We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The efficacy of the postnatal nasogastric tube position as a prognostic marker of left-sided isolated congenital diaphragmatic hernia.
- Authors
Kono, Jun; Nagata, Kouji; Terui, Keita; Amari, Shoichiro; Toyoshima, Katsuaki; Inamura, Noboru; Koike, Yuhki; Yamoto, Masaya; Okazaki, Tadaharu; Yazaki, Yuta; Okuyama, Hiroomi; Hayakawa, Masahiro; Furukawa, Taizo; Masumoto, Kouji; Yokoi, Akiko; Usui, Noriaki; Tajiri, Tatsuro
- Abstract
Purpose: The prenatal diagnosis of the stomach position in congenital diaphragmatic hernia (CDH) has been a reliable prognostic factor, but few studies have focused on the postnatal position. We therefore evaluated the significance of the nasogastric (NG) tube position just after birth. Methods: The Japanese CDH Study Group database enrolled 1037 CDH neonates over 15 years. In our multicenter retrospective study, 464 cases of left-sided isolated CDH with prenatal diagnoses were divided into two groups: NG tube below the diaphragm (BD; n = 190) or above the diaphragm (AD; n = 274). The primary outcome was the 90-day survival rate, and the secondary outcomes were mechanical ventilation duration, hospitalization duration, and recurrence rate. Results: The BD group had a significantly higher 90-day survival rate (98.4 vs. 89.4%, p < 0.001), shorter mechanical ventilation (11 vs. 19 days, p < 0.001), shorter hospitalization (38 vs. 59 days, p < 0.001), and lower recurrence rate (p = 0.002) than the AD group. A multivariate analysis showed that BD (adjusted odds ratio, 3.68; 95% confidence interval 1.02–13.30) was a favorable prognostic factor for the 90-day survival. Conclusion: The assessment of the NG tube position revealed it to be a reliable prognostic factor of left-sided isolated CDH. Therefore, it should be included as a routine assessment.
- Subjects
DIAPHRAGMATIC hernia; NASOENTERAL tubes; PROGNOSIS; SURVIVAL rate; MULTIVARIATE analysis
- Publication
Pediatric Surgery International, 2022, Vol 38, Issue 12, p1873
- ISSN
0179-0358
- Publication type
Article
- DOI
10.1007/s00383-022-05226-8