Significant preoperative predictors of postoperative outcome in congenital diaphragmatic hernia - A retrospective analysis of 23 cases

Aim: to determine the risk factors and outcomes of congenital diaphragmatic hernia (cdh). methods: a retrospective study was conducted on 23 cdh patients who went under surgery at the children hospital/institute of child health multan and nicu king abdul aziz specialist hospital taif,saudi arabia between sept. 2012 and aug. 2014. clinical characteristics and risk factors were considered and analysis was performed to determine significant preop predictors for postop mortality. results:- twenty three patients underwent surgery for cdh. the total post operative survival in patients with cdh was 69.5% (16/23) and the overall postoperative mortality was 30.4% (7/23). there was a significant difference between cdh patients who survived (n=16) and those who died (n=7) in the age on admission,1-min and 5-minute apgar score,cardiac malformations and presence of persistent pulmonary hypertension of newborn (pphn),and high persistent preoperative oxygen index conclusions:- cdh carries high mortality despite best care. risk factors for mortality in neonatal cdh were the age on admission,low apgar score,cardiac malformations and persistently high oi.