Indian Pediatr
. 2024 Jan 15;61(1):62-65. https://pubmed.ncbi.nlm.nih.gov/38183255/
Congenital Diaphragmatic Hernia at a Non-ECMO Center in Jordan
Montaha Al-Iede 1, Eman Badran 2, Raed Al-Taher 3, Iyad Al-Ammouri 4, Omar Ashour 5, Tara Ghazi 5, Mahmoud Abu Zahra 6, Abdulrahman Alhanbali 7, Hebah Qutishat 8, Enas Al-Zayadneh 9, Manar Al-Lawama 10
Affiliations expand
- PMID: 38183255
Abstract
Objectives: We studied the clinical characteristics and outcomes of neonates with congenital diaphragmatic hernia (CDH) admitted to a non-extracorporeal membrane oxygenation (ECMO) center.
Methods: A retrospective chart review of neonates with CDH admitted to a University Hospital, in Amman, Jordan, between 2005 and 2019. Demographic characteristics and their management details were extracted and factors associated with survival were analyzed.
Results: A total of 28 neonates born with CDH were included; their survival rate was 39.3%. Onset of respiratory distress, pre-operative ventilation, and length of hospitalization were significantly associated with mortality. Survival after surgery was significantly associated with a higher gestational age and a longer hospital stay.
Conclusion: Our study showed a high mortality rate for CDH patients. Decreasing the health inequity and improved clinical interventions could improve outcomes.