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Impact of the COVID-19 pandemic on congenital diaphragmatic hernia patients: a single-center retrospective study.
Zhao, Yun-Long; Wang, Ying; Liu, Chao; Jiang, Yu-Lin; Wei, Yan-Dong; Meng, Hua; Jian, Shan; Zhu, Xi-Ting; Pei, Li-Jian; Bai, Xiao-Chen; Feng, Feng; Lv, Yan; Zhou, Xi-Ya; Qi, Qing-Wei; Li, Jing-Na; Ji, Wei; Ma, Li-Shuang.
  • Zhao YL; Department of Neonatal Surgery, Children's Hospital of Capital Institute of Pediatrics, Graduate School of Peking Union Medical College, Beijing, China.
  • Wang Y; Department of Neonatal Surgery, Children's Hospital of Capital Institute of Pediatrics, Beijing, China.
  • Liu C; Department of Neonatal Surgery, Children's Hospital of Capital Institute of Pediatrics, Beijing, China.
  • Jiang YL; Department of Obstetrics, Peking Union Medical College Hospital, Beijing, China.
  • Wei YD; Department of Neonatal Surgery, Children's Hospital of Capital Institute of Pediatrics, Beijing, China.
  • Meng H; Department of Ultrasound, Peking Union Medical College Hospital, Beijing, China.
  • Jian S; Department of Pediatrics, Peking Union Medical College Hospital, Beijing, China.
  • Zhu XT; Everest Clinical Research Corporation, New Jersey, USA.
  • Pei LJ; Department of Anesthesiology, Peking Union Medical College Hospital, Beijing, China.
  • Bai XC; Department of Pediatrics, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China.
  • Feng F; Department of Radiology, Peking Union Medical College Hospital, Beijing, China.
  • Lv Y; Department of Obstetrics, Peking Union Medical College Hospital, Beijing, China.
  • Zhou XY; Department of Obstetrics, Peking Union Medical College Hospital, Beijing, China.
  • Qi QW; Department of Obstetrics, Peking Union Medical College Hospital, Beijing, China.
  • Li JN; Department of Neonatal Surgery, Children's Hospital of Capital Institute of Pediatrics, Beijing, China.
  • Ji W; Department of Interventional Hemangioma, Children's Hospital of Capital Institute of Pediatrics, Beijing, China.
  • Ma LS; Department of Neonatal Surgery, Children's Hospital of Capital Institute of Pediatrics, Graduate School of Peking Union Medical College, Beijing, China. malishuang2006@sina.com.
Pediatr Surg Int ; 38(8): 1113-1123, 2022 Aug.
Article in English | MEDLINE | ID: covidwho-1877828
ABSTRACT

PURPOSE:

To investigate the impact of COVID-19 on the treatment of children with congenital diaphragmatic hernia (CDH).

METHODS:

We retrospectively collected and compared the data of patients with CDH admitted between January 1, 2020 and December 31, 2021(study group) with the CDH patients admitted before the pandemic between January 1, 2018 and December 31, 2019 (control group).

RESULTS:

During the pandemic, 41 patients with CDH diagnosed prenatally were transferred to our hospital, and 40 underwent surgical repair. The number of patients treated in our hospital increased by 24.2% compared with the 33 patients before the pandemic. During the pandemic, the overall survival rate, postoperative survival rate and recurrence rate were 85.4%, 87.5% and 7.3%, respectively, and there were no significant differences compared with the control group (75.8%, 83.3% and 9.1%, respectively). The average length of hospital stay in patients admitted during the pandemic was longer than that in the control group (31 days vs. 16 days, P < 0.001), and the incidence of nosocomial infection was higher than that in the control group (19.5% vs. 3%, P = 0.037).

CONCLUSIONS:

CDH patients confirmed to be SARS-CoV-2 infection-free can receive routine treatment. Our data indicate that the implementation of protective measures during the COVID-19 pandemic, along with appropriate screening and case evaluation, do not have a negative impact on the prognosis of children.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Hernias, Diaphragmatic, Congenital / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Child / Humans Language: English Journal: Pediatr Surg Int Journal subject: Pediatrics Year: 2022 Document Type: Article Affiliation country: S00383-022-05136-9

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Hernias, Diaphragmatic, Congenital / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Child / Humans Language: English Journal: Pediatr Surg Int Journal subject: Pediatrics Year: 2022 Document Type: Article Affiliation country: S00383-022-05136-9