Prediction of postnatal short-term outcomes in fetuses with isolated congenital left diaphragmatic hernia based on the lung to thorax transverse area ratio immediately before birth

Autor: Shiyo Ota, Ryo Yamamoto, Hisayoshi Kawahara, Keisuke Ishii, Akio Kubota, Nobuaki Mitsuda, Mitsuhiro Yoneda, Noboru Inamura, Nobuhiro Hidaka, Jun Sasahara
Rok vydání: 2014
Předmět:
Zdroj: Choonpa Igaku. 41:17-23
ISSN: 1881-9311
1346-1176
DOI: 10.3179/jjmu.jjmu.a.13
Popis: Purpose : In this study, we aimed to determine the clinical value of the lung to thorax transverse area ratio (LTR) as a predictive parameter of short-term postnatal outcomes in fetuses with isolated left-sided congenital diaphragmatic hernia (CDH). Subjects and Methods : Data from cases prenatally diagnosed with isolated left CDH between September 2005 and March 2012 were retrospectively collected from medical records. We divided the patients into two groups according to an LTR cutoff value of 0. 08 immediately before birth. Differences in intact survival rate and duration of mechanical ventilation and supplemental oxygen were analyzed between the two groups using Fisher’s exact test or the MannWhitney U test. The positive and negative predictive values of an LTR value
Databáze: OpenAIRE