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先天性膈疝的预测工具。

Prediction tools in congenital diaphragmatic hernia.

机构信息

Le Bonheur Children's Hospital, University of Tennessee Health Science Center, 49 North Dunlap St., Second Floor, Memphis, TN, 38112, USA.

Alberta Children's Hospital, University of Calgary, Calgary, Alberta, Canada.

出版信息

Semin Perinatol. 2020 Feb;44(1):151165. doi: 10.1053/j.semperi.2019.07.004. Epub 2019 Jul 31.

DOI:10.1053/j.semperi.2019.07.004
PMID:31676044
Abstract

Because congenital diaphragmatic hernia (CDH) is characterized by a spectrum of severity, risk stratification is an essential component of care. In both the prenatal and postnatal periods, accurate prediction of outcomes may inform clinical decision-making, care planning, and resource allocation. This review examines the history and utility of the most well-established risk prediction tools currently available, and provides recommendations for their optimal use in the management of CDH patients.

摘要

由于先天性膈疝 (CDH) 的严重程度存在差异,因此风险分层是护理的重要组成部分。在产前和产后阶段,准确预测结局可以为临床决策、护理计划和资源分配提供信息。本文回顾了目前最成熟的风险预测工具的历史和用途,并就这些工具在 CDH 患者管理中的最佳使用提出了建议。

相似文献

1
Prediction tools in congenital diaphragmatic hernia.先天性膈疝的预测工具。
Semin Perinatol. 2020 Feb;44(1):151165. doi: 10.1053/j.semperi.2019.07.004. Epub 2019 Jul 31.
2
Prenatal diagnosis, imaging, and prognosis in Congenital Diaphragmatic Hernia.先天性膈疝的产前诊断、影像学表现和预后。
Semin Perinatol. 2020 Feb;44(1):51163. doi: 10.1053/j.semperi.2019.07.002. Epub 2019 Jul 30.
3
Right Congenital Diaphragmatic Hernias: Is There a Correlation between Prenatal Lung Volume and Postnatal Survival, as in Isolated Left Diaphragmatic Hernias?右先天性膈疝:与孤立性左膈疝一样,产前肺容积与产后生存率之间是否存在相关性?
Fetal Diagn Ther. 2018;43(1):12-18. doi: 10.1159/000464246. Epub 2017 Mar 21.
4
Fetal ultrasound markers of severity predict resolution of pulmonary hypertension in congenital diaphragmatic hernia.严重程度的胎儿超声标志物可预测先天性膈疝肺动脉高压的消退情况。
Am J Obstet Gynecol. 2015 Aug;213(2):216.e1-8. doi: 10.1016/j.ajog.2015.03.036. Epub 2015 Mar 19.
5
Prenatal prediction of survival in congenital diaphragmatic hernia: An audit of postnatal outcomes.先天性膈疝患儿生存情况的产前预测:产后结局审计
J Pediatr Surg. 2019 May;54(5):925-931. doi: 10.1016/j.jpedsurg.2019.01.021. Epub 2019 Jan 31.
6
Prenatal and postnatal markers of severity in congenital diaphragmatic hernia have similar prognostic ability.先天性膈疝严重程度的产前和产后标志物具有相似的预后判断能力。
Prenat Diagn. 2016 Feb;36(2):107-11. doi: 10.1002/pd.4721. Epub 2016 Jan 19.
7
Improving the Prediction of Neonatal Outcomes in Isolated Left-Sided Congenital Diaphragmatic Hernia by Direct and Indirect Sonographic Assessment of Liver Herniation.通过肝脏疝出的直接和间接超声评估改善孤立性左侧先天性膈疝新生儿结局的预测
J Ultrasound Med. 2016 Jul;35(7):1437-43. doi: 10.7863/ultra.15.07020. Epub 2016 May 20.
8
Lung size and liver herniation predict need for extracorporeal membrane oxygenation but not pulmonary hypertension in isolated congenital diaphragmatic hernia: systematic review and meta-analysis.肺大小和肝脏疝出可预测孤立性先天性膈疝患者对体外膜肺氧合的需求,但不能预测肺动脉高压:系统评价和荟萃分析
Ultrasound Obstet Gynecol. 2017 Jun;49(6):704-713. doi: 10.1002/uog.16000. Epub 2017 Apr 26.
9
Prenatally diagnosed severe CDH: mortality and morbidity remain high.产前诊断的严重先天性膈疝:死亡率和发病率仍然很高。
J Pediatr Surg. 2016 Jul;51(7):1091-5. doi: 10.1016/j.jpedsurg.2015.10.082. Epub 2015 Nov 10.
10
Risk-stratification enables accurate single-center outcomes assessment in congenital diaphragmatic hernia (CDH).风险分层能够对先天性膈疝(CDH)进行准确的单中心预后评估。
J Pediatr Surg. 2019 May;54(5):932-936. doi: 10.1016/j.jpedsurg.2019.01.020. Epub 2019 Jan 31.

引用本文的文献

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A machine learning approach to predict mortality and neonatal persistent pulmonary hypertension in newborns with congenital diaphragmatic hernia. A retrospective observational cohort study.一种用于预测先天性膈疝新生儿死亡率和新生儿持续性肺动脉高压的机器学习方法。一项回顾性观察队列研究。
Eur J Pediatr. 2025 Mar 11;184(4):238. doi: 10.1007/s00431-025-06073-0.
2
Predictors of Feeding Tube Placement in Infants with Congenital Diaphragmatic Hernia: A Systematic Review and Meta-analysis of Cohort Studies.先天性膈疝患儿鼻饲管置入的预测因素:队列研究的系统评价和荟萃分析
J Indian Assoc Pediatr Surg. 2024 Sep-Oct;29(5):454-464. doi: 10.4103/jiaps.jiaps_38_24. Epub 2024 Aug 23.
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Predicting neonatal mortality prior to discharge from hospital in prenatally diagnosed left congenital diaphragmatic hernia.
产前诊断为左侧先天性膈疝的新生儿出院前死亡风险预测
Ultrasound Obstet Gynecol. 2024 Dec;64(6):746-754. doi: 10.1002/uog.29121. Epub 2024 Oct 24.
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Amniotic fluid-derived small extracellular vesicles for predicting postnatal severe outcome of congenital diaphragmatic hernia.羊水来源的小细胞外囊泡用于预测先天性膈疝的产后严重结局。
J Extracell Biol. 2024 Jun 21;3(6):e160. doi: 10.1002/jex2.160. eCollection 2024 Jun.
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Development of a prediction nomogram for 1-month mortality in neonates with congenital diaphragmatic hernia.先天性膈疝新生儿 1 个月死亡率预测列线图的建立。
BMC Surg. 2024 Jun 27;24(1):198. doi: 10.1186/s12893-024-02479-z.
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The role of extracorporeal life support and timing of repair in infants with congenital diaphragmatic hernia.体外生命支持在先天性膈疝婴儿中的作用及修复时机
World J Pediatr Surg. 2024 Apr 16;7(2):e000752. doi: 10.1136/wjps-2023-000752. eCollection 2024.
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Cureus. 2024 Feb 17;16(2):e54364. doi: 10.7759/cureus.54364. eCollection 2024 Feb.
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Long-Term Evaluation of the Shape of the Reconstructed Diaphragm in Patients with Left-Sided Congenital Diaphragmatic Hernia Using Serial Chest Radiographs and Correlation to Further Complications.利用系列胸部X线片对左侧先天性膈疝患者重建膈肌形状进行长期评估及其与进一步并发症的相关性研究
J Clin Med. 2024 Jan 22;13(2):620. doi: 10.3390/jcm13020620.
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Pulmonary outcomes of congenital diaphragmatic hernia patients based on defect size (CDH Study Group Stage).基于缺损大小的先天性膈疝患者的肺部结局(CDH研究组分期)
Transl Pediatr. 2023 Aug 30;12(8):1490-1503. doi: 10.21037/tp-23-14. Epub 2023 Jul 26.
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Recent advances in the treatment of complex congenital diaphragmatic hernia-a narrative review.复杂先天性膈疝治疗的最新进展——一篇叙述性综述
Transl Pediatr. 2023 Jul 31;12(7):1403-1415. doi: 10.21037/tp-23-240. Epub 2023 Jul 6.