Assessing the efficacy of electrocardiogram for heart rate evaluation during newborn resuscitation at birth: a prospective observational study
Objective This study assessed the efficacy of electrocardiogram (ECG) compared to pulse oximetry (PO) in detecting heart rate (HR) during high-risk newborn resuscitation. Methods A prospective observational study was performed with high-risk delivery cases to measure the time required for HR detecti...
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The Korean Society of Emergency Medicine
2025-06-01
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| Series: | Clinical and Experimental Emergency Medicine |
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| Online Access: | http://ceemjournal.org/upload/pdf/ceem-24-245.pdf |
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| author | Kee Hyun Cho Hyun Su Lee Eun Sun Kim |
| author_facet | Kee Hyun Cho Hyun Su Lee Eun Sun Kim |
| author_sort | Kee Hyun Cho |
| collection | DOAJ |
| description | Objective This study assessed the efficacy of electrocardiogram (ECG) compared to pulse oximetry (PO) in detecting heart rate (HR) during high-risk newborn resuscitation. Methods A prospective observational study was performed with high-risk delivery cases to measure the time required for HR detection. A conventional PO and a standard ECG monitor were used for HR assessment. Results Forty-one infants were analyzed in the study, and 11 needed resuscitation. The study population was divided according to gestational age (GA): 9 were GA <32 weeks, 28 were GA 32–35 weeks, and 4 were GA ≥36 weeks. Time from ECG placement to HR detection (median, 30 seconds; interquartile range [IQR], 20–43.5 seconds) was significantly faster than that from PO placement (median, 125 seconds; IQR, 100–175 seconds; P<0.001). Time from ECG placement to HR detection was shortest in infants with GA <32 weeks at birth (19 seconds [IQR, 11.5–30.0] for GA <32 weeks vs. 34.5 seconds [IQR, 25.0–44.3] for GA 32–35 weeks vs. 39.5 seconds [IQR, 30.0–64.8] for GA ≥36 weeks; P=0.039). Conclusion ECG effectively evaluated HR during neonatal resuscitation compared to PO. Low-GA infants who require resuscitation may benefit from HR evaluation with nearby standard ECG. |
| format | Article |
| id | doaj-art-d64b0a682ed94c9e9c54c4d044dea567 |
| institution | Kabale University |
| issn | 2383-4625 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | The Korean Society of Emergency Medicine |
| record_format | Article |
| series | Clinical and Experimental Emergency Medicine |
| spelling | doaj-art-d64b0a682ed94c9e9c54c4d044dea5672025-08-20T03:32:11ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252025-06-0112216416810.15441/ceem.24.245576Assessing the efficacy of electrocardiogram for heart rate evaluation during newborn resuscitation at birth: a prospective observational studyKee Hyun Cho0Hyun Su Lee1Eun Sun Kim2 Department of Pediatrics, Kangwon National University Hospital, Chuncheon, Korea Department of Pediatrics, Kangwon National University Hospital, Chuncheon, Korea Department of Pediatrics, Kangwon National University Hospital, Chuncheon, KoreaObjective This study assessed the efficacy of electrocardiogram (ECG) compared to pulse oximetry (PO) in detecting heart rate (HR) during high-risk newborn resuscitation. Methods A prospective observational study was performed with high-risk delivery cases to measure the time required for HR detection. A conventional PO and a standard ECG monitor were used for HR assessment. Results Forty-one infants were analyzed in the study, and 11 needed resuscitation. The study population was divided according to gestational age (GA): 9 were GA <32 weeks, 28 were GA 32–35 weeks, and 4 were GA ≥36 weeks. Time from ECG placement to HR detection (median, 30 seconds; interquartile range [IQR], 20–43.5 seconds) was significantly faster than that from PO placement (median, 125 seconds; IQR, 100–175 seconds; P<0.001). Time from ECG placement to HR detection was shortest in infants with GA <32 weeks at birth (19 seconds [IQR, 11.5–30.0] for GA <32 weeks vs. 34.5 seconds [IQR, 25.0–44.3] for GA 32–35 weeks vs. 39.5 seconds [IQR, 30.0–64.8] for GA ≥36 weeks; P=0.039). Conclusion ECG effectively evaluated HR during neonatal resuscitation compared to PO. Low-GA infants who require resuscitation may benefit from HR evaluation with nearby standard ECG.http://ceemjournal.org/upload/pdf/ceem-24-245.pdfheart ratenewborn infantresuscitationelectrocardiogramoxygen saturation monitor |
| spellingShingle | Kee Hyun Cho Hyun Su Lee Eun Sun Kim Assessing the efficacy of electrocardiogram for heart rate evaluation during newborn resuscitation at birth: a prospective observational study Clinical and Experimental Emergency Medicine heart rate newborn infant resuscitation electrocardiogram oxygen saturation monitor |
| title | Assessing the efficacy of electrocardiogram for heart rate evaluation during newborn resuscitation at birth: a prospective observational study |
| title_full | Assessing the efficacy of electrocardiogram for heart rate evaluation during newborn resuscitation at birth: a prospective observational study |
| title_fullStr | Assessing the efficacy of electrocardiogram for heart rate evaluation during newborn resuscitation at birth: a prospective observational study |
| title_full_unstemmed | Assessing the efficacy of electrocardiogram for heart rate evaluation during newborn resuscitation at birth: a prospective observational study |
| title_short | Assessing the efficacy of electrocardiogram for heart rate evaluation during newborn resuscitation at birth: a prospective observational study |
| title_sort | assessing the efficacy of electrocardiogram for heart rate evaluation during newborn resuscitation at birth a prospective observational study |
| topic | heart rate newborn infant resuscitation electrocardiogram oxygen saturation monitor |
| url | http://ceemjournal.org/upload/pdf/ceem-24-245.pdf |
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