coarctation of aorta) without exact data from routine examination.
¶References as in table 1 except for 17, 20.