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Lin HJ, Lan YT, Silka MJ, Halnon NJ, Villa-Lopez E, Arenas N, Escobedo F, Montoya R, Valdez S, Rajabi Shishvan O, Sedano S, Marr EH, Lauzon M, Moosa AS, Ko KJ, Shoji EC, Clark AM, Smith LM, Criley JM, Grody WW, Chen YDI, Taylor KD, Guo X, Soyata T, Rotter JI, Chien T, Chou P, Chang RK. Home use of a compact, 12‑lead ECG recording system for newborns. J Electrocardiol 2019; 53:89-94. [PMID: 30716528 DOI: 10.1016/j.jelectrocard.2019.01.086] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Revised: 01/07/2019] [Accepted: 01/23/2019] [Indexed: 10/27/2022]
Abstract
BACKGROUND An easy-to-operate ECG recorder should be useful for newborn screening for heart conditions, by health care workers - or parents. We developed a one-piece electrode strip and a compact, 12‑lead ECG recorder for newborns. METHOD We enrolled 2582 newborns in a trial to assess abilities of parents to record a 12‑lead ECG on their infants (2-4 weeks-old). Newborns were randomized to recordings by parents (1290) or our staff (1292 controls). Educational backgrounds of parents varied, including 64% with no more than a high school diploma. RESULTS For newborns randomized to parent recorded ECGs, 94% of parents completed a 10-minute recording. However, 42.6% asked for verbal help, and 12.7% needed physical help. ECG quality was the same for recordings by parents versus staff. CONCLUSIONS By use of a one-piece electrode strip and a compact recorder, 87% of parents recorded diagnostic quality ECGs on their newborn infants, with minimal assistance.
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Affiliation(s)
- Henry J Lin
- Division of Medical Genetics, Department of Pediatrics, Harbor-UCLA Medical Center, Torrance, CA, USA; Institute for Translational Genomics and Population Sciences, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, USA; David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
| | - Yueh-Tze Lan
- Division of Pediatric Cardiology, Department of Pediatrics, Santa Clara Valley Medical Center, San Jose, CA, USA
| | - Michael J Silka
- Division of Cardiology, Children's Hospital Los Angeles, Department of Pediatrics, Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA
| | - Nancy J Halnon
- Division of Pediatric Cardiology, Department of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
| | - Eva Villa-Lopez
- Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, USA
| | - Nataly Arenas
- Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, USA
| | - Fabian Escobedo
- Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, USA
| | - Ryan Montoya
- Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, USA
| | - Sarah Valdez
- Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, USA
| | - Omid Rajabi Shishvan
- Department of Electrical and Computer Engineering, University at Albany, State University of New York, Albany, NY, USA
| | - Sandra Sedano
- Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, USA
| | - Emily H Marr
- Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, USA
| | - Marie Lauzon
- Institute for Translational Genomics and Population Sciences, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, USA
| | - A S Moosa
- St. Francis Medical Center, Lynwood, CA, USA
| | - Kimberly J Ko
- Division of Hospitalist Medicine, Department of Pediatrics, Harbor-UCLA Medical Center, USA; David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
| | - Elaine C Shoji
- Department of Pediatrics, Harbor-UCLA Medical Center, Torrance, CA, USA; David Geffen School of Medicine at UCLA, Los Angeles, CA, USA; Department of Pediatrics, Providence Little Company of Mary Medical Center, Torrance, CA, USA
| | - Alexandra M Clark
- Department of Pediatrics, Riverside University Health System - Medical Center, Moreno Valley, CA, USA; Department of Pediatrics, Loma Linda University Medical Center, Loma Linda, CA, USA
| | - Lynne M Smith
- Division of Neonatology, Department of Pediatrics, Harbor-UCLA Medical Center, Los Angeles Biomedical Research Institute, Torrance, CA, USA; David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
| | - John Michael Criley
- Division of Cardiology, Department of Medicine, Harbor-UCLA Medical Center, Los Angeles Biomedical Research Institute, Torrance, CA, USA; David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
| | - Wayne W Grody
- Departments of Pathology and Laboratory Medicine, Pediatrics, and Human Genetics, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
| | - Yii-Der Ida Chen
- Institute for Translational Genomics and Population Sciences, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, USA; Division of Genomic Outcomes, Department of Pediatrics, Harbor-UCLA Medical Center, Torrance, CA, USA; Departments of Medicine and Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA; David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
| | - Kent D Taylor
- Institute for Translational Genomics and Population Sciences, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, USA; Division of Genomic Outcomes, Department of Pediatrics, Harbor-UCLA Medical Center, Torrance, CA, USA; David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
| | - Xiuqing Guo
- Institute for Translational Genomics and Population Sciences, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, USA; Division of Genomic Outcomes, Department of Pediatrics, Harbor-UCLA Medical Center, Torrance, CA, USA; David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
| | - Tolga Soyata
- Department of Electrical and Computer Engineering, University at Albany, State University of New York, Albany, NY, USA
| | - Jerome I Rotter
- Institute for Translational Genomics and Population Sciences, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, USA; Division of Genomic Outcomes, Department of Pediatrics, Harbor-UCLA Medical Center, Torrance, CA, USA; Departments of Human Genetics, Medicine, and Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA; David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
| | - Tingchou Chien
- Department of Electrical Engineering and Computer Science, The Henry Samueli School of Engineering, University of California, Irvine, CA, USA
| | - Pai Chou
- Department of Electrical Engineering and Computer Science, The Henry Samueli School of Engineering, University of California, Irvine, CA, USA
| | - Ruey-Kang Chang
- Division of Pediatric Cardiology, Department of Pediatrics, Los Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, Torrance, CA, USA; David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
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