Impact of the various factors on survival of tracheoesophageal fistula patients: A prospective study of 16 patients

Abstract

Introduction: Tracheoesophageal fistula (TEF) is one of the common congenital anomalies presented at birth. Management of TEF is a challenging task as outcome of these cases not only depends on surgeon and anaesthesiologist's skills but also depends on various factors associated with new born. This prospective study evaluates the association of various factors on survival of TEF patients. Materials and Methods: 16 newborn patients in a calendar year were enrolled in this prospective study and impact of various factors like age, weight, parity of mother, associated congenital anomalies and family history, mode of delivery, place of delivery, associated hydramnios and type of TEF were evaluated on the survival of neonates born with TEF. Results: Male, female ratio was equal. Patient with birth weight >2.5 kg had higher survival rate (100%) compared to patient <2.5kg weight (23.08%). No other factors significantly influence the survival rate of neonates with TEF. Conclusion: Birth weight remains the single most important predictor of mortality among TEF patients, as suggested with Waterston risk classification.