Long-term medical and psychosocial outcomes in congenital diaphragmatic hernia survivors
Archives of Diseases in Childhood Jul 26, 2019
Tan JK, et al. - As survival rates for congenital diaphragmatic hernia (CDH) are rising, researchers intended to compare the long-term outcomes of CDH survivors with a healthy control group to evaluate morbidity for antenatal counselling guidance and long-term follow-up programmes. Participants born with CDH in Western Australia between 1993 and 2008 were eligible from the general population with matched controls. There were 34 matched case-control pairs recruited. Findings suggested an association of prosthetic patch requirement with worse lung mechanics and peak cough flow. Cases had substantially higher rates of use of gastro-oesophageal reflux disease (GORD) and GORD medication. Developmental delay in instances was substantially greater. According to findings, CDH survivors may have significant medical and psychosocial adverse long-term issues that would be better recognized and managed in a multidisciplinary clinic.
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