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Griggs C, Schmaedick M, Gerall C, Fan W, Orlas C, Price J, Simpson L, Miller R, DeFazio J, Stylianos S, Rothenberg S, Duron V. Vanishing congenital lung malformations: What is the incidence of true regression? J Neonatal Perinatal Med 2021; 15:105-111. [PMID: 34459416 DOI: 10.3233/npm-210740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND A congenital lung malformation (CLM) that is diagnosed on prenatal ultrasound exam may subsequently become undetectable on later scans, a "vanishing" CLM. OBJECTIVE The purpose of our study is to characterize the prenatal natural history and postnatal outcomes of "vanishing" lesions treated at our institution. METHODS We performed a retrospective chart review of 107 patients diagnosed prenatally with CLM at our institution. Comparisons were made using Kruskal-Wallis or t-test for continuous variables and Fisher's exact test or Chi-Square test for categorical variables. Multivariable analysis using logistic regression was performed. RESULTS Of the 104 patients, 59 (56.7%) had lesions that became sonographically undetectable on serial ultrasound scans. Patients with lesions that vanished prenatally tended to need less Neonatal Intensive Care Unit (NICU) admission at birth (persistent CLM: 54.8%vs vanished CLM: 28.8%), decreased need for supplemental O2 at birth (persistent CLM: 31.0%vs vanished CLM: 11.9%), and decreased delay in feeds (persistent CLM: 26.2%vs vanished CLM: 8.5%) compared to those with persistent CLM. After multivariate analysis controlling for maternal steroid administration and sex, admission to NICU maintained a slight statistical significance, with patients in the vanishing CLM group 2.5 times less likely to be admitted to the NICU. None of our patients whose lesions vanished prenatally required mechanical ventilation. Eighty-six patients underwent postnatal computed tomography (CT) chest. Only 2 patients had lesions that regressed on postnatal CT. CONCLUSION Lesions that vanish on prenatal imaging may be associated with improved clinical outcomes. The rate of true regression at our institution was as low as 2.3%.
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Affiliation(s)
- C Griggs
- Department of Pediatric Surgery, Massachusetts General Hospital - Harvard Medical School, Boston, MA, USA
| | - M Schmaedick
- Columbia University Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York, New York, USA
| | - C Gerall
- Department of Pediatric Surgery, Columbia University Medical Center, New York, New York. USA
| | - W Fan
- Department of Biostatistics, Irving Institute for Clinical and Translational Research, New York, New York, USA
| | - C Orlas
- Department of Pediatric Surgery, Massachusetts General Hospital - Harvard Medical School, Boston, MA, USA
| | - J Price
- Department of Pediatric Surgery, Columbia University Medical Center, New York, New York. USA
| | - L Simpson
- Department of Obstetrics and Gynecology, New York-Presbyterian Morgan Stanley Children's Hospital, New York, New York, USA
| | - R Miller
- Department of Obstetrics and Gynecology, New York-Presbyterian Morgan Stanley Children's Hospital, New York, New York, USA
| | - J DeFazio
- Department of Pediatric Surgery, Columbia University Medical Center, New York, New York. USA
| | - S Stylianos
- Department of Pediatric Surgery, Columbia University Medical Center, New York, New York. USA
| | - S Rothenberg
- Department of Pediatric Surgery, Columbia University Medical Center, New York, New York. USA.,Department of Pediatric Surgery, Rocky Mountain Hospital for Children, Denver, Colorado, USA
| | - V Duron
- Department of Pediatric Surgery, Columbia University Medical Center, New York, New York. USA
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Griggs C, Gleeson K. SUPPORTING PATIENTS TO ACHIEVE THEIR PREFERRED PLACE OF CARE AT THE END OF LIFE. BMJ Support Palliat Care 2014. [DOI: 10.1136/bmjspcare-2014-000653.44] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Bodo T, Griggs C, Kerrins K, Quarles A. Participation in prepared childbirth. Baccalaureate nursing education. ACTA ACUST UNITED AC 1984; 13:233-6. [PMID: 6565107 DOI: 10.1111/j.1552-6909.1984.tb01133.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Nurses need to meet consumer demands for quality maternal-infant health care. To meet this need, the College of Nursing faculty at the University of Florida included prepared childbirth classes as a clinical experience in a BSN program. Each student works with a client couple in an ambulatory care setting to provide complete and individualized nursing care through the final weeks of pregnancy, the labor and delivery experience, and for a brief period postpartum. How this program facilitates students' development of a holistic approach to maternal-infant nursing and increases the quality of health care for expectant parents is described.
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Griggs C, Hasan M, Henrick K, Matthews R, Tasker P. Quinquedentate “wrap-around” macrocyclic ligand The x-ray structure determination of dibenzo[k,r] [1,5,9,13,17]-penta-azacyclo-eicosa[9,20]diene-N1, N5,N9,N15,N16] copper(II) diperchlorate. Inorganica Chim Acta 1977. [DOI: 10.1016/s0020-1693(00)95630-5] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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