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- Title
Congenital diaphragmatic hernia: clinical and hospital aspects in a maternal and child reference hospital in the Amazon region.
- Authors
Costa Malaquias, Lorenna; da Silva Dias, George Alberto; da Costa Cunha, Katiane; Silva Cei, Natalia Velia; Braga Valente, Elineth da Conceição; Moura Guimarães, André Gustavo
- Abstract
The aim of this study is to analyze the clinical and hospital profile of newborns diagnosed with Congenital Diaphragmatic Hernia (CDH) from 2008 to 2018 in a maternal and child reference hospital. It is a cross-sectional and descriptive analytical study, which mainly included data from medical records with the codes Q79.0, Q79.1, J98.6, K44 and K44.0 of the International Classification of Diseases (ICD-10). The exclusion criteria of medical records were the diagnosis of other types of diaphragmatic hernia, without the congenital aspect; hospitalization in units that were not Neonatal ICUs; and the age at admission equal to or greater than 29 days. A total of 25,602 records were analyzed, of which 14 corresponded to CDH. The gender involvement was 71.43% male (10 cases) and 28.57% female (4), with 21.34% of Bochdalek-type CDH located on the right (3) and 78.57% on the left (11). All newborns in this study underwent invasive mechanical ventilation (IMV) 9.21 ± 5.55 days. Surgery was indicated in 11 cases (78.57%), with thoracotomy access routes in four (36.36%) and subcostal laparotomy in seven (63.64%), all using a chest tube homolateral to the hemithorax. The total hospital stay was 19.42 ± 15.36 days. There was an improved discharge evolution in eight patients (57.14%) and the death of six (42.86%), with ages around 6.19 ± 4.79 days, with no follow-up of neuropsychomotor development afterwards. There were low incidences of cases per year, the gender involvement, the associated malformations and the IMV time were similar to other populations in the world.
- Subjects
BRAZIL; HOSPITALS; RESEARCH; INTENSIVE care units; LENGTH of stay in hospitals; CROSS-sectional method; RESEARCH methodology; GENETIC disorders; DIAPHRAGMATIC hernia; THORACOTOMY; SEX distribution; ARTIFICIAL respiration; CHILD health services; MEDICAL referrals; DESCRIPTIVE statistics; ABDOMINAL surgery; DISCHARGE planning
- Publication
Fisioterapia e Pesquisa, 2020, Vol 27, Issue 4, p392
- ISSN
1809-2950
- Publication type
Article
- DOI
10.1590/1809-2950/20010627042020