Congenital Diaphragmatic Hernia at a Non-ECMO Center in Jordan

Indian Pediatr. 2024 Jan 15;61(1):62-65.

Abstract

Objectives: We studied the clinical characteristics and outcomes of neonates with congenital diaphragmatic hernia (CDH) admitted to a non-extracorporeal membrane oxygenation (ECMO) center.

Methods: A retrospective chart review of neonates with CDH admitted to a University Hospital, in Amman, Jordan, between 2005 and 2019. Demographic characteristics and their management details were extracted and factors associated with survival were analyzed.

Results: A total of 28 neonates born with CDH were included; their survival rate was 39.3%. Onset of respiratory distress, pre-operative ventilation, and length of hospitalization were significantly associated with mortality. Survival after surgery was significantly associated with a higher gestational age and a longer hospital stay.

Conclusion: Our study showed a high mortality rate for CDH patients. Decreasing the health inequity and improved clinical interventions could improve outcomes.

MeSH terms

  • Gestational Age
  • Hernias, Diaphragmatic, Congenital* / therapy
  • Hospitalization
  • Humans
  • Infant, Newborn
  • Jordan / epidemiology
  • Retrospective Studies