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One year outcomes of congenital diaphragmatic hernia repair: factors associated with recurrence and complications

Journal of Pediatric Surgery Oct 03, 2020

Cioci AC, Urrechaga EM, Parreco J, et al. - Given that congenital diaphragmatic hernia (CDH) is a congenital anomaly correlated with lifelong multisystem morbidity, researchers sought to identify factors contributing to hospital readmission after CDH repair. To identify patients with CDH who had a surgical repair, the Nationwide Readmissions Database from 2010 to 2014 was used. Using chi-squared analysis, patient and hospital factors were compared. Five hundred eleven patients were identified with neonatal CDH. Data reported that the readmission rate within 30-days was 32% and 97% within 1 year. Findings revealed that the most common conditions surrounding readmission were for gastroesophageal reflux, CDH recurrence, and surgery for gastrostomy tube and/or fundoplication. This is the first study to assess nationwide readmissions in newborns with CDH. CDH recurrence and reflux-associated complications are usually caused by readmission. The rate of recurrence is higher than previously recorded and is more common after MIS and repair via thoracotomy.

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