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- W2896002571 abstract "To evaluate the correlation between the prenatal ultrasonographic features and the adverse postnatal outcomes in the fetuses with congenital cystic adenomatoid malformation (CCAM). We retrospectively reviewed the fetuses prenatally diagnosed as CCAM at Asan medical centre between 2010 and 2016. The ultrasonographic features which were evaluated prenatally are CCAM size, largest cyst size, congenital cystic adenomatoid malformation volume ratio (CVR), associated ascites, polyhydramnios and fetal hydrops. Adverse postnatal outcomes are respiratory symptoms that require oxygen, needs for mechanical ventilation and undergoing non-elective surgery within 30 days after birth. A total of 160 fetuses were confirmed as CCAM; 159 (99%) survived, 29 (18%) had respiratory symptoms requiring oxygen, and 18 (11%) received intubation. A total number of 58 (36%) of the survivors underwent surgery; 20 (34%) of these surgeries were non-elective within 30 days after birth, while 38 (66%) surgeries were performed electively in asymptomatic patients at a median age of 26 months (range, 23-29 months). All prenatal ultrasonographic features were significantly associated with the adverse postnatal outcomes. The median CVR at diagnosis was 0.78 (range, 0.41-1.16). The optimal cut-off values of CVR for predicting respiratory symptoms that require oxygen, needs for mechanical ventilation, and undergoing non-elective surgery within 30 days after birth were 0.97, 0.97, and 0.96, respectively. In addition to predictive factors that are already known, the CVR can be an additional marker for predicting postnatal adverse outcomes of CCAM." @default.
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- W2896002571 date "2018-10-01" @default.
- W2896002571 modified "2023-10-16" @default.
- W2896002571 title "OC23.07: Predictive factors of postnatal outcomes in the fetuses with congenital cystic adenomatoid malformation" @default.
- W2896002571 doi "https://doi.org/10.1002/uog.19365" @default.
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