title: Clinical outcomes of congenital diaphragmatic hernia without extracorporeal membrane oxygenation.
abstract: BACKGROUND
  Neonatal extracorporeal membrane oxygenation (ECMO) is not available in Hong Kong.
  
  
  OBJECTIVE
  To document the survival of neonates with symptomatic congenital diaphragmatic hernia at birth, but without access to ECMO.
  
  
  METHODS
  Twenty-two patients diagnosed to have CDH within a ten year period (1999-2009) at Prince of Wales Hospital were systematically reviewed. CDH patients who presented after the neonatal period were excluded.
  
  
  RESULTS
  There were 17 neonates with symptomatic CDH at birth and the overall survival, including infants with multiple anomalies, was 14/17 (82%). 6 of 17 (35%) infants met the ECMO criteria and the survival rate for these serious cases was 4/6 (67%).
  
  
  CONCLUSIONS
  Our results are comparable with centers which provide ECMO and suggest that there may be only marginal benefit for using ECMO to improve survival. A territory-wide registry for documenting risk factors and outcomes would be important, especially in light of improving neonatal intensive care and survival.
authors.affiliation: Department of Paediatrics, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong.
authors.forename: Yuen Shan
authors.initials: YS
authors.lastname: Tam
authors.forename: Hon Ming
authors.initials: HM
authors.lastname: Cheung
authors.forename: Yuk Him
authors.initials: YH
authors.lastname: Tam
authors.forename: Kim Hung
authors.initials: KH
authors.lastname: Lee
authors.forename: Hugh Simon
authors.initials: HS
authors.lastname: Lam
authors.forename: Terence Chuen Wai
authors.initials: TC
authors.lastname: Poon
authors.forename: Pak Cheung
authors.initials: PC
authors.lastname: Ng
mesh_terms: D002675:Child, Preschool; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006548:Hernia, Diaphragmatic / Q000401:mortality / Q000628:therapy; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D008297:Male; D016896:Treatment Outcome