Recommended follow-up schedule and diagnostic testing for CDH survivors
| Patient age at clinic visit | ||||
| Discharge to 1 year | Ages 1–2 years | Ages 2–5 years | Ages 6–21 years | |
| Appointment schedule | Every 3 months | Every 6 months | Annually | Every 2–3 years |
| History and physical examination—includes scoliosis and chest wall deformity examination | ||||
| Chest X-ray | ||||
| V/Q scan | * | |||
| PFTs | 5 years | As indicated | ||
| Echocardiogram | As indicated | As indicated | As indicated | |
| Audiology | 3 years | 6 years | ||
| Upper GI study or pH probe | As indicated based on symptoms | |||
| Cardiopulmonary exercise testing | As indicated | |||
| Neurodevelopmental assessment† | As indicated based on screening | |||
| Brain imaging (MRI/CT) | ECMO survivors | |||
| Altitude testing evaluation | Pending travel screen | |||
The shading indicates whether the intervention is recommended. Green signifies recommended and yellow signifies as indicated per patient.
*V/Q scan repeated if perfusion or ventilation to affected lung is <30%.
†Consideration of formal testing with Bayley III or IV or WPPSI-IV.
CDH, congenital diaphragmatic hernia; ECMO, extracorporeal membrane oxygenation; GI, gastrointestinal; PFT, pulmonary function test; V/Q, ventilation perfusion; WPPSI, Wechsler Preschool and Primary Scale of Intelligence.