Diana Ecaterina Popa

Latest posts by Diana Ecaterina Popa (see all)

FACTORI PROGNOSTICI IN EVOLUTIA POSTOPERATORIE PRECOCE A ATREZIEI ESOFAGIENE. EXPERIENTA UNUI CENTRU TERTIAR INTR-UN INTERVAL DE 5 ANI - 20/11/2015
PROGNOSTIC FACTORS IN THE EARLY POSTOPERATIVE OUTCOME OF ESOPHAGEAL ATRESIA. THE EXPERIENCE OF A TERTIARY CENTER OVER A 5 YEARS PERIOD - 20/11/2015
EVENTRATIA DIAFRAGMULUI – FACTOR DE RISC PENTRU INFECTIILE RESPIRATORII. PREZENTARE DE CAZ - 17/07/2015

Articole semnate de acelasi autor in Revista Romana de Pediatrie:

FACTORI PROGNOSTICI IN EVOLUTIA POSTOPERATORIE PRECOCE A ATREZIEI ESOFAGIENE. EXPERIENTA UNUI CENTRU TERTIAR INTR-UN INTERVAL DE 5 ANI

Revista Romana de PEDIATRIE | Volumul LXIV, Nr. 3, An 2015

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

Mihaela Ciornei, Bogdan Savu, Elena Hanganu, Diana Ecaterina Popa and Marin Burlea

REZUMAT

Scop. Studierea factorilor prognostici care pot influenţa evoluţia postoperatorie a pacienţilor cu atrezie de esofag, ţinând cont de particularităţile loco-regionale ale problemei.
Metode. S-a efectuat o analiză retrospectivă a documentelor medicale pentru 28 de pacienţi diagnosticaţi cu atrezie esofagiană între 2009-2014 în centrul autorilor, utilizând ca instrument de prelucrare a datelor regresia logistică. Supravieţuirea a fost considerată variabilă dependentă, iar detaliile demografice, greutatea la naştere, vârsta intervenţiei chirurgicale, anomaliile asociate, evoluţia postoperatorie şi managementul complicaţiilor au fost studiate ca şi variabile independente.
Rezultate. Aplicând clasificarea prognostică propusă de Spitz, grupul I cu greutatea la naştere (G.N.) ≥ 1.500 g, fără malformaţii cardiace majore, a cuprins 21 de nou-născuţi cu o mortalitate de 33%. Pentru 3 copii încadraţi în grupul II (G.N.≤1.500 g sau malformaţii cardiace majore) şi, respectiv, 4 copii din grupul III (G.N.≤1.500 g şi malformaţii cardiace asociate), mortalitatea a fost de 100%. Greutatea medie la naştere a fost de 2.282 g ±2DS, iar vârsta gestaţională medie de 31 de săptămâni. Vârsta la internare a fost de peste 24 de ore în 15 cazuri, cu deces în 13 dintre situaţii. Malformaţiile asociate cu cea mai mare pondere au fost cele cardiace. Tratamentul chirurgical a constat în: anastomoză primară (21 de cazuri), cervico- şi gastrostomie (6 cazuri), tehnica Foker (1 caz). Complicaţia postoperatorie cea mai frecventă a fost dezunirea anastomozei (la 6 pacienţi, cu deces în 4 situaţii).
Concluzii. Analiza seriei studiate indică o rată de supravieţuire scăzută pentru această patologie în centrul autorilor. În plus, faţă de factorii de prognostic citaţi în literatură (greutatea şi vârsta mică la naştere, anomaliile congenitale asociate), întârzierea diagnosticului şi, implicit, a internării într-un centru terţiar, au contribuit la creşterea mortalităţii în lotul studiat. Rafinarea abordării multidisciplinare a acestei patologii ar putea determina în viitor o supravieţuire mai mare şi o îmbunătăţire a rezultatelor managementului terapeutic.

