{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T02:58:16Z","timestamp":1783133896285,"version":"3.54.6"},"reference-count":32,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,6,1]],"date-time":"2017-06-01T00:00:00Z","timestamp":1496275200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prenatal Diagnosis"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the predictive value of observed\u2010to\u2010expected lung\u2010to\u2010head ratio (O\/E LHR) for survival and chronic lung disease (CLD) in survivors of left\u2010sided congenital diaphragmatic hernia (CDH) in an era of standardized neonatal treatment, and to evaluate the predictive value of the O\/E LHR trajectory for survival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective cohort study was performed in two high\u2010volume CDH centers in the Netherlands in prenatally detected, isolated left\u2010sided CDH patients born between 2008 and 2014. O\/E LHR and liver position were determined using 2D\u2010ultrasonography at three time points during gestation from 19 weeks onwards. Ultrasound measurements were performed on stored ultrasound data by one single experienced operator blinded to postnatal outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 122 included cases, 77.9% survived of whom 38.9% developed CLD. A significant association was found between the first measured O\/E LHR and survival and development of CLD in survivors. Prenatal liver position did not have additional predictive value. No significant association was found between the trajectory of the O\/E LHR and survival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In an era of standardized neonatal treatment for neonates with CDH, the first measured O\/E LHR per patient significantly predicts survival and development of CLD in survivors in isolated left\u2010sided CDH infants. \u00a9 2017 The Authors. <jats:italic>Prenatal Diagnosis<\/jats:italic> published by John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pd.5062","type":"journal-article","created":{"date-parts":[[2017,4,28]],"date-time":"2017-04-28T19:08:13Z","timestamp":1493406493000},"page":"658-665","source":"Crossref","is-referenced-by-count":71,"title":["The validity of the observed\u2010to\u2010expected lung\u2010to\u2010head ratio in congenital diaphragmatic hernia in an era of standardized neonatal treatment; a multicenter study"],"prefix":"10.1002","volume":"37","author":[{"given":"Kitty G.","family":"Snoek","sequence":"first","affiliation":[{"name":"Intensive Care and Department of Pediatric Surgery Erasmus MC\u2010Sophia Children's Hospital University Medical Center Rotterdam  The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2427-7269","authenticated-orcid":false,"given":"Nina C. 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