Table 1 Studies describing the use of NIRS in neonates with CHD.
From: Neuromonitoring practices for neonates with congenital heart disease: a scoping review
Scope of study | Number of neonates Mean [range] | Type of congenital heart disease (n) | Type of study (n) | Findings Summary | Citations | |||||
|---|---|---|---|---|---|---|---|---|---|---|
SVP | TGA | Heterogeneous CHDa | Case series | Cohort study | Case-control | Cross-sectional Study | ||||
Validation and characterization of NIRS in CHD (n = 21) | 56 [3–73] | 5 | 2 | 14 | 1 | 14 | 6 | 0 | -Measures of rcSO2 correlated with low ScvO2 but correlation was inconsistent at higher thresholds. -Neonates with CHD had lower rcSO2 than healthy neonates. RcSO2 did not identify hemodynamically unstable neonates with CHD. -SVP had lower rcSO2 than TGA. -Values of rcSO2 possibly reflected cerebral autoregulation. -Multiple factors affected rcSO2. | 15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35 |
NIRS as a predictor of short-term outcomes and adverse events in ICU (n = 6) | 109 [10–194] | 3 | 0 | 3 | 0 | 5 | 0 | 1 | -Values of rcSO2 below a threshold of 50–56% were associated with worse short-term ICU outcomes. | |
NIRS as predictor of neurodevelopmental outcome (n = 6) | 45 [28–75] | 2 | 0 | 4 | 1 | 3 | 1 | 1 | -Postoperative rcSO2 below 45–56% were correlated with adverse neurodevelopmental outcomes at different time-points. | |
NIRS in correlation with neuroimaging (n = 4) | 44 [32–68] | 1 | 0 | 3 | 0 | 4 | 0 | 0 | -Measurements of rcSO2 did not correlate with new neuroimaging findings after CHD surgery. -NIRS may correlate with ASL. | |