Cuvinte cheie: Esophageal atresia, survival rate, gap-length, anastomotic leak, demographic factors

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Mihaela Ciornei

PROGNOSTIC FACTORS IN THE EARLY POSTOPERATIVE OUTCOME OF ESOPHAGEAL ATRESIA. THE EXPERIENCE OF A TERTIARY CENTER OVER A 5 YEARS PERIOD

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

Mihaela Ciornei, Bogdan Savu, Elena Hanganu, Diana Ecaterina Popa and Marin Burlea

ABSTRACT

Purpose. The aim of this study was to determine the influence of prognostic factors on the postoperative outcome of esophageal atresia patients, taking into consideration loco-regional particular features.
Methods. A retrospective analysis of the medical records of 28 patients diagnosed with esophageal atresia was conducted, using a logistic regression model. Patients had been admitted in our hospital between 2009-2014. The survival rate was recorded separately from the independent factors, such as demographic features, weight at birth, the timing of surgical treatment, co-morbidities, postoperative prognosis and management of complications.
Results. According to the Spitz prognostic classification, there were 21 patients in group I (birth weight over 1500 g with no major anomaly), 3 patients in group II (birth weight less than 1500 g or major cardiac anomaly) and 4 patients in group III (birth weight less than 1500 g plus major cardiac anomaly). The mortality rate was 33% in group I, 100% in group II and 100% in group III. The mean birth weight was 2282 g ±2SD, and the mean gestational age was 31 weeks. The age at initial presentation was over 24 hours in 15 patients, with fatal outcome in 13 of them. The cardiac malformations presented as the associated anomalies with the highest risk. Surgical treatment was as follows: primary anastomosis in 21 cases, cervicostomy and gastrostomy in 6 cases, and Foker technique in 1 case.
Conclusions. The analysis of this series indicated a low survival rate for this pathology in our center. Besides the prognostic factors cited in literature (low birth weight and age at birth, associated cardiac malformations), we include, as risk factors for the increased mortality, the delayed diagnosis and presentation at our tertiary center. The further refinement of a multidisciplinary approach towards this pathology would contribute to a higher survival rate and an improved result of the therapeutic management.

Keywords: Esophageal atresia, survival rate, gap-length, anastomotic leak, demographic factors

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Mihaela Ciornei

EVENTRATIA DIAFRAGMULUI – FACTOR DE RISC PENTRU INFECTIILE RESPIRATORII. PREZENTARE DE CAZ

Revista Romana de PEDIATRIE | Volumul LXIV, Nr. 2, An 2015

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

Ciornei Mihaela, Elena Hanganu, Diana Ecaterina Popa, T. Stanciu, C. Gheonea and B. Savu

REZUMAT

Eventraţia diafragmului este o anomalie congenitală sau dobândită, cu o incidenţă de 1 la 10.000 de copii. Presupune ascensiunea anormală a domului diafragmatic, datorată înlocuirii fibrelor musculare cu un ţesut fibroelastic în exces. Simptomatologia este variată, putând fi absentă sau sub forma unor acuze respiratorii ce pot merge până la detresă respiratorie. Infecţiile respiratorii recurente sunt cele mai frecvente manifestări. Autorii prezintă cazul unui pacient în vârstă de 3 ani de sex masculin, spitalizat în repetate rânduri pentru infecţii respiratorii, „dextrocardie“ aparentă, datorate unei eventraţii diafragmatice stângi, pentru care s-a realizat cu succes plicatura diafragmului.

Cuvinte cheie: eventraţia diafragmului, infecţii respiratorii, plicaturare

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Ciornei Mihaela

EVENTRATION OF THE DIAPHRAGM, A RISK FACTOR FOR RECURRENT RESPIRATORY TRACT INFECTION – A CASE REPORT

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

Ciornei Mihaela, Elena Hanganu, Diana Ecaterina Popa, T. Stanciu, C. Gheonea and B. Savu

ABSTRACT

Eventration of the diaphragm, congenital or acquired, represents a rare condition (1 to 10,000 live births), in which the dome of the diaphragm is abnormally elevated, due to an excessive amount of fibro-elastic diaphragmatic tissue. The child may be asymptomatic or present with respiratory symptoms as aggressive as life threatening respiratory distress. Recurrent pulmonary infections are the commonest presenting complaints. We present the case of a 3 years old boy with recurrent chest infections and apparent “dextrocardia”, both caused by a left eventration of the diaphragm, successfully treated by plication.

Keywords: Eventration of the diaphragm, respiratory infections, plication

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Ciornei Mihaela

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Diana Ecaterina Popa

Latest posts by Diana Ecaterina Popa (see all)

Articole semnate de acelasi autor in Revista Romana de Pediatrie:

FACTORI PROGNOSTICI IN EVOLUTIA POSTOPERATORIE PRECOCE A ATREZIEI ESOFAGIENE. EXPERIENTA UNUI CENTRU TERTIAR INTR-UN INTERVAL DE 5 ANI

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