Observed to expected lung area to head circumference ratio in the prediction of survival in fetuses with isolated diaphragmatic hernia
Objective To assess the value of antenatally determined observed to expected fetal lung area to head circumference ratio (LHR) in the prediction of postnatal survival in isolated, congenital diaphragmatic hernia (CDH). Methods Two groups of fetuses were examined. The first group included 650 normal...
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| Veröffentlicht in: | Ultrasound in obstetrics & gynecology 2007-07, Vol.30 (1), p.67-71 |
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| creator | Jani, J. Nicolaides, K. H. Keller, R. L. Benachi, A. Peralta, C. F. A. Favre, R. Moreno, O. Tibboel, D. Lipitz, S. Eggink, A. Vaast, P. Allegaert, K. Harrison, M. Deprest, J. |
| description | Objective
To assess the value of antenatally determined observed to expected fetal lung area to head circumference ratio (LHR) in the prediction of postnatal survival in isolated, congenital diaphragmatic hernia (CDH).
Methods
Two groups of fetuses were examined. The first group included 650 normal fetuses at 12–32 weeks' gestation, and the data collected were used to establish a normal range of observed to expected LHR with gestational age. The second group included the data of a retrospective multicenter study of 354 fetuses with isolated CDH in which the LHR was measured on one occasion at 18–38 weeks' gestation. The patients were divided into those with left‐sided CDH with and without intrathoracic herniation of the liver and right‐sided CDH. Regression analysis was used to determine the significant predictors of postnatal survival.
Results
In both the normal fetuses and those with CDH the LHR increased but the observed to expected LHR did not change significantly with gestational age. In normal fetuses the mean observed to expected LHR in the left lung was 100% (95% CI, 61–139%) and in the right lung it was 100% (95% CI, 67–133%). In fetuses with CDH the mean observed to expected LHR was 39% (range 7–79%). Regression analysis demonstrated that significant predictors of survival were the observed to expected LHR (odds ratio (OR) 1.09, 95% CI, 1.06–1.12), side of CDH (left side OR 11.14, 95% CI, 3.41–36.39) and gestational age at delivery (OR 1.18, 95% CI, 1.02–1.36).
Conclusion
In CDH, the LHR increases while observed to expected LHR is independent of gestational age. In fetuses with both left‐ and right‐sided CDH, measurement of the observed to expected LHR provides a useful prediction of subsequent survival. Copyright © 2007 ISUOG. Published by John Wiley & Sons, Ltd. |
| doi_str_mv | 10.1002/uog.4052 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70671126</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>19281007</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4142-66ffa298e6349bd2dc4bc494d7250bbaba6673711cadeac6ec210b2a27c0a5423</originalsourceid><addsrcrecordid>eNqFkc9u1DAQhy1ERZcWiSdAvoC4pLUdx06OqIKCVGkv7TmajCe7RvmHnWzbF-C5cdiVekKcPJr5_I00P8beS3ElhVDXy7i70qJQr9hGalNlworiNduIyojMmkqds7cx_hRCGJ2bN-xc2qK0SlYb9nvbRAoHcnweOT1NhHOqu2XYcQgEa3dP4Dj6gEvfUqABiQeY_cj9wOc98SmQ85gaAx9bHpdw8Afo1mlL8xIp8kc_77mPYwer3HmY9gF2fZJgsofBwyU7a6GL9O70XrCHb1_vb75nd9vbHzdf7jLUUqvMmLYFVZVkcl01TjnUDepKO6sK0TTQgDE2t1IiOAI0hEqKRoGyKKDQKr9gn47eKYy_Fopz3fuI1HUw0LjE2gqTfivzX1BWqkyntwn8fAQxjDEGausp-B7Ccy1FvYZTp3DqNZyEfjg5l6Yn9wKe0kjAxxMAEaFrAwzo4wtXltbmUicuO3KPvqPnfy6sH7a3fxf_Ac1ZqAM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>19281007</pqid></control><display><type>article</type><title>Observed to expected lung area to head circumference ratio in the prediction of survival in fetuses with isolated diaphragmatic hernia</title><source>Wiley Free Content</source><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Jani, J. ; Nicolaides, K. H. ; Keller, R. L. ; Benachi, A. ; Peralta, C. F. A. ; Favre, R. ; Moreno, O. ; Tibboel, D. ; Lipitz, S. ; Eggink, A. ; Vaast, P. ; Allegaert, K. ; Harrison, M. ; Deprest, J.</creator><creatorcontrib>Jani, J. ; Nicolaides, K. H. ; Keller, R. L. ; Benachi, A. ; Peralta, C. F. A. ; Favre, R. ; Moreno, O. ; Tibboel, D. ; Lipitz, S. ; Eggink, A. ; Vaast, P. ; Allegaert, K. ; Harrison, M. ; Deprest, J. ; Antenatal-CDH-Registry Group ; on behalf of the Antenatal‐CDH‐Registry Group</creatorcontrib><description>Objective
To assess the value of antenatally determined observed to expected fetal lung area to head circumference ratio (LHR) in the prediction of postnatal survival in isolated, congenital diaphragmatic hernia (CDH).
Methods
Two groups of fetuses were examined. The first group included 650 normal fetuses at 12–32 weeks' gestation, and the data collected were used to establish a normal range of observed to expected LHR with gestational age. The second group included the data of a retrospective multicenter study of 354 fetuses with isolated CDH in which the LHR was measured on one occasion at 18–38 weeks' gestation. The patients were divided into those with left‐sided CDH with and without intrathoracic herniation of the liver and right‐sided CDH. Regression analysis was used to determine the significant predictors of postnatal survival.
Results
In both the normal fetuses and those with CDH the LHR increased but the observed to expected LHR did not change significantly with gestational age. In normal fetuses the mean observed to expected LHR in the left lung was 100% (95% CI, 61–139%) and in the right lung it was 100% (95% CI, 67–133%). In fetuses with CDH the mean observed to expected LHR was 39% (range 7–79%). Regression analysis demonstrated that significant predictors of survival were the observed to expected LHR (odds ratio (OR) 1.09, 95% CI, 1.06–1.12), side of CDH (left side OR 11.14, 95% CI, 3.41–36.39) and gestational age at delivery (OR 1.18, 95% CI, 1.02–1.36).
Conclusion
In CDH, the LHR increases while observed to expected LHR is independent of gestational age. In fetuses with both left‐ and right‐sided CDH, measurement of the observed to expected LHR provides a useful prediction of subsequent survival. Copyright © 2007 ISUOG. Published by John Wiley & Sons, Ltd.</description><identifier>ISSN: 0960-7692</identifier><identifier>EISSN: 1469-0705</identifier><identifier>DOI: 10.1002/uog.4052</identifier><identifier>PMID: 17587219</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Biological and medical sciences ; Case-Control Studies ; diaphragmatic hernia ; Female ; Gestational Age ; Gynecology. Andrology. Obstetrics ; Head - diagnostic imaging ; Head - embryology ; Hernia, Diaphragmatic - diagnostic imaging ; Hernia, Diaphragmatic - embryology ; Hernias, Diaphragmatic, Congenital ; Humans ; Infant, Newborn ; Lung - diagnostic imaging ; Lung - embryology ; lung area ; lung to head ratio ; Medical sciences ; Predictive Value of Tests ; Pregnancy ; prenatal diagnosis ; Prenatal Diagnosis - methods ; pulmonary hypoplasia ; ROC Curve ; Survival Analysis ; Ultrasonography, Prenatal - methods</subject><ispartof>Ultrasound in obstetrics & gynecology, 2007-07, Vol.30 (1), p.67-71</ispartof><rights>Copyright © 2007 ISUOG. Published by John Wiley & Sons, Ltd.</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4142-66ffa298e6349bd2dc4bc494d7250bbaba6673711cadeac6ec210b2a27c0a5423</citedby><cites>FETCH-LOGICAL-c4142-66ffa298e6349bd2dc4bc494d7250bbaba6673711cadeac6ec210b2a27c0a5423</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.4052$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fuog.4052$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18877314$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17587219$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jani, J.</creatorcontrib><creatorcontrib>Nicolaides, K. H.</creatorcontrib><creatorcontrib>Keller, R. L.</creatorcontrib><creatorcontrib>Benachi, A.</creatorcontrib><creatorcontrib>Peralta, C. F. A.</creatorcontrib><creatorcontrib>Favre, R.</creatorcontrib><creatorcontrib>Moreno, O.</creatorcontrib><creatorcontrib>Tibboel, D.</creatorcontrib><creatorcontrib>Lipitz, S.</creatorcontrib><creatorcontrib>Eggink, A.</creatorcontrib><creatorcontrib>Vaast, P.</creatorcontrib><creatorcontrib>Allegaert, K.</creatorcontrib><creatorcontrib>Harrison, M.</creatorcontrib><creatorcontrib>Deprest, J.</creatorcontrib><creatorcontrib>Antenatal-CDH-Registry Group</creatorcontrib><creatorcontrib>on behalf of the Antenatal‐CDH‐Registry Group</creatorcontrib><title>Observed to expected lung area to head circumference ratio in the prediction of survival in fetuses with isolated diaphragmatic hernia</title><title>Ultrasound in obstetrics & gynecology</title><addtitle>Ultrasound Obstet Gynecol</addtitle><description>Objective
To assess the value of antenatally determined observed to expected fetal lung area to head circumference ratio (LHR) in the prediction of postnatal survival in isolated, congenital diaphragmatic hernia (CDH).
Methods
Two groups of fetuses were examined. The first group included 650 normal fetuses at 12–32 weeks' gestation, and the data collected were used to establish a normal range of observed to expected LHR with gestational age. The second group included the data of a retrospective multicenter study of 354 fetuses with isolated CDH in which the LHR was measured on one occasion at 18–38 weeks' gestation. The patients were divided into those with left‐sided CDH with and without intrathoracic herniation of the liver and right‐sided CDH. Regression analysis was used to determine the significant predictors of postnatal survival.
Results
In both the normal fetuses and those with CDH the LHR increased but the observed to expected LHR did not change significantly with gestational age. In normal fetuses the mean observed to expected LHR in the left lung was 100% (95% CI, 61–139%) and in the right lung it was 100% (95% CI, 67–133%). In fetuses with CDH the mean observed to expected LHR was 39% (range 7–79%). Regression analysis demonstrated that significant predictors of survival were the observed to expected LHR (odds ratio (OR) 1.09, 95% CI, 1.06–1.12), side of CDH (left side OR 11.14, 95% CI, 3.41–36.39) and gestational age at delivery (OR 1.18, 95% CI, 1.02–1.36).
Conclusion
In CDH, the LHR increases while observed to expected LHR is independent of gestational age. In fetuses with both left‐ and right‐sided CDH, measurement of the observed to expected LHR provides a useful prediction of subsequent survival. Copyright © 2007 ISUOG. Published by John Wiley & Sons, Ltd.</description><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>diaphragmatic hernia</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 - embryology</subject><subject>Hernias, Diaphragmatic, Congenital</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Lung - diagnostic imaging</subject><subject>Lung - embryology</subject><subject>lung area</subject><subject>lung to head ratio</subject><subject>Medical sciences</subject><subject>Predictive Value of Tests</subject><subject>Pregnancy</subject><subject>prenatal diagnosis</subject><subject>Prenatal Diagnosis - methods</subject><subject>pulmonary hypoplasia</subject><subject>ROC Curve</subject><subject>Survival Analysis</subject><subject>Ultrasonography, Prenatal - methods</subject><issn>0960-7692</issn><issn>1469-0705</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc9u1DAQhy1ERZcWiSdAvoC4pLUdx06OqIKCVGkv7TmajCe7RvmHnWzbF-C5cdiVekKcPJr5_I00P8beS3ElhVDXy7i70qJQr9hGalNlworiNduIyojMmkqds7cx_hRCGJ2bN-xc2qK0SlYb9nvbRAoHcnweOT1NhHOqu2XYcQgEa3dP4Dj6gEvfUqABiQeY_cj9wOc98SmQ85gaAx9bHpdw8Afo1mlL8xIp8kc_77mPYwer3HmY9gF2fZJgsofBwyU7a6GL9O70XrCHb1_vb75nd9vbHzdf7jLUUqvMmLYFVZVkcl01TjnUDepKO6sK0TTQgDE2t1IiOAI0hEqKRoGyKKDQKr9gn47eKYy_Fopz3fuI1HUw0LjE2gqTfivzX1BWqkyntwn8fAQxjDEGausp-B7Ccy1FvYZTp3DqNZyEfjg5l6Yn9wKe0kjAxxMAEaFrAwzo4wtXltbmUicuO3KPvqPnfy6sH7a3fxf_Ac1ZqAM</recordid><startdate>200707</startdate><enddate>200707</enddate><creator>Jani, J.</creator><creator>Nicolaides, K. H.</creator><creator>Keller, R. L.</creator><creator>Benachi, A.</creator><creator>Peralta, C. F. A.</creator><creator>Favre, R.</creator><creator>Moreno, O.</creator><creator>Tibboel, D.</creator><creator>Lipitz, S.</creator><creator>Eggink, A.</creator><creator>Vaast, P.</creator><creator>Allegaert, K.</creator><creator>Harrison, M.</creator><creator>Deprest, J.</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>200707</creationdate><title>Observed to expected lung area to head circumference ratio in the prediction of survival in fetuses with isolated diaphragmatic hernia</title><author>Jani, J. ; Nicolaides, K. H. ; Keller, R. L. ; Benachi, A. ; Peralta, C. F. A. ; Favre, R. ; Moreno, O. ; Tibboel, D. ; Lipitz, S. ; Eggink, A. ; Vaast, P. ; Allegaert, K. ; Harrison, M. ; Deprest, J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4142-66ffa298e6349bd2dc4bc494d7250bbaba6673711cadeac6ec210b2a27c0a5423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>diaphragmatic hernia</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 - embryology</topic><topic>Hernias, Diaphragmatic, Congenital</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Lung - diagnostic imaging</topic><topic>Lung - embryology</topic><topic>lung area</topic><topic>lung to head ratio</topic><topic>Medical sciences</topic><topic>Predictive Value of Tests</topic><topic>Pregnancy</topic><topic>prenatal diagnosis</topic><topic>Prenatal Diagnosis - methods</topic><topic>pulmonary hypoplasia</topic><topic>ROC Curve</topic><topic>Survival Analysis</topic><topic>Ultrasonography, Prenatal - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jani, J.</creatorcontrib><creatorcontrib>Nicolaides, K. H.</creatorcontrib><creatorcontrib>Keller, R. L.</creatorcontrib><creatorcontrib>Benachi, A.</creatorcontrib><creatorcontrib>Peralta, C. F. A.</creatorcontrib><creatorcontrib>Favre, R.</creatorcontrib><creatorcontrib>Moreno, O.</creatorcontrib><creatorcontrib>Tibboel, D.</creatorcontrib><creatorcontrib>Lipitz, S.</creatorcontrib><creatorcontrib>Eggink, A.</creatorcontrib><creatorcontrib>Vaast, P.</creatorcontrib><creatorcontrib>Allegaert, K.</creatorcontrib><creatorcontrib>Harrison, M.</creatorcontrib><creatorcontrib>Deprest, J.</creatorcontrib><creatorcontrib>Antenatal-CDH-Registry Group</creatorcontrib><creatorcontrib>on behalf of the 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.</au><au>Nicolaides, K. H.</au><au>Keller, R. L.</au><au>Benachi, A.</au><au>Peralta, C. F. A.</au><au>Favre, R.</au><au>Moreno, O.</au><au>Tibboel, D.</au><au>Lipitz, S.</au><au>Eggink, A.</au><au>Vaast, P.</au><au>Allegaert, K.</au><au>Harrison, M.</au><au>Deprest, J.</au><aucorp>Antenatal-CDH-Registry Group</aucorp><aucorp>on behalf of the Antenatal‐CDH‐Registry Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Observed to expected lung area to head circumference ratio in the prediction of survival in fetuses with isolated diaphragmatic hernia</atitle><jtitle>Ultrasound in obstetrics & gynecology</jtitle><addtitle>Ultrasound Obstet Gynecol</addtitle><date>2007-07</date><risdate>2007</risdate><volume>30</volume><issue>1</issue><spage>67</spage><epage>71</epage><pages>67-71</pages><issn>0960-7692</issn><eissn>1469-0705</eissn><abstract>Objective
To assess the value of antenatally determined observed to expected fetal lung area to head circumference ratio (LHR) in the prediction of postnatal survival in isolated, congenital diaphragmatic hernia (CDH).
Methods
Two groups of fetuses were examined. The first group included 650 normal fetuses at 12–32 weeks' gestation, and the data collected were used to establish a normal range of observed to expected LHR with gestational age. The second group included the data of a retrospective multicenter study of 354 fetuses with isolated CDH in which the LHR was measured on one occasion at 18–38 weeks' gestation. The patients were divided into those with left‐sided CDH with and without intrathoracic herniation of the liver and right‐sided CDH. Regression analysis was used to determine the significant predictors of postnatal survival.
Results
In both the normal fetuses and those with CDH the LHR increased but the observed to expected LHR did not change significantly with gestational age. In normal fetuses the mean observed to expected LHR in the left lung was 100% (95% CI, 61–139%) and in the right lung it was 100% (95% CI, 67–133%). In fetuses with CDH the mean observed to expected LHR was 39% (range 7–79%). Regression analysis demonstrated that significant predictors of survival were the observed to expected LHR (odds ratio (OR) 1.09, 95% CI, 1.06–1.12), side of CDH (left side OR 11.14, 95% CI, 3.41–36.39) and gestational age at delivery (OR 1.18, 95% CI, 1.02–1.36).
Conclusion
In CDH, the LHR increases while observed to expected LHR is independent of gestational age. In fetuses with both left‐ and right‐sided CDH, measurement of the observed to expected LHR provides a useful prediction of subsequent survival. Copyright © 2007 ISUOG. Published by John Wiley & Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>17587219</pmid><doi>10.1002/uog.4052</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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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 Case-Control Studies diaphragmatic hernia Female Gestational Age Gynecology. Andrology. Obstetrics Head - diagnostic imaging Head - embryology Hernia, Diaphragmatic - diagnostic imaging Hernia, Diaphragmatic - embryology Hernias, Diaphragmatic, Congenital Humans Infant, Newborn Lung - diagnostic imaging Lung - embryology lung area lung to head ratio Medical sciences Predictive Value of Tests Pregnancy prenatal diagnosis Prenatal Diagnosis - methods pulmonary hypoplasia ROC Curve Survival Analysis Ultrasonography, Prenatal - methods |
| title | Observed to expected lung area to head circumference ratio in the prediction of survival in fetuses with isolated diaphragmatic hernia |
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