Necrotising Enterocolitis (NEC) - Methods of Treatment and Outcome: A Comparative Analysis of Scottish (Glasgow) and Polish (Western Pomerania) Cases
Abstract AIM OF THE WORK: The aim of the work was to compare methods of treatment and outcome in newborns with necrotising enterocolitis (NEC) in two regional centres.METHODS: Medical files of 125 newborns with NEC, treated from 1990 to 1995 in two centres - Royal Hospital for Sick Children, Glasgow...
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| Veröffentlicht in: | European journal of pediatric surgery 2000-06, Vol.10 (3), p.177-181 |
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| container_title | European journal of pediatric surgery |
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| creator | Badowicz, Beata Latawiec-Mazurkiewicz, Irena |
| description | Abstract
AIM OF THE WORK: The aim of the work was to compare methods of treatment and outcome in newborns with necrotising enterocolitis (NEC) in two regional centres.METHODS: Medical files of 125 newborns with NEC, treated from 1990 to 1995 in two centres - Royal Hospital for Sick Children, Glasgow, Scotland, and Western Pomerania, Poland - have been analysed retrospectively. The following criteria have been studied: birth weight, gestational age, sex, risk factors, initial NEC symptoms, time of onset of the disease, x-ray findings, NEC staging, treatment protocols, outcome and complications.RESULTS: The overall mortality was 32.8%; 34.4% in Glasgow vs. 31.3% in Pomorze. Higher incidence of NEC in the group of full-term babies was observed: 31.2%. Drainage under local anaesthesia was performed in 27 Scottish newborns; none of the Polish babies were treated by this method.CONCLUSIONS: The overall results of different treatment protocols in both centres are similar. However, Scottish newborns tended to be younger, smaller and more severely ill. Less aggressive treatment - i.e. peritoneal drainage can be a successful alternative for these tiny, very sick babies. |
| doi_str_mv | 10.1055/s-2008-1072352 |
| format | Article |
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AIM OF THE WORK: The aim of the work was to compare methods of treatment and outcome in newborns with necrotising enterocolitis (NEC) in two regional centres.METHODS: Medical files of 125 newborns with NEC, treated from 1990 to 1995 in two centres - Royal Hospital for Sick Children, Glasgow, Scotland, and Western Pomerania, Poland - have been analysed retrospectively. The following criteria have been studied: birth weight, gestational age, sex, risk factors, initial NEC symptoms, time of onset of the disease, x-ray findings, NEC staging, treatment protocols, outcome and complications.RESULTS: The overall mortality was 32.8%; 34.4% in Glasgow vs. 31.3% in Pomorze. Higher incidence of NEC in the group of full-term babies was observed: 31.2%. Drainage under local anaesthesia was performed in 27 Scottish newborns; none of the Polish babies were treated by this method.CONCLUSIONS: The overall results of different treatment protocols in both centres are similar. However, Scottish newborns tended to be younger, smaller and more severely ill. Less aggressive treatment - i.e. peritoneal drainage can be a successful alternative for these tiny, very sick babies.</description><identifier>ISSN: 0939-7248</identifier><identifier>EISSN: 1439-359X</identifier><identifier>DOI: 10.1055/s-2008-1072352</identifier><identifier>PMID: 10982047</identifier><language>eng</language><publisher>United States</publisher><subject>Age of Onset ; Colostomy ; Drainage ; Enterocolitis, Necrotizing - mortality ; Enterocolitis, Necrotizing - therapy ; Female ; Humans ; Infant, Newborn ; Male ; Original article ; Peritoneal Cavity ; Poland - epidemiology ; Postoperative Complications - epidemiology ; Retrospective Studies ; Scotland - epidemiology ; Severity of Illness Index ; Survival Rate</subject><ispartof>European journal of pediatric surgery, 2000-06, Vol.10 (3), p.177-181</ispartof><rights>Georg Thieme Verlag KG Stuttgart · New York</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c329t-db0f5f5860a97192b4fb726bc337caf508d8708f2492b1dac86e7bff7226b2633</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2008-1072352.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><link.rule.ids>314,776,780,3003,3004,27903,27904,54538</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10982047$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Badowicz, Beata</creatorcontrib><creatorcontrib>Latawiec-Mazurkiewicz, Irena</creatorcontrib><title>Necrotising Enterocolitis (NEC) - Methods of Treatment and Outcome: A Comparative Analysis of Scottish (Glasgow) and Polish (Western Pomerania) Cases</title><title>European journal of pediatric surgery</title><addtitle>Eur J Pediatr Surg</addtitle><description>Abstract
