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Risk stratification helps identify congenital diaphragmatic hernia (CDH) infants in need of formal neurodevelopmental assessment: Observations from a structured, interdisciplinary long-term follow-up clinic by Mahdi Hassan; Dylan Patel; Kathryn LaRusso; Louise Koclas; Megan Smith-Morin OT; Adam J. Shapiro; Ana Sant’Anna; Gabriel Altit; Sabrina Beauseigle; Pramod S. Puligandla is a Medicine article available to read on EtoBox.

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## Background/purpose: Neurodevelopmental delay (ndd) affects congenital diaphragmatic hernia (cdh) infants. initial assessment by experienced developmental pediatricians, supported by bayley-3 tests, is a viable pathway for ndd identification and surveillance. we risk stratified cdh infants to observe differences in incidence and type of ndd based on disease severity. ## Methods: Patients from a cdh long-term follow-up database started in 2012 were reviewed (reb#2019-4583). risk stratification into low, moderate, and high-risk cohorts was performed using the cdh study group mortality prediction score. patients requiring ecls, supplemental oxygen at 30 days and patch repair were also considered high-risk (i.e. usual clinical criteria). post-discharge ndd assessments by developmental pediatricians and occupational therapists (bayley-3) were analyzed for all patients >18months. ndd incidence and type per risk group was determined using descriptive statistics. ## Results: Of 102 cdh patients included for study, 26% (27/102) had ndd. risk stratification identified 2(2%), 7(7%), and 18(18%) patients with ndd in the low, moderate and high-risk groups, respectively. language delay (2 low;

Who reads Risk stratification helps identify congenital diaphragmatic hernia (CDH) infants in need of formal neurodevelopmental assessment: Observations from a structured, interdisciplinary long-term follow-up clinic?

Author

Mahdi Hassan; Dylan Patel; Kathryn LaRusso; Louise Koclas; Megan Smith-Morin OT; Adam J. Shapiro; Ana Sant’Anna; Gabriel Altit; Sabrina Beauseigle; Pramod S. Puligandla

Publisher

Elsevier BV

Published

2022

Language

EN

Field

Medicine (Health Sciences)