Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

CCHD Screening Implementation Efforts in Latin American Countries by the Ibero American Society of Neonatology (SIBEN)

Version 1 : Received: 23 February 2020 / Approved: 24 February 2020 / Online: 24 February 2020 (14:08:22 CET)

A peer-reviewed article of this Preprint also exists.

Sola, A.; Rodríguez, S.; Young, A.; Lemus Varela, L.; Villamayor, R.M.; Cardetti, M.; Pleitez Navarrete, J.; Favareto, M.V.; Lima, V.; Baquero, H.; Velandia Forero, L.; Venegas, M.E.; Davila, C.; Dominguez Dieppa, F.; Malena Germosén, T.; Oviedo Barrantes, A.N.; Alvarez Castañeda, A.L.; Morgues, M.; Avila, A.; Fariña, D.; Oliva, J.L.; Sosa, E.; Golombek, S. CCHD Screening Implementation Efforts in Latin American Countries by the Ibero American Society of Neonatology (SIBEN). Int. J. Neonatal Screen. 2020, 6, 21. Sola, A.; Rodríguez, S.; Young, A.; Lemus Varela, L.; Villamayor, R.M.; Cardetti, M.; Pleitez Navarrete, J.; Favareto, M.V.; Lima, V.; Baquero, H.; Velandia Forero, L.; Venegas, M.E.; Davila, C.; Dominguez Dieppa, F.; Malena Germosén, T.; Oviedo Barrantes, A.N.; Alvarez Castañeda, A.L.; Morgues, M.; Avila, A.; Fariña, D.; Oliva, J.L.; Sosa, E.; Golombek, S. CCHD Screening Implementation Efforts in Latin American Countries by the Ibero American Society of Neonatology (SIBEN). Int. J. Neonatal Screen. 2020, 6, 21.

Abstract

Congenital heart disease (CHD) is among the 4 more common causes of infant mortality in Latin America. Pulse oximetry screening (POS) is useful for early diagnosis and improved outcomes of critical CHD. We describe POS implementation efforts in Latin American countries guided and/or coordinated by the Ibero American Society of Neonatology (SIBEN) as well as the unique challenges that are faced for universal implementation. SIBEN collaborates to improve neonatal quality of care and outcomes. A few years ago, a Clinical Consensus on POS was finalized. Since then, we participated in 12 Latin American countries to educate neonatal nurses and neonatologists on POS and to help with its implementation. The findings reveal that despite wide disparities in care that exist between and within countries, and the difficulties and challenges for implementing POS, significant progress was made. We conclude that universal POS is not easy to implement in Latin America but, when executed, not only it has been of significant value for babies with CHD but also for many with other hypoxemic conditions. The successful and universal implementation of POS in the future is essential to reduce the mortality associated with CHD and other hypoxemic conditions and will ultimately lead to the survival of many more Latin American babies. POS saves newborns’ lives in Latin America.

Keywords

pulse oximetry; congenital heart disease; neonate; hypoxemia; Latin America; Ibero-American Society of Neonatology

Subject

Medicine and Pharmacology, Pediatrics, Perinatology and Child Health

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