Document Detail


Clinical outcomes of congenital diaphragmatic hernia without extracorporeal membrane oxygenation.
MedLine Citation:
PMID:  22498427     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Neonatal extracorporeal membrane oxygenation (ECMO) is not available in Hong Kong. OBJECTIVES: To document the survival of neonates with symptomatic congenital diaphragmatic hernia at birth, but without access to ECMO. METHODS: Twenty-two patients diagnosed to have CDH within a ten year period (1999-2009) at Prince of Wales Hospital were systematically reviewed. CDH patients who presented after the neonatal period were excluded. RESULTS: There were 17 neonates with symptomatic CDH at birth and the overall survival, including infants with multiple anomalies, was 14/17 (82%). 6 of 17 (35%) infants met the ECMO criteria and the survival rate for these serious cases was 4/6 (67%). CONCLUSIONS: Our results are comparable with centers which provide ECMO and suggest that there may be only marginal benefit for using ECMO to improve survival. A territory-wide registry for documenting risk factors and outcomes would be important, especially in light of improving neonatal intensive care and survival.
Authors:
Yuen Shan Tam; Hon Ming Cheung; Yuk Him Tam; Kim Hung Lee; Hugh Simon Lam; Terence Chuen Wai Poon; Pak Cheung Ng
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-10
Journal Detail:
Title:  Early human development     Volume:  -     ISSN:  1872-6232     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-4-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7708381     Medline TA:  Early Hum Dev     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Paediatrics, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong.
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