Prenatal prediction of neonatal morbidity in survivors with congenital diaphragmatic hernia: a multicenter study
Objectives To investigate the value of the observed to expected fetal lung area to head circumference ratio (o/e LHR) and liver position in the prediction of neonatal morbidity in survivors with congenital diaphragmatic hernia (CDH). Methods Neonatal morbidity was recorded in 100 consecutive cases w...
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| Veröffentlicht in: | Ultrasound in obstetrics & gynecology 2009-01, Vol.33 (1), p.64-69 |
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| creator | Jani, J. C. Benachi, A. Nicolaides, K. H. Allegaert, K. Gratacós, E. Mazkereth, R. Matis, J. Tibboel, D. Van Heijst, A. Storme, L. Rousseau, V. Greenough, A. Deprest, J. A. |
| description | Objectives
To investigate the value of the observed to expected fetal lung area to head circumference ratio (o/e LHR) and liver position in the prediction of neonatal morbidity in survivors with congenital diaphragmatic hernia (CDH).
Methods
Neonatal morbidity was recorded in 100 consecutive cases with isolated CDH diagnosed in fetal medicine units, which were expectantly managed in the prenatal period, were delivered after 30 weeks and survived until discharge from hospital. Regression analysis was used to identify the significant predictors of morbidity, including prenatal and immediate neonatal findings.
Results
The o/e LHR provided significant prediction of the need for prosthetic patch repair, duration of assisted ventilation, need for supplemental oxygen at 28 days, and incidence of feeding problems. An additional independent prenatal predictor of the need for patch repair was the presence of fetal liver in the chest.
Conclusions
In isolated CDH the prenatally assessed size of the contralateral lung is a significant predictor of the need for prosthetic patch repair, the functional consequences of impaired lung development and occurrence of feeding problems. Copyright © 2008 ISUOG. Published by John Wiley & Sons, Ltd. |
| doi_str_mv | 10.1002/uog.6141 |
| format | Article |
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To investigate the value of the observed to expected fetal lung area to head circumference ratio (o/e LHR) and liver position in the prediction of neonatal morbidity in survivors with congenital diaphragmatic hernia (CDH).
Methods
Neonatal morbidity was recorded in 100 consecutive cases with isolated CDH diagnosed in fetal medicine units, which were expectantly managed in the prenatal period, were delivered after 30 weeks and survived until discharge from hospital. Regression analysis was used to identify the significant predictors of morbidity, including prenatal and immediate neonatal findings.
Results
The o/e LHR provided significant prediction of the need for prosthetic patch repair, duration of assisted ventilation, need for supplemental oxygen at 28 days, and incidence of feeding problems. An additional independent prenatal predictor of the need for patch repair was the presence of fetal liver in the chest.
Conclusions
In isolated CDH the prenatally assessed size of the contralateral lung is a significant predictor of the need for prosthetic patch repair, the functional consequences of impaired lung development and occurrence of feeding problems. Copyright © 2008 ISUOG. Published by John Wiley & Sons, Ltd.</description><identifier>ISSN: 0960-7692</identifier><identifier>EISSN: 1469-0705</identifier><identifier>DOI: 10.1002/uog.6141</identifier><identifier>PMID: 18844275</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Biological and medical sciences ; congenital diaphragmatic hernia ; Counseling ; Feeding Behavior ; Female ; Gestational Age ; Gynecology. Andrology. Obstetrics ; Head - diagnostic imaging ; Head - embryology ; Hernia, Diaphragmatic - diagnostic imaging ; Hernia, Diaphragmatic - surgery ; Hernias, Diaphragmatic, Congenital ; Humans ; Infant, Newborn ; Liver - diagnostic imaging ; Liver - embryology ; Liver - surgery ; Lung - diagnostic imaging ; Lung - embryology ; Lung - surgery ; lung area ; lung to head ratio ; Lung Volume Measurements ; Male ; Medical sciences ; postnatal morbidity ; Pregnancy ; Pregnancy Trimester, Third ; prenatal diagnosis ; Prognosis ; Ultrasonography, Prenatal - methods</subject><ispartof>Ultrasound in obstetrics & gynecology, 2009-01, Vol.33 (1), p.64-69</ispartof><rights>Copyright © 2008 ISUOG. Published by John Wiley & Sons, Ltd.</rights><rights>2009 INIST-CNRS</rights><rights>Copyright (c) 2008 ISUOG.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4141-8ed0af884a73eaaf53f1ab8f58d3bcf868398c891a55eb0e24e15338c90521c83</citedby><cites>FETCH-LOGICAL-c4141-8ed0af884a73eaaf53f1ab8f58d3bcf868398c891a55eb0e24e15338c90521c83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fuog.6141$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fuog.6141$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,4010,27900,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20993758$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18844275$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jani, J. C.</creatorcontrib><creatorcontrib>Benachi, A.</creatorcontrib><creatorcontrib>Nicolaides, K. H.</creatorcontrib><creatorcontrib>Allegaert, K.</creatorcontrib><creatorcontrib>Gratacós, E.</creatorcontrib><creatorcontrib>Mazkereth, R.</creatorcontrib><creatorcontrib>Matis, J.</creatorcontrib><creatorcontrib>Tibboel, D.</creatorcontrib><creatorcontrib>Van Heijst, A.</creatorcontrib><creatorcontrib>Storme, L.</creatorcontrib><creatorcontrib>Rousseau, V.</creatorcontrib><creatorcontrib>Greenough, A.</creatorcontrib><creatorcontrib>Deprest, J. A.</creatorcontrib><creatorcontrib>Antenatal-CDH-Registry group</creatorcontrib><title>Prenatal prediction of neonatal morbidity in survivors with congenital diaphragmatic hernia: a multicenter study</title><title>Ultrasound in obstetrics & gynecology</title><addtitle>Ultrasound Obstet Gynecol</addtitle><description>Objectives
To investigate the value of the observed to expected fetal lung area to head circumference ratio (o/e LHR) and liver position in the prediction of neonatal morbidity in survivors with congenital diaphragmatic hernia (CDH).
