Predictors for plication performance following diaphragmatic paralysis in children

• DOI: 10.1002/ppul.24539
• Publication Date: 2019-10-07T11:34:02Z
• Authors: Lior Goldberg; Alexander Krautha...; Moshe Ashkenazi; Michal Soudack; Itay Tokatly Latzer; Amir Vardi; Gideon Paret
• Keywords: Etiology

Diaphragmatic paralysis (DP) in children can result from various etiologies. Guidelines for patient selection diaphragmatic plication (DPL) are lacking. Our objectives were to describe the etiologies of DP and determine risk factors predictors DPL pediatric population.Retrospective data retrieved departmental databases on patients with pediatric, cardiac, neonatal intensive care departments Safra Children's Hospital 2010 2017.DP was diagnosed 88 patients, 29 noncardiac surgery-related etiologies, example, congenital, surgery, trauma, shock 59 cardiac In total, 27 (31%) underwent DPL, they had significant comorbidities involving respiratory, central nervous, cardiovascular systems, higher lung injury scores, lower weight compared who did not undergo (P = .002, P < .001, .012, .013, respectively). A multivariate regression model revealed independent including morbidities nervous (odds ratio [OR 9.651, .005), respiratory (OR 4.875, .039), systems 23.938, .001).Etiologies very diverse population. Comorbidities requirement support-dependent DP. Early should be considered these patients.