Identifying Risk Factors for Enteral Access Procedures in Neonates with Congenital Diaphragmatic Hernia: A Novel Risk-Assessment Score

Multicenter study of 4,537 CDH neonates identifies seven independent risk factors for requiring gastrostomy/jejunostomy, including oxygen dependence at 30 days, ECMO use, and liver herniation. Novel scoring system stratifies patients into four risk categories (very low <10% to high 70% risk) to guide early feeding intervention decisions.