AIM OF THE WORK: The aim of the work was to compare methods of treatment and outcome in newborns with necrotising enterocolitis (NEC) in two regional centres.METHODS: Medical files of 125 newborns with NEC, treated from 1990 to 1995 in two centres - Royal Hospital for Sick Children, Glasgow, Scotland, and Western Pomerania, Poland - have been analysed retrospectively. The following criteria have been studied: birth weight, gestational age, sex, risk factors, initial NEC symptoms, time of onset of the disease, x-ray findings, NEC staging, treatment protocols, outcome and complications.RESULTS: The overall mortality was 32.8%; 34.4% in Glasgow vs. 31.3% in Pomorze. Higher incidence of NEC in the group of full-term babies was observed: 31.2%. Drainage under local anaesthesia was performed in 27 Scottish newborns; none of the Polish babies were treated by this method.CONCLUSIONS: The overall results of different treatment protocols in both centres are similar. However, Scottish newborns tended to be younger, smaller and more severely ill. Less aggressive treatment - i.e. peritoneal drainage can be a successful alternative for these tiny, very sick babies.</description><subject>Age of Onset</subject><subject>Colostomy</subject><subject>Drainage</subject><subject>Enterocolitis, Necrotizing - mortality</subject><subject>Enterocolitis, Necrotizing - therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Original article</subject><subject>Peritoneal Cavity</subject><subject>Poland - epidemiology</subject><subject>Postoperative Complications - epidemiology</subject><subject>Retrospective Studies</subject><subject>Scotland - epidemiology</subject><subject>Severity of Illness Index</subject><subject>Survival Rate</subject><issn>0939-7248</issn><issn>1439-359X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU9v1DAQxS0EotvClSPyCXUPKf6TrBNuq2gpSKVFoghuluOMu66SePE4oH6Qfl-83T1w4WR79Htvxm8IecPZBWdV9R4LwVhdcKaErMQzsuClbApZNT-fkwVr8l2Jsj4hp4j3jPGyEewlOeGsqQUr1YI8XoONIXn00x3dTAlisGHwuUDPrzftkhb0C6Rt6JEGR28jmDTClKiZenozJxtG-EDXtA3jzkST_G-g68kMD-ifBN9sSNlrS88vB4N34c_ySfk1t9gXfwDmjlN-jxDN5M2StgYBX5EXzgwIr4_nGfn-cXPbfiqubi4_t-urwkrRpKLvmKtcVa-YaRRvRFe6TolVZ6VU1riK1X2tWO1E_nbHe2PrFajOOSUyJFZSnpF3B99dDL_mPIwePVoYBjNBmFFnsBRClhm8OIA5LMQITu-iH0180Jzp_SI06v0i9HERWfD26Dx3I_T_4IfkM1AcgLT1MIK-D3PMweH_DP8CyWWRww</recordid><startdate>20000601</startdate><enddate>20000601</enddate><creator>Badowicz, Beata</creator><creator>Latawiec-Mazurkiewicz, Irena</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20000601</creationdate><title>Necrotising Enterocolitis (NEC) - Methods of Treatment and Outcome: A Comparative Analysis of Scottish (Glasgow) and Polish (Western Pomerania) Cases</title><author>Badowicz, Beata ; Latawiec-Mazurkiewicz, Irena</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c329t-db0f5f5860a97192b4fb726bc337caf508d8708f2492b1dac86e7bff7226b2633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Age of Onset</topic><topic>Colostomy</topic><topic>Drainage</topic><topic>Enterocolitis, Necrotizing - mortality</topic><topic>Enterocolitis, Necrotizing - therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Original article</topic><topic>Peritoneal Cavity</topic><topic>Poland - epidemiology</topic><topic>Postoperative Complications - epidemiology</topic><topic>Retrospective Studies</topic><topic>Scotland - epidemiology</topic><topic>Severity of Illness Index</topic><topic>Survival Rate</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Badowicz, Beata</creatorcontrib><creatorcontrib>Latawiec-Mazurkiewicz, Irena</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Badowicz, Beata</au><au>Latawiec-Mazurkiewicz, Irena</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Necrotising Enterocolitis (NEC) - Methods of Treatment and Outcome: A Comparative Analysis of Scottish (Glasgow) and Polish (Western Pomerania) Cases</atitle><jtitle>European journal of pediatric surgery</jtitle><addtitle>Eur J Pediatr Surg</addtitle><date>2000-06-01</date><risdate>2000</risdate><volume>10</volume><issue>3</issue><spage>177</spage><epage>181</epage><pages>177-181</pages><issn>0939-7248</issn><eissn>1439-359X</eissn><abstract>Abstract
AIM OF THE WORK: The aim of the work was to compare methods of treatment and outcome in newborns with necrotising enterocolitis (NEC) in two regional centres.METHODS: Medical files of 125 newborns with NEC, treated from 1990 to 1995 in two centres - Royal Hospital for Sick Children, Glasgow, Scotland, and Western Pomerania, Poland - have been analysed retrospectively. The following criteria have been studied: birth weight, gestational age, sex, risk factors, initial NEC symptoms, time of onset of the disease, x-ray findings, NEC staging, treatment protocols, outcome and complications.RESULTS: The overall mortality was 32.8%; 34.4% in Glasgow vs. 31.3% in Pomorze. Higher incidence of NEC in the group of full-term babies was observed: 31.2%. Drainage under local anaesthesia was performed in 27 Scottish newborns; none of the Polish babies were treated by this method.CONCLUSIONS: The overall results of different treatment protocols in both centres are similar. However, Scottish newborns tended to be younger, smaller and more severely ill. Less aggressive treatment - i.e. peritoneal drainage can be a successful alternative for these tiny, very sick babies.</abstract><cop>United States</cop><pmid>10982047</pmid><doi>10.1055/s-2008-1072352</doi><tpages>5</tpages></addata></record> |
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| ispartof | European journal of pediatric surgery, 2000-06, Vol.10 (3), p.177-181 |
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| subjects | Age of Onset Colostomy Drainage Enterocolitis, Necrotizing - mortality Enterocolitis, Necrotizing - therapy Female Humans Infant, Newborn Male Original article Peritoneal Cavity Poland - epidemiology Postoperative Complications - epidemiology Retrospective Studies Scotland - epidemiology Severity of Illness Index Survival Rate |
| title | Necrotising Enterocolitis (NEC) - Methods of Treatment and Outcome: A Comparative Analysis of Scottish (Glasgow) and Polish (Western Pomerania) Cases |
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