Q79.0 Z38.0
Conditions
Interventions
Group 1: After informing the parents or guardians, newborns with congenital diaphragmatic hernia (CDH) receive a blood sample of approx. 1 ml of EDTA blood at birth (umbilical cord blood, possibly als
Sponsors
Universitätsklinikum Bonn, Klinik für Neonatologie und Pädiatrische Intensivmedizin
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: diagnosis of congenital diaphragmatic hernia
Exclusion criteria
Exclusion criteria: Neonates received planned palliative care, CDH with concomitant congenital heart defect.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint is the composite endpoint of bronchopulmonary dysplasia or death. Bronchopulmonary dysplasia is defined as oxygen requirement beyond the 28th day of life. The combined endpoint includes newborns who died by 28 days of life. | — |
Secondary
| Measure | Time frame |
|---|---|
| Death Need for ECMO therapy according to the criteria of the CDH EuroConsortium Severity of pulmonary hypertension (PH) and cardiac dysfunction (PH severity is assessed based on the evaluation of: (1) peak velocity of tricuspid regurgitation (TR) jet; (2) interventricular septum position (normal, flattened or D-shaped); (3) ductal flow pattern, (4) tissue doppler imaging, (5) PAAT/PAET, (6) RV/LV ratio on apical 4-Chamber view. PH severity is classified in relationship to the systemic systolic blood pressure: less than 2/3 systemic pressure (mild PH), 2/3 systemic pressure to systemic pressure (moderate PH) and suprasystemic pressure (severe PH). Cardiac function is assessed in accordance with current American Society of Echocardiography Guidelines utilizing qualitative and quantitativemeasures in a stepwise approach. Function is classified as normal, RV dysfunction (indicated by, in order, global or regional cardiac hypokinesia, S’ wave -15%), or LV output <100ml/kg/min), or biventricular dysfunction (combination of LV and RV dysfunction). Length of mechanical ventilation and oxygen supplementation | — |
Countries
Germany
Contacts
Public ContactFlorian Kipfmueller
Universitätsklinikum Bonn, Klinik für Neonatologie und Pädiatrische Intensivmedizin
Outcome results
None listed