{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T15:59:17Z","timestamp":1759939157020,"version":"3.37.3"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,9,26]],"date-time":"2017-09-26T00:00:00Z","timestamp":1506384000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Congenital Anomalies"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>We aimed to investigate whether the lung\u2010to\u2010thorax transverse area ratio (LTR) immediately before birth is of diagnostic value for the prediction of postnatal short\u2010term outcomes in cases of isolated left\u2010sided congenital diaphragmatic hernia (CDH). We retrospectively reviewed the cases of fetal isolated left\u2010sided CDH managed at our institution between April 2008 and July 2016. We divided the patients into two groups based on LTR immediately before birth, using a cut\u2010off value of 0.08. We compared the proportions of subjects within the two groups who survived until discharge using Fisher's exact test. Further, using Spearman's rank correlation, we assessed whether LTR was correlated with length of stay, duration of mechanical ventilation, and supplemental oxygen. Twenty\u2010nine subjects were included (five with LTR\u2009&lt;\u20090.08, and 24 with LTR\u2009\u2265\u20090.08). The proportion of subjects surviving until discharge was 40% (2\/5) for patients with LTR\u2009&lt;\u20090.08, as compared with 96% (23\/24) for those with LTR\u2009\u2265\u20090.08. LTR measured immediately before birth was negatively correlated with the postnatal length of stay (Spearman's rank correlation coefficient, rs\u2009=\u2009\u22120.486), and the duration of supplemental oxygen (rs\u2009=\u2009\u22120.537). Further, the duration of mechanical ventilation was longer in patients with a lower LTR value. LTR immediately before birth is useful for the prediction of postnatal short\u2010term outcomes in fetuses with isolated left\u2010sided CDH. In particular, patients with prenatal LTR value less than 0.08 are at increased risk of postnatal death.<\/jats:p>","DOI":"10.1111\/cga.12243","type":"journal-article","created":{"date-parts":[[2017,8,10]],"date-time":"2017-08-10T16:02:41Z","timestamp":1502380961000},"page":"87-92","source":"Crossref","is-referenced-by-count":5,"title":["Re\u2010evaluation of lung to thorax transverse area ratio immediately before birth in predicting postnatal short\u2010term outcomes of fetuses with isolated left\u2010sided congenital diaphragmatic hernia: A single center analysis"],"prefix":"10.1111","volume":"58","author":[{"given":"Saki","family":"Kido","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Graduate School of Medical Sciences Kyushu University  Fukuoka 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Surgery, Graduate School of Medical Sciences Kyushu University  Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kouji","family":"Nagata","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Graduate School of Medical Sciences Kyushu University  Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoaki","family":"Taguchi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Graduate School of Medical Sciences Kyushu University  Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiyoko","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Graduate School of Medical Sciences Kyushu University  Fukuoka 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