Congenital diaphragmatic hernia: outcome review of 2,173 surgical repairs in US infants.

摘要: Congenital diaphragmatic hernia (CDH) remains one of the most challenging conditions to treat within pediatric surgical and medical communities. In spite modern treatment modalities, including extracorporeal membrane oxygenation (ECMO) improved ventilatory support, mortality high. The present study analyzes a US database containing information from nearly 93 million discharges in US. Infants with congenital who underwent repair were identified by ICD-9 procedure code inclusion criteria an age at admission less than 1 year. Variables gender, race, age, geographic region, co-existing diagnoses procedures, hospital type, charges adjusted 2006 dollars, length stay, inpatient collected. A total 89% patients either treated initially or rapidly transferred urban teaching hospitals for definitive CDH. rate was 10.4% median stay 20 days (interquartile range 9–40 days). inflation-adjusted charge $116,210. Respiratory distress common condition (68.8%) followed esophageal reflux (27.8%). concomitant procedures performed ECMO (17.8%) fundoplication (17.6%). This study, which represents largest characterization infants have undergone CDH using data nationally representative non-voluntary database, demonstrates that is associated significant morbidity.