Methods
Neonatal morbidity was recorded in 100 consecutive cases with isolated CDH diagnosed in fetal medicine units, which were expectantly managed in the prenatal period, were delivered after 30 weeks and survived until discharge from hospital. Regression analysis was used to identify the significant predictors of morbidity, including prenatal and immediate neonatal findings.
Results
The o/e LHR provided significant prediction of the need for prosthetic patch repair, duration of assisted ventilation, need for supplemental oxygen at 28 days, and incidence of feeding problems. An additional independent prenatal predictor of the need for patch repair was the presence of fetal liver in the chest.
Conclusions
In isolated CDH the prenatally assessed size of the contralateral lung is a significant predictor of the need for prosthetic patch repair, the functional consequences of impaired lung development and occurrence of feeding problems. Copyright © 2008 ISUOG. Published by John Wiley & Sons, Ltd.</description><subject>Biological and medical sciences</subject><subject>congenital diaphragmatic hernia</subject><subject>Counseling</subject><subject>Feeding Behavior</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Head - diagnostic imaging</subject><subject>Head - embryology</subject><subject>Hernia, Diaphragmatic - diagnostic imaging</subject><subject>Hernia, Diaphragmatic - surgery</subject><subject>Hernias, Diaphragmatic, Congenital</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Liver - diagnostic imaging</subject><subject>Liver - embryology</subject><subject>Liver - surgery</subject><subject>Lung - diagnostic imaging</subject><subject>Lung - embryology</subject><subject>Lung - surgery</subject><subject>lung area</subject><subject>lung to head ratio</subject><subject>Lung Volume Measurements</subject><subject>Male</subject><subject>Medical sciences</subject><subject>postnatal morbidity</subject><subject>Pregnancy</subject><subject>Pregnancy Trimester, Third</subject><subject>prenatal diagnosis</subject><subject>Prognosis</subject><subject>Ultrasonography, Prenatal - methods</subject><issn>0960-7692</issn><issn>1469-0705</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0U1r3DAQBmBRWppNWsgvKLo05OJUsixZ7i2EfBQC6aE5m7E82lWxJVeyE_bfV9tdklPoSTA8zOidIeSUswvOWPltCesLxSv-jqx4pZqC1Uy-JyvWKFbUqimPyHFKvxljqhLqIzniWldVWcsVmX5G9DDDQKeIvTOzC54GSz2GfXkMsXO9m7fUeZqW-OSeQkz02c0baoJfo3c71juYNhHWI8zO0A1G7-A7BTouQy6gnzHSNC_99hP5YGFI-PnwnpDHm-tfV3fF_cPtj6vL-8JUOUihsWdg8zehFghgpbAcOm2l7kVnrFZaNNrohoOU2DEsK-RSCG0aJktutDghZ_u-Uwx_FkxzO7pkcBggR1tSq1Sttcr7-B8smdC1kjLD8z00MaQU0bZTdCPEbctZuztDm8_Q7s6Q6ZdDz6UbsX-Fh71n8PUAIBkYbARvXHpxJWsaUctdimLvnt2A2zcHto8Pt_8G_wWlY6Bc</recordid><startdate>200901</startdate><enddate>200901</enddate><creator>Jani, J. C.</creator><creator>Benachi, A.</creator><creator>Nicolaides, K. H.</creator><creator>Allegaert, K.</creator><creator>Gratacós, E.</creator><creator>Mazkereth, R.</creator><creator>Matis, J.</creator><creator>Tibboel, D.</creator><creator>Van Heijst, A.</creator><creator>Storme, L.</creator><creator>Rousseau, V.</creator><creator>Greenough, A.</creator><creator>Deprest, J. A.</creator><general>John Wiley & Sons, Ltd</general><general>Wiley</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>200901</creationdate><title>Prenatal prediction of neonatal morbidity in survivors with congenital diaphragmatic hernia: a multicenter study</title><author>Jani, J. C. ; Benachi, A. ; Nicolaides, K. H. ; Allegaert, K. ; Gratacós, E. ; Mazkereth, R. ; Matis, J. ; Tibboel, D. ; Van Heijst, A. ; Storme, L. ; Rousseau, V. ; Greenough, A. ; Deprest, J. A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4141-8ed0af884a73eaaf53f1ab8f58d3bcf868398c891a55eb0e24e15338c90521c83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Biological and medical sciences</topic><topic>congenital diaphragmatic hernia</topic><topic>Counseling</topic><topic>Feeding Behavior</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Head - diagnostic imaging</topic><topic>Head - embryology</topic><topic>Hernia, Diaphragmatic - diagnostic imaging</topic><topic>Hernia, Diaphragmatic - surgery</topic><topic>Hernias, Diaphragmatic, Congenital</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Liver - diagnostic imaging</topic><topic>Liver - embryology</topic><topic>Liver - surgery</topic><topic>Lung - diagnostic imaging</topic><topic>Lung - embryology</topic><topic>Lung - surgery</topic><topic>lung area</topic><topic>lung to head ratio</topic><topic>Lung Volume Measurements</topic><topic>Male</topic><topic>Medical sciences</topic><topic>postnatal morbidity</topic><topic>Pregnancy</topic><topic>Pregnancy Trimester, Third</topic><topic>prenatal diagnosis</topic><topic>Prognosis</topic><topic>Ultrasonography, Prenatal - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jani, J. C.</creatorcontrib><creatorcontrib>Benachi, A.</creatorcontrib><creatorcontrib>Nicolaides, K. H.</creatorcontrib><creatorcontrib>Allegaert, K.</creatorcontrib><creatorcontrib>Gratacós, E.</creatorcontrib><creatorcontrib>Mazkereth, R.</creatorcontrib><creatorcontrib>Matis, J.</creatorcontrib><creatorcontrib>Tibboel, D.</creatorcontrib><creatorcontrib>Van Heijst, A.</creatorcontrib><creatorcontrib>Storme, L.</creatorcontrib><creatorcontrib>Rousseau, V.</creatorcontrib><creatorcontrib>Greenough, A.</creatorcontrib><creatorcontrib>Deprest, J. A.</creatorcontrib><creatorcontrib>Antenatal-CDH-Registry group</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Ultrasound in obstetrics & gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jani, J. C.</au><au>Benachi, A.</au><au>Nicolaides, K. H.</au><au>Allegaert, K.</au><au>Gratacós, E.</au><au>Mazkereth, R.</au><au>Matis, J.</au><au>Tibboel, D.</au><au>Van Heijst, A.</au><au>Storme, L.</au><au>Rousseau, V.</au><au>Greenough, A.</au><au>Deprest, J. A.</au><aucorp>Antenatal-CDH-Registry group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prenatal prediction of neonatal morbidity in survivors with congenital diaphragmatic hernia: a multicenter study</atitle><jtitle>Ultrasound in obstetrics & gynecology</jtitle><addtitle>Ultrasound Obstet Gynecol</addtitle><date>2009-01</date><risdate>2009</risdate><volume>33</volume><issue>1</issue><spage>64</spage><epage>69</epage><pages>64-69</pages><issn>0960-7692</issn><eissn>1469-0705</eissn><abstract>Objectives
To investigate the value of the observed to expected fetal lung area to head circumference ratio (o/e LHR) and liver position in the prediction of neonatal morbidity in survivors with congenital diaphragmatic hernia (CDH).
Methods
Neonatal morbidity was recorded in 100 consecutive cases with isolated CDH diagnosed in fetal medicine units, which were expectantly managed in the prenatal period, were delivered after 30 weeks and survived until discharge from hospital. Regression analysis was used to identify the significant predictors of morbidity, including prenatal and immediate neonatal findings.
Results
The o/e LHR provided significant prediction of the need for prosthetic patch repair, duration of assisted ventilation, need for supplemental oxygen at 28 days, and incidence of feeding problems. An additional independent prenatal predictor of the need for patch repair was the presence of fetal liver in the chest.
Conclusions
In isolated CDH the prenatally assessed size of the contralateral lung is a significant predictor of the need for prosthetic patch repair, the functional consequences of impaired lung development and occurrence of feeding problems. Copyright © 2008 ISUOG. Published by John Wiley & Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>18844275</pmid><doi>10.1002/uog.6141</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Ultrasound in obstetrics & gynecology, 2009-01, Vol.33 (1), p.64-69 |
| issn | 0960-7692 1469-0705 |
| language | eng |
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| source | Wiley Free Content; MEDLINE; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Biological and medical sciences congenital diaphragmatic hernia Counseling Feeding Behavior Female Gestational Age Gynecology. Andrology. Obstetrics Head - diagnostic imaging Head - embryology Hernia, Diaphragmatic - diagnostic imaging Hernia, Diaphragmatic - surgery Hernias, Diaphragmatic, Congenital Humans Infant, Newborn Liver - diagnostic imaging Liver - embryology Liver - surgery Lung - diagnostic imaging Lung - embryology Lung - surgery lung area lung to head ratio Lung Volume Measurements Male Medical sciences postnatal morbidity Pregnancy Pregnancy Trimester, Third prenatal diagnosis Prognosis Ultrasonography, Prenatal - methods |
| title | Prenatal prediction of neonatal morbidity in survivors with congenital diaphragmatic hernia: a multicenter study |
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