ECHO-CDH - Exploratory Observational Prospective Study in Neonatal and Pediatric Congenital Diaphragmatic Hernia

Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Observational
SUMMARY

CDH is associated with lung hypoplasia, pulmonary hypertension, and left ventricular hypoplasia. Use of new STE techniques (heart ultrasound) showed that CDH newborns have decreased LV size and function, potentially explaining the non-response to iNO, and that these cardiac findings were associated with poor outcomes. Our hypothesis: CDH newborns persist to have some degree of LV hypoplasia in the pediatric and adolescent life and pulmonary pressures remain increased during growth. Patients with decreased cardiac performance by STE and/or with PH have higher concomitant neonatal or pediatric morbidities and altered neurodevelopmental profile

Eligibility
Participation Requirements
Sex: All
Maximum Age: 17
Healthy Volunteers: t
View:

• CDH patients admitted to the MCH-NICU

• CDH followed at the MCH CDH clinic

Locations
Other Locations
Canada
Mcgill University Health Centre
RECRUITING
Montreal
Time Frame
Start Date: 2019-10-01
Estimated Completion Date: 2025-06-30
Participants
Target number of participants: 80
Treatments
Neonatal profile
ECHO in first 24 hours of life - ideally ECHO at Day 3-5 of life ECHO at 2-3 weeks of life or before discharge (whichever comes first) Data collected at each echocardiography: blood pressure at beginning of ECHO, pre and post-ductal saturation, respiratory support, use of inotropes and dosages, use of iNO and dosage and last blood gas
Infant profile ( 4 month and/or 9 month)
Echocardiography Age and stage questionnaires CAT/CLAMS assessment
Pediatric profile 3, 5 and/or 8years
Echocardiography Age and stage questionnaires CAT/CLAMS assessment Results from 18 months PMA Bailey will be retrieved
Pre-adolescent/adolescent profile 11,14 and/or 17 years
Echocardiography Pediatric Quality of Life inventory survey
Sponsors
Leads: McGill University Health Centre/Research Institute of the McGill University Health Centre

This content was sourced from clinicaltrials.gov