HÉRNIA DIAFRAGMÁTICA CONGÊNITA: ANÁLISE EPIDEMIOLÓGICA E REAVALIAÇÃO PÓS-ALTA

Abstract

Introduction: Congenital diaphragmatic hernia represents a malformation of the diaphragm, communicating the abdominal and thoracic cavity, causing dysfunctions.

Objective: To trace the epidemiological profile of patients with it and to evaluate the short-term clinical condition after discharge.

Method: Retrospective observational epidemiological study of medical records and post-hospital discharge analysis. The analysis was performed with the aid of SPSS v.22.0 computer program.

Results: Of the 39 patients analyzed, 64.1% were male, 68.2% were born at term with appropriate weight for gestational age and mean birth weight of 2807 g. Bochdalek hernia was found in 79.5%; 84.6% had pulmonary hypertension and died; and 71.8% had cardiac malformations. In the reevaluation, 27.3% had bronchospasm, being diagnosed with asthma in 6 of them; 3% with language delay; and 9% with learning delay; 60% were in the 50^th percentile of the WHO weight and height curve.

Conclusion:  The disease was more prevalent in males, in full-term newborns, with adequate weight for gestational age, and with defect on the left. Those requiring vasoactive drugs and those with pulmonary hypertension had worse outcomes. Regarding the time when the surgical procedure was performed, mortality did not differ between groups, but those who underwent surgery had better outcomes. In the post-discharge reassessment, a good short-term prognosis could be inferred.