The Training and Evaluation of the “Dual-Index” Screening Method for Neonatal Congenital Heart Disease: A Multi-Center Study in China
Background: This study aimed to enhance the scope of neonatal congenital heart disease (CHD) screening by evaluating the effectiveness of training personnel in CHD screening using the “dual-index” method, combining pulse oximetry with cardiac murmur auscultation. Methods: From 2019 to 2022, a total...
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MDPI AG
2025-01-01
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| Series: | International Journal of Neonatal Screening |
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| Online Access: | https://www.mdpi.com/2409-515X/11/1/8 |
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| author | Panpan Huang Qing Gu Xiaoting Zhu Ijaz ul Haq Liling Li Xiaojing Hu Guoying Huang |
| author_facet | Panpan Huang Qing Gu Xiaoting Zhu Ijaz ul Haq Liling Li Xiaojing Hu Guoying Huang |
| author_sort | Panpan Huang |
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| description | Background: This study aimed to enhance the scope of neonatal congenital heart disease (CHD) screening by evaluating the effectiveness of training personnel in CHD screening using the “dual-index” method, combining pulse oximetry with cardiac murmur auscultation. Methods: From 2019 to 2022, a total of 2374 screening personnel from the Xinjiang, Yunnan, Hainan, Fujian, and Anhui provinces underwent training in neonatal CHD screening using the “dual-index” method, which involves pulse oximetry and cardiac murmur auscultation. Pre- and post-training assessments were conducted using a neonatal CHD screening knowledge questionnaire, distributed through the Questionnaire Star platform, to evaluate the impact of the training. The annual neonatal CHD screening rates were consistently recorded in these five provinces during the same period to assess the increase in screening coverage. Results: After the training, the screening personnel exhibited a significantly improved understanding of the neonatal CHD screening method (<i>p</i> < 0.001). Additionally, the professional background (<i>t</i> = −8.007, <i>p</i> < 0.001) and years of experience (<i>t</i> = 2.839, <i>p</i> = 0.005) of the screening personnel were identified as independent factors influencing their screening knowledge. During the same period, there was consistent linear growth in the screening coverage rate for neonatal CHD across the five provinces (<i>χ</i><sup>2</sup> = 121065.416, <i>p</i> < 0.001). Conclusion: Standardized training in the “dual-index” method, incorporating pulse oximetry and cardiac murmur auscultation, for screening personnel significantly enhances their screening knowledge, thereby playing a critical role in expanding the coverage of neonatal CHD screening. |
| format | Article |
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| institution | OA Journals |
| issn | 2409-515X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
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| series | International Journal of Neonatal Screening |
| spelling | doaj-art-cc9efd9602094f0eb3308d4fdaf1c2f32025-08-20T01:48:46ZengMDPI AGInternational Journal of Neonatal Screening2409-515X2025-01-01111810.3390/ijns11010008The Training and Evaluation of the “Dual-Index” Screening Method for Neonatal Congenital Heart Disease: A Multi-Center Study in ChinaPanpan Huang0Qing Gu1Xiaoting Zhu2Ijaz ul Haq3Liling Li4Xiaojing Hu5Guoying Huang6Fujian Key Laboratory of Neonatal Diseases, Xiamen Children’s Hospital (Children’s Hospital of Fudan University at Xiamen), Xiamen 361006, ChinaChildren’s Hospital of Fudan University, Shanghai 201102, ChinaChildren’s Hospital of Fudan University, Shanghai 201102, ChinaChildren’s Hospital of Fudan University, Shanghai 201102, ChinaChildren’s Hospital of Fudan University, Shanghai 201102, ChinaFujian Key Laboratory of Neonatal Diseases, Xiamen Children’s Hospital (Children’s Hospital of Fudan University at Xiamen), Xiamen 361006, ChinaFujian Key Laboratory of Neonatal Diseases, Xiamen Children’s Hospital (Children’s Hospital of Fudan University at Xiamen), Xiamen 361006, ChinaBackground: This study aimed to enhance the scope of neonatal congenital heart disease (CHD) screening by evaluating the effectiveness of training personnel in CHD screening using the “dual-index” method, combining pulse oximetry with cardiac murmur auscultation. Methods: From 2019 to 2022, a total of 2374 screening personnel from the Xinjiang, Yunnan, Hainan, Fujian, and Anhui provinces underwent training in neonatal CHD screening using the “dual-index” method, which involves pulse oximetry and cardiac murmur auscultation. Pre- and post-training assessments were conducted using a neonatal CHD screening knowledge questionnaire, distributed through the Questionnaire Star platform, to evaluate the impact of the training. The annual neonatal CHD screening rates were consistently recorded in these five provinces during the same period to assess the increase in screening coverage. Results: After the training, the screening personnel exhibited a significantly improved understanding of the neonatal CHD screening method (<i>p</i> < 0.001). Additionally, the professional background (<i>t</i> = −8.007, <i>p</i> < 0.001) and years of experience (<i>t</i> = 2.839, <i>p</i> = 0.005) of the screening personnel were identified as independent factors influencing their screening knowledge. During the same period, there was consistent linear growth in the screening coverage rate for neonatal CHD across the five provinces (<i>χ</i><sup>2</sup> = 121065.416, <i>p</i> < 0.001). Conclusion: Standardized training in the “dual-index” method, incorporating pulse oximetry and cardiac murmur auscultation, for screening personnel significantly enhances their screening knowledge, thereby playing a critical role in expanding the coverage of neonatal CHD screening.https://www.mdpi.com/2409-515X/11/1/8congenital heart disease“dual-index” methodnewbornscreeningtraining |
| spellingShingle | Panpan Huang Qing Gu Xiaoting Zhu Ijaz ul Haq Liling Li Xiaojing Hu Guoying Huang The Training and Evaluation of the “Dual-Index” Screening Method for Neonatal Congenital Heart Disease: A Multi-Center Study in China International Journal of Neonatal Screening congenital heart disease “dual-index” method newborn screening training |
| title | The Training and Evaluation of the “Dual-Index” Screening Method for Neonatal Congenital Heart Disease: A Multi-Center Study in China |
| title_full | The Training and Evaluation of the “Dual-Index” Screening Method for Neonatal Congenital Heart Disease: A Multi-Center Study in China |
| title_fullStr | The Training and Evaluation of the “Dual-Index” Screening Method for Neonatal Congenital Heart Disease: A Multi-Center Study in China |
| title_full_unstemmed | The Training and Evaluation of the “Dual-Index” Screening Method for Neonatal Congenital Heart Disease: A Multi-Center Study in China |
| title_short | The Training and Evaluation of the “Dual-Index” Screening Method for Neonatal Congenital Heart Disease: A Multi-Center Study in China |
| title_sort | training and evaluation of the dual index screening method for neonatal congenital heart disease a multi center study in china |
| topic | congenital heart disease “dual-index” method newborn screening training |
| url | https://www.mdpi.com/2409-515X/11/1/8 |
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