Necrotizing enterocolitis in multiple-birth infants
Over a 5-year period, 20 infants of multiple-gestation births (16 twin, 2 triplet) developed necrotizing enterocolitis (NEC) (15 infants) or suspected NEC (5 infants). During the same period, 532 infants of multiple gestations were admitted to our neonatal intensive care unit, yielding a NEC inciden...
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| Veröffentlicht in: | Journal of pediatric surgery 1990-03, Vol.25 (3), p.319-321 |
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| container_title | Journal of pediatric surgery |
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| creator | Powell, Randall W. Dyess, D.Lynn Luterman, Arnold Simon, Neal P. Ramenofsky, Max L. |
| description | Over a 5-year period, 20 infants of multiple-gestation births (16 twin, 2 triplet) developed necrotizing enterocolitis (NEC) (15 infants) or suspected NEC (5 infants). During the same period, 532 infants of multiple gestations were admitted to our neonatal intensive care unit, yielding a NEC incidence in this population of 3.8%. In two twin sets, both infants developed NEC or suspected NEC, and in three sets only the affected twin was transferred to our nursery. Five infants required surgical intervention (25%) and three infants died (overall mortality, 15%). Fifteen siblings who did not develop NEC served as a control group. Analysis showed that the 1-minute Apgar score was the most significant factor in predicting NEC (
P < .028) and need for surgical intervention (
P < .020). In this series, 82% of the infants with 1-minute Apgar less than 6 developed NEC, whereas 31% with 1-minute Apgar greater than 6 developed NEC. |
| doi_str_mv | 10.1016/0022-3468(90)90076-L |
| format | Article |
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P < .028) and need for surgical intervention (
P < .020). In this series, 82% of the infants with 1-minute Apgar less than 6 developed NEC, whereas 31% with 1-minute Apgar greater than 6 developed NEC.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/0022-3468(90)90076-L</identifier><identifier>PMID: 2313501</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Apgar Score ; Diseases in Twins ; Enterocolitis, Pseudomembranous - diagnosis ; Enterocolitis, Pseudomembranous - epidemiology ; Enterocolitis, Pseudomembranous - surgery ; Humans ; Infant, Newborn ; Risk Factors ; Triplets</subject><ispartof>Journal of pediatric surgery, 1990-03, Vol.25 (3), p.319-321</ispartof><rights>1990</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c357t-f1b8a2ea397cfe7002f3bc12b9cad3a1bd1489042fc5626597e2a204bb7ed4693</citedby><cites>FETCH-LOGICAL-c357t-f1b8a2ea397cfe7002f3bc12b9cad3a1bd1489042fc5626597e2a204bb7ed4693</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/002234689090076L$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2313501$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Powell, Randall W.</creatorcontrib><creatorcontrib>Dyess, D.Lynn</creatorcontrib><creatorcontrib>Luterman, Arnold</creatorcontrib><creatorcontrib>Simon, Neal P.</creatorcontrib><creatorcontrib>Ramenofsky, Max L.</creatorcontrib><title>Necrotizing enterocolitis in multiple-birth infants</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>Over a 5-year period, 20 infants of multiple-gestation births (16 twin, 2 triplet) developed necrotizing enterocolitis (NEC) (15 infants) or suspected NEC (5 infants). During the same period, 532 infants of multiple gestations were admitted to our neonatal intensive care unit, yielding a NEC incidence in this population of 3.8%. In two twin sets, both infants developed NEC or suspected NEC, and in three sets only the affected twin was transferred to our nursery. Five infants required surgical intervention (25%) and three infants died (overall mortality, 15%). Fifteen siblings who did not develop NEC served as a control group. Analysis showed that the 1-minute Apgar score was the most significant factor in predicting NEC (
P < .028) and need for surgical intervention (
P < .020). In this series, 82% of the infants with 1-minute Apgar less than 6 developed NEC, whereas 31% with 1-minute Apgar greater than 6 developed NEC.</description><subject>Apgar Score</subject><subject>Diseases in Twins</subject><subject>Enterocolitis, Pseudomembranous - diagnosis</subject><subject>Enterocolitis, Pseudomembranous - epidemiology</subject><subject>Enterocolitis, Pseudomembranous - surgery</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Risk Factors</subject><subject>Triplets</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LAzEQhoMotVb_gUJPoofVSbKbNBdBil-w6EXPIZud1ch-1CQr6K83tcWjp4F533ln5iHkmMIFBSouARjLeC4WZwrOFYAUWblDprTgNCuAy10y_bPsk4MQ3gFSG-iETBinvAA6JfwRrR-i-3b96xz7iH6wQ-uiC3PXz7uxjW7VYlY5H99SpzF9DIdkrzFtwKNtnZGX25vn5X1WPt09LK_LzPJCxqyh1cIwNFxJ26BMtzS8spRVypqaG1rVNF8oyFljC8FEoSQywyCvKol1LhSfkdNN7soPHyOGqDsXLLat6XEYg5ZKSCGAJmO-MaZXQvDY6JV3nfFfmoJes9JrEHoNQivQv6x0mcZOtvlj1WH9N7SFk_SrjY7pyU-HXgfrsLdYO4826npw_y_4AX76eGU</recordid><startdate>19900301</startdate><enddate>19900301</enddate><creator>Powell, Randall W.</creator><creator>Dyess, D.Lynn</creator><creator>Luterman, Arnold</creator><creator>Simon, Neal P.</creator><creator>Ramenofsky, Max L.</creator><general>Elsevier Inc</general><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>19900301</creationdate><title>Necrotizing enterocolitis in multiple-birth infants</title><author>Powell, Randall W. ; Dyess, D.Lynn ; Luterman, Arnold ; Simon, Neal P. ; Ramenofsky, Max L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c357t-f1b8a2ea397cfe7002f3bc12b9cad3a1bd1489042fc5626597e2a204bb7ed4693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Apgar Score</topic><topic>Diseