Journal article
Stability prior to surgery in Congenital Diaphragmatic Hernia: Is it necessary?
Journal of pediatric surgery, v 48(5), pp 919-923
01 May 2013
PMID: 23701760
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Delaying surgery for infants with CDH until they achieve clinical stability is common practice. Stability, however, is inconsistently defined, and many infants fail to reach pre-established criteria. We sought to determine if infants undergoing surgery without meeting pre-established criteria could achieve meaningful survival.
All infants in the CAPSNet database were analyzed (2005–2010). Patients undergoing operative repair were divided into two groups based on whether they met strict (FiO2<0.40, conventional ventilation, preductal saturation >92%, no inotropes or vasodilators), or lenient (FiO2 <0.60, conventional ventilation, preductal saturation >88%, no vasodilators) criteria. Univariate analyses were performed comparing characteristics of those who survived after surgery (N=273) with those who did not (N=21).
294 patients (85%) survived to surgery. Predictors of post-operative survival included prenatal liver position (p=0.003), preoperative oxygen requirements (p=0.008), preoperative inotropes (p<0.0001), and non-conventional ventilation (p=0.004). Infants meeting strict criteria had increased survival (99%; p<0.0001). Infants meeting lenient criteria constituted 70% of survivors. Nearly one-third of survivors met neither strict nor lenient criteria.
Infants with CDH can achieve good survival even when criteria for pre-operative stability are not met. We suggest that all infants should be repaired even if lenient criteria for ventilatory, inotrope, or vasodilator requirements are not achieved.
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Details
- Title
- Stability prior to surgery in Congenital Diaphragmatic Hernia: Is it necessary?
- Creators
- Alana L. Beres - Montreal Children's HospitalPramod S. Puligandla - Montreal Children's HospitalMary E. Brindle - University of CalgaryCAPSNet
- Publication Details
- Journal of pediatric surgery, v 48(5), pp 919-923
- Publisher
- Elsevier
- Number of pages
- 5
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000320372100014
- Scopus ID
- 2-s2.0-84877959393
- Other Identifier
- 991021969476104721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics
- Surgery