Hernia diafragmática congénita: aspectos clínicos y hospitalarios en un hospital de referencia materno-infantil de la Amazonía

Detalhes bibliográficos
Autor(a) principal: Malaquais, Lorenna Costa
Data de Publicação: 2020
Outros Autores: Dias, George Alberto da Silva, Cunha, Katiane da Costa, Cei, Natalia Velia Silva, Valente, Elineth da Conceição Braga, Guimarães, André Gustavo Moura
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Fisioterapia e Pesquisa
Texto Completo: https://www.revistas.usp.br/fpusp/article/view/187166
Resumo: 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.
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spelling Hernia diafragmática congénita: aspectos clínicos y hospitalarios en un hospital de referencia materno-infantil de la AmazoníaHérnia diafragmática Congênita: aspectos clínico-hospitalares em um hospital de referência materno-infantil na região AmazônicaCongenital diaphragmatic hernia: clinical and hospital aspects in a maternal and child reference hospital in the Amazon regionCongenital Diaphragmatic HerniasNewbornHernias Diafragmáticas CongénitasRecién NacidoHérnias Diafragmáticas CongênitasRecém-NascidoThe 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.O objetivo deste estudo é analisar o perfil clínico-hospitalar de neonatos com o diagnóstico de hérnia diafragmática congênita (HDC), no período de 2008 a 2018 em um hospital de referência materno-infantil. Trata-se de um estudo transversal e analítico descritivo, que incluiu principalmente dados de prontuários com os códigos Q79.0, Q79.1, J986, K44 e K44.0 da Classificação Internacional de Doenças (CID-10). Os critérios de exclusão de prontuários foram o diagnóstico de outros tipos de hérnia diafragmática, sem o aspecto congênito; a internação em unidades que não fossem UTI Neonatal; e a idade no ato de internação igual ou superior a 29 dias. Analisou-se um total de 25.602 prontuários, dos quais 14 corresponderam a HDC. O acometimento por gênero foi de 71,43% masculino (10 casos) e 28,57% feminino (4), com 21,34% das localizações de HDC tipo Bochdalek à direita (3) e 78,57% à esquerda (11). Todos os neonatos deste estudo passaram por ventilação mecânica invasiva (VMI) 9,21 ± 5,55 dias. A cirurgia foi indicada em 11 casos (78,57%), com vias de acesso por toracotomia em 4 (36,36%) e por laparotomia subcostal em 7 (63,64%), todos com uso de dreno torácico homolateral ao hemitórax. O tempo total de internação foi de 19,42 ± 15,36 dias. Observou-se a evolução de alta melhorada em oito pacientes (57,14%) e o óbito de seis (42,86%), com idade de 6,19 ± 4,79 dias, sem referência de acompanhamento do desenvolvimento neuropsicomotor posteriormente. Ocorreram baixas incidências de casos por ano, e o gênero de acometimento, as malformações associadas e o tempo de VMI foram semelhantes a outras populações no mundo.El objetivo de este estudio es analizar el perfil clínico-hospitalario de neonatos diagnosticados con hernia diafragmática congénita (HDC) en el período de 2008 a 2018 en un hospital de referencia materno-infantil. Este es un estudio transversal, analítico-descriptivo, realizado con base en datos de historias clínicas con los códigos Q79.0, Q79.1, J986, K44 y K44.0 de la Clasificación Internacional de Enfermedades (CIE-10). Los criterios de exclusión de las historias clínicas fueron el diagnóstico de otros tipos de hernia diafragmática sin el aspecto congénito; hospitalización en unidades que no sean UCI neonatales; y edad de ingreso igual o mayor a 29 días. Se analizaron un total de 25.602 registros, de los cuales 14 correspondían a HDC. Entre el género afectado, el 71,43% fue el género masculino (10 casos) y el 28,57% el femenino (4), con un 21,34% de las ubicaciones de la HDC de tipo Bochdalek a la derecha (3) y un 78,57% a la izquierda (11). Todos los recién nacidos en este estudio estuvieron bajo ventilación mecánica invasiva (VMI) por 9,21±5,55 días. La cirugía estuvo indicada para 11 casos (78,57%), con vías de acceso por toracotomía para 4 (36,36%) y laparotomía subcostal para 7 (63,64%), todos con sonda torácica homolateral al hemitórax. La estancia hospitalaria total fue de 19,42±15,36 días. Se observó una mejor evolución del alta en ocho pacientes (57,14%) y muerte de seis (42,86%) con 6,19±4,79 días de edad, sin referencia de seguimiento del desarrollo neuropsicomotor posteriormente. Hubo baja incidencia de casos por año; y el género que acomete, las malformaciones asociadas y el tiempo de VMI fueron similares a otros estudios de la literatura.Universidade de São Paulo. Faculdade de Medicina2020-09-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/fpusp/article/view/18716610.1590/1809-2950/20010627042020Fisioterapia e Pesquisa; Vol. 27 No. 4 (2020); 392-398Fisioterapia e Pesquisa; Vol. 27 Núm. 4 (2020); 392-398Fisioterapia e Pesquisa; v. 27 n. 4 (2020); 392-3982316-91171809-2950reponame:Fisioterapia e Pesquisainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/fpusp/article/view/187166/172956https://www.revistas.usp.br/fpusp/article/view/187166/172957Copyright (c) 2020 Lorenna Costa Malaquais, George Alberto da Silva Dias, Katiane da Costa Cunha, Natalia Velia Silva Cei, Elineth da Conceição Braga Valente, André Gustavo Moura Guimarãeshttps://creativecommons.org/licenses/by-sa/4.0info:eu-repo/semantics/openAccessMalaquais, Lorenna CostaDias, George Alberto da SilvaCunha, Katiane da CostaCei, Natalia Velia SilvaValente, Elineth da Conceição BragaGuimarães, André Gustavo Moura2023-05-26T13:20:57Zoai:revistas.usp.br:article/187166Revistahttp://www.revistas.usp.br/fpuspPUBhttps://www.revistas.usp.br/fpusp/oai||revfisio@usp.br2316-91171809-2950opendoar:2023-05-26T13:20:57Fisioterapia e Pesquisa - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Hernia diafragmática congénita: aspectos clínicos y hospitalarios en un hospital de referencia materno-infantil de la Amazonía
Hérnia diafragmática Congênita: aspectos clínico-hospitalares em um hospital de referência materno-infantil na região Amazônica
Congenital diaphragmatic hernia: clinical and hospital aspects in a maternal and child reference hospital in the Amazon region
title Hernia diafragmática congénita: aspectos clínicos y hospitalarios en un hospital de referencia materno-infantil de la Amazonía
spellingShingle Hernia diafragmática congénita: aspectos clínicos y hospitalarios en un hospital de referencia materno-infantil de la Amazonía
Malaquais, Lorenna Costa
Congenital Diaphragmatic Hernias
Newborn
Hernias Diafragmáticas Congénitas
Recién Nacido
Hérnias Diafragmáticas Congênitas
Recém-Nascido
title_short Hernia diafragmática congénita: aspectos clínicos y hospitalarios en un hospital de referencia materno-infantil de la Amazonía
title_full Hernia diafragmática congénita: aspectos clínicos y hospitalarios en un hospital de referencia materno-infantil de la Amazonía
title_fullStr Hernia diafragmática congénita: aspectos clínicos y hospitalarios en un hospital de referencia materno-infantil de la Amazonía
title_full_unstemmed Hernia diafragmática congénita: aspectos clínicos y hospitalarios en un hospital de referencia materno-infantil de la Amazonía
title_sort Hernia diafragmática congénita: aspectos clínicos y hospitalarios en un hospital de referencia materno-infantil de la Amazonía
author Malaquais, Lorenna Costa
author_facet Malaquais, Lorenna Costa
Dias, George Alberto da Silva
Cunha, Katiane da Costa
Cei, Natalia Velia Silva
Valente, Elineth da Conceição Braga
Guimarães, André Gustavo Moura
author_role author
author2 Dias, George Alberto da Silva
Cunha, Katiane da Costa
Cei, Natalia Velia Silva
Valente, Elineth da Conceição Braga
Guimarães, André Gustavo Moura
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Malaquais, Lorenna Costa
Dias, George Alberto da Silva
Cunha, Katiane da Costa
Cei, Natalia Velia Silva
Valente, Elineth da Conceição Braga
Guimarães, André Gustavo Moura
dc.subject.por.fl_str_mv Congenital Diaphragmatic Hernias
Newborn
Hernias Diafragmáticas Congénitas
Recién Nacido
Hérnias Diafragmáticas Congênitas
Recém-Nascido
topic Congenital Diaphragmatic Hernias
Newborn
Hernias Diafragmáticas Congénitas
Recién Nacido
Hérnias Diafragmáticas Congênitas
Recém-Nascido
description 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.
publishDate 2020
dc.date.none.fl_str_mv 2020-09-05
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/fpusp/article/view/187166
10.1590/1809-2950/20010627042020
url https://www.revistas.usp.br/fpusp/article/view/187166
identifier_str_mv 10.1590/1809-2950/20010627042020
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/fpusp/article/view/187166/172956
https://www.revistas.usp.br/fpusp/article/view/187166/172957
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by-sa/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-sa/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina
dc.source.none.fl_str_mv Fisioterapia e Pesquisa; Vol. 27 No. 4 (2020); 392-398
Fisioterapia e Pesquisa; Vol. 27 Núm. 4 (2020); 392-398
Fisioterapia e Pesquisa; v. 27 n. 4 (2020); 392-398
2316-9117
1809-2950
reponame:Fisioterapia e Pesquisa
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Fisioterapia e Pesquisa
collection Fisioterapia e Pesquisa
repository.name.fl_str_mv Fisioterapia e Pesquisa - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||revfisio@usp.br
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