Abstract

The Journal is the primary organ of Continuing Paediatric Medical Education in Sri Lanka. The journal also has a website. Free full text access is available for all readers.The Sri Lanka Journal of Child Health is now indexed in SciVerse Scopus (Source Record ID 19900193609), Index Medicus for South-East Asia Region (IMSEAR), CABI (Centre for Agriculture and Bioscience International Global Health Database), DOAJ and is available in Google, as well as Google Scholar.The policies of the journal are modelled on the Committee on Publication Ethics (COPE) Guidelines on Principles of Transparency and Best Practice in Scholarly Publishing. Sri Lanka Journal of Child Health is recognised by the International Committee of Medical Journal Editors (ICMJE) as a publication following the ICMJE Recommendations.

Highlights

  • Critical congenital heart disease (CCHD) in newborns has a worldwide prevalence of 1-2 per 1000 live births and often remain asymptomatic pre-discharge, leading to significant morbidity and mortality

  • License and positive likelihood ratio were higher in pulse oximetry (PO) compared to physical examination (PE) (71.4% vs 8.6%, p=0.0001) and 1232.7 vs 46.2), whereas false positive rate was substantially lower in PO compared to PE (0.07% vs 1.76%, p=0.0001)

  • Of all 11 babies with CCHD, 10 had positive PO results and 9 had positive PE results. 2 cases of CCHD would have been missed if only routine PE was performed (Table 1)

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Summary

Introduction

Critical congenital heart disease (CCHD) in newborns has a worldwide prevalence of 1-2 per 1000 live births and often remain asymptomatic pre-discharge, leading to significant morbidity and mortality. Critical congenital heart disease (CCHD) is defined as “any potentially life threatening duct dependant disorder within first 28 days of life”[4,7,13,14,15,16,18] and the incidence is 1.21.7:1000 live births[3,6,8,19,20] accounting for 10-15% cases of CHD8. Since each strategy has a fairly low detection rate of

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