Predicting Outcome in Primary Fetal Hydrothorax
| Autor: | L. Hudon, Jean-Luc Bigras, Stephanie Klam |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Embryology
medicine.medical_specialty Pleural effusion Hydrops Fetalis Hydrothorax Prenatal diagnosis Ultrasonography Prenatal Pleural disease Predictive Value of Tests Pregnancy Hydrops fetalis medicine Humans Radiology Nuclear Medicine and imaging Retrospective Studies business.industry Respiratory disease Infant Newborn Pregnancy Outcome Obstetrics and Gynecology Chylothorax Retrospective cohort study General Medicine medicine.disease Surgery Pleural Effusion embryonic structures Pediatrics Perinatology and Child Health Apgar Score Female Radiology business |
| Zdroj: | Fetal Diagnosis and Therapy. 20:366-370 |
| ISSN: | 1421-9964 1015-3837 |
| DOI: | 10.1159/000086814 |
| Popis: | Objective: This study examines the role of serial ultrasound in predicting fetal outcomes based on progress, resolution or stability of pleural effusions in primary fetal hydrothorax (PFHT). Methods: Records from consecutive cases of fetal pleural effusions referred to the fetal echocardiography unit over a 12-year period were reviewed. Study patients underwent thorough investigation to rule out secondary causes of pleural effusions. The clinical course was monitored with serial ultrasound studies every 2 weeks until delivery. Pleurocentesis and pleuroamniotic shunts were performed in select cases of PFHT. Fetal survival was the primary outcome variable. Results: Eighteen of 44 patients referred for perinatal evaluation of fetal pleural effusions met the study criteria for PFHT. Diagnosis was made at 28 ± 7 weeks and fetuses delivered at 35 ± 3 weeks’ gestational age. Overall survival was 78%. Effusion progression, greater effusion ratios, earlier gestational age at delivery, and lower Apgar scores at birth were associated with poor outcome. Conservative management was appropriate for most cases. Conclusions: Serial ultrasound studies to evaluate the clinical course of the pleural effusions are essential in the management of PFHT. Expectant management of stable and resolving effusions was appropriate in all cases. |
| Databáze: | OpenAIRE |
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