Congenital Diaphragmatic Hernia at a Non-ECMO Center in Jordan
摘要
We studied the clinical characteristics and outcomes of neonates with congenital diaphragmatic hernia (CDH) admitted to a non-extracorporeal membrane oxygenation (ECMO) center.
MethodsA 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.
ResultsA 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.
ConclusionOur study showed a high mortality rate for CDH patients. Decreasing the health inequity and improved clinical interventions could improve outcomes.