Lancet Reg Health Am

. 2022 Jul 18;14:100328.

 doi: 10.1016/j.lana.2022.100328. eCollection 2022 Oct. https://pubmed.ncbi.nlm.nih.gov/36777389/

Crossing birth and mortality data as a clue for prevalence of congenital diaphragmatic hernia in Sao Paulo State: A cross sectional study

Victoria Oliveira Maia ¹, Eduardo Pavarino ¹, Leandro Tonderys Guidio ², João Paulo Dias de Souza ³, Rodrigo Ruano ⁴, Augusto Frederico Schmidt ⁴, Amaury Lelis Dal Fabbro ³, Lourenço Sbragia ¹

Affiliations expand

• PMID: 36777389
• PMCID: PMC9903978
• DOI: 10.1016/j.lana.2022.100328

Free PMC article

Abstract

Background: Congenital diaphragmatic hernia (CDH) is a severe embryological defect that causes pulmonary hypoplasia and hypertension. The prevalence and mortality rate of CDH varies around the world and little information is available about CDH in Latin America. Our aim was to estimate the general prevalence, mortality rate, prevalence of associated anomalies and features related to the outcomes of CDH in newborns from São Paulo state, Brazil.

Methods: Population-based cross-sectional study based on data gathered from the Live Births Information System (SINASC) and the Mortality Information System (SIM) of children born in São Paulo state between January 1st, 2006, and December 31st, 2017.

Findings: From 7,311,074 total survival discharges between 2006 and 2017, 1,155 were CDH-related, resulting in a prevalence rate of 1:6329 (95%CI = 1/6715 – 1/5984) and a mortality rate of 63·72% (95%CI = 60.95 – 66.50), 510 presented complex associated anomalies (44·15%). Maternal data showed higher prevalence among older mothers (older than 35 years old: 2·13 per 10,000) and, also, women with more years of schooling (higher than 12 years: 1·99 per 10,000). Presence of associated anomalies (95%CI = 5.69-11.10), 1-min Apgar (95%CI = 1.44-2.95), maternal schooling (95%CI = 1.06-2.43) and birth weight (95%CI = 1.04-2.26) were the most significant features associated with mortality.

Interpretation: There was 1 CDH case for every 6329 newborns in São Paulo and the mortality rate among those cases was 63·72% – a high rate compared to other countries.

Funding: This study didn’t receive any specific grant from any funding agency in the public, commercial or not-for-profit sectors.

Keywords: Congenital diaphragmatic hernia; Epidemiology; Incidence; Risk factors.

© 2022 The Author(s).