| Assessing the efficacy of electrocardiogram for heart rate evaluation during newborn resuscitation at birth: a prospective observational study |
Kee Hyun Cho1,2
, Hyun Su Lee1, Eun Sun Kim1,2
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1Department of Pediatrics, Kangwon National University Hospital, Chuncheon, Korea
2Department of Pediatrics, Kangwon National University School of Medicine, Chuncheon, Korea |
| Correspondence
Eun Sun Kim Email: naivesun1@hanmail.net |
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Received: April 25, 2024. Revised: September 4, 2024. Accepted: September 4, 2024. Published online: October 16, 2024. |
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| ABSTRACT |
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): nine were GA <32 weeks, 28 were GA 32–35 weeks, and four were GA ≥36 weeks. ECG time for placement to HR detection (median, 30 seconds; interquartile range [IQR], 20–43.5 seconds) was significantly faster than PO detection (median, 125 seconds; IQR, 100–175 seconds; P<0.001). ECG time for placement for HR detection was the fastest in infants <32 GA at birth (19 seconds [IQR, 11.5–30 seconds] vs. 34.5 seconds [IQR, 25–44.25 seconds] vs. 39.5 seconds [IQR, 30–64.75 seconds], P=0.039).
Conclusion
ECG effectively evaluated HR during neonatal resuscitation compared to PO. Low-GA infants who require resuscitation may benefit in HR evaluation with nearby standard ECG. |
| Keywords:
Heart rate; Newborn infant; Resuscitation; Electrocardiogram; Oxygen saturation monitor |
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