Analysis of risk factors of long-term complications in congenital diaphragmatic hernia: A single institution's experience.
Asian J Surg
; 40(1): 1-5, 2017 Jan.
Article
em En
| MEDLINE
| ID: mdl-25937583
ABSTRACT
OBJECTIVE:
To establish better management practices to reduce morbidities in survivors with congenital diaphragmatic hernia (CDH).METHODS:
Of 60 patients treated for CDH at our institution between 1991 and 2011, 49 patients without severe anomalies were retrospectively reviewed.RESULTS:
Since 2004, gentle ventilation (GV) has been the main treatment for CDH. Patients were divided into the following two groups the non-GV group (n = 29) who were treated before GV treatment was implemented, and the GV group (n = 20). The overall survival rate was 62.1% (18/29) and 95% (19/20) in the non-GV and GV groups, respectively (p = 0.016). Despite the high survival rate, the incidence of long-term complications in survivors was still high (14/19, 73.7%) in the GV group. In the GV group, liver-up (p = 0.106) and the need for patch repair (p = 0.257) tended to be associated with the development of long-term complications, but did not reach statistical significance. The presence of perioperative complications was associated with the development of long-term complications (p = 0.045) in the GV group.CONCLUSION:
Patients who developed short-term complications seemed to be at risk of long-term complications. Therefore, to minimize long-term morbidities in CDH survivors, the prevention of short-term complications might be important.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
/
6_ODS3_enfermedades_notrasmisibles
/
7_ODS3_muertes_prevenibles_nacidos_ninos
Base de dados:
MEDLINE
Assunto principal:
Hérnias Diafragmáticas Congênitas
Tipo de estudo:
Etiology_studies
/
Incidence_studies
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Observational_studies
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Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
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Newborn
Idioma:
En
Revista:
Asian J Surg
Ano de publicação:
2017
Tipo de documento:
Article