Image-based prenatal predictors of postnatal survival, extracorporeal life support, and defect size in right congenital diaphragmatic hernia.


Journal

Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884

Informations de publication

Date de publication:
09 2022
Historique:
received: 30 12 2021
accepted: 15 07 2022
revised: 13 06 2022
pubmed: 4 8 2022
medline: 9 9 2022
entrez: 3 8 2022
Statut: ppublish

Résumé

To determine the association between prenatal ultrasound (US) and magnetic resonance imaging (MRI) characteristics in right congenital diaphragmatic hernia (RCDH) with postnatal outcome. CDH Study Group data were reviewed for all RCDH infants (n = 156) born between 2015 and 2019. Prenatal US and MRI lung size measurements were correlated with survival, extracorporeal life support (ECLS), and defect size. Overall survival was 64.1%. ECLS was required in 40.4%. US and MRI-based prenatal assessment of pulmonary hypoplasia does not predict survival. Prenatal measurement of lung size using either US or MRI correlates with ECLS use. Only MRI-based measures of lung size are associated with defect size. Image-based prenatal predictors of survival, ECLS, and defect size are of limited value in RCDH. Extrapolation of prenatal survival and morbidity indicators from left to right-sided CDH is not appropriate. There is an urgent need to develop RCDH prenatal prediction models.

Identifiants

pubmed: 35922665
doi: 10.1038/s41372-022-01470-x
pii: 10.1038/s41372-022-01470-x
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1202-1209

Investigateurs

Krisa P van Meurs (KP)

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer Nature America, Inc.

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Auteurs

Enrico Danzer (E)

Division of Neonatal and Developmental Medicine, Stanford University School of Medicine, Palo Alto, CA, 94305, USA. edanzer@gmx.de.

Valerie Y Chock (VY)

Division of Neonatal and Developmental Medicine, Stanford University School of Medicine, Palo Alto, CA, 94305, USA.

Sukyung Chung (S)

Department of Primary Care and Population Health, Stanford University School of Medicine, Palo Alto, CA, 94304, USA.

Caroline Y Noh (CY)

Division of Neonatal and Developmental Medicine, Stanford University School of Medicine, Palo Alto, CA, 94305, USA.

Pamela A Lally (PA)

University of Texas Health Science Center at Houston, Children's Memorial Hermann Hospital, Department of Pediatric Surgery, Houston, TX, 77030, USA.

Matthew T Harting (MT)

University of Texas Health Science Center at Houston, Children's Memorial Hermann Hospital, Department of Pediatric Surgery, Houston, TX, 77030, USA.

Kevin P Lally (KP)

University of Texas Health Science Center at Houston, Children's Memorial Hermann Hospital, Department of Pediatric Surgery, Houston, TX, 77030, USA.

Erin E Perrone (EE)

University of Michigan, C.S. Mott Children's Hospital, Department of Pediatric Surgery, Ann Arbor, MI, 48109, USA.

Ashley H Ebanks (AH)

University of Texas Health Science Center at Houston, Children's Memorial Hermann Hospital, Department of Pediatric Surgery, Houston, TX, 77030, USA.

Krisa P van Meurs (KP)

Division of Neonatal and Developmental Medicine, Stanford University School of Medicine, Palo Alto, CA, 94305, USA.

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