Review shows that implementing a nationwide protocol for congenital diaphragmatic hernia was a key factor in reducing mortality and morbidity
Autor: | P Vaast, Alexandra Benachi, Rony Sfeir, L. Pognon, J Boubnova, Dyuti Sharma, Thameur Rakza, Estelle Aubry, Laurent Storme, Sébastien Mur |
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Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
03 medical and health sciences Pulmonary hypoplasia 0302 clinical medicine Clinical Protocols 030225 pediatrics Health care medicine Humans Intensive care medicine 030219 obstetrics & reproductive medicine business.industry Neonatal mortality Persistent pulmonary hypertension Congenital diaphragmatic hernia Prenatal Care General Medicine medicine.disease Perinatal Care Key factors Pediatrics Perinatology and Child Health France business Hernias Diaphragmatic Congenital Respiratory Insufficiency Rare disease |
Zdroj: | Acta paediatrica (Oslo, Norway : 1992). 107(7) |
ISSN: | 1651-2227 |
Popis: | The French Rare Disease Reference Center for congenital diaphragmatic hernia (CDH) was created in 2008, to implement a national protocol for foetuses and children with this serious condition. Neonatal mortality from CDH is 30-40%, mainly due to pulmonary hypoplasia and persistent pulmonary hypertension, and half of those who live have high respiratory, nutritional and digestive morbidity. CDH management requires long-term and specialised multidisciplinary care. It has been well established that a standardised management protocol improves the prognosis of children with CDH. Conclusion Organising health care and implementing a nationwide French protocol were key factors for reducing mortality and morbidity from CDH. |
Databáze: | OpenAIRE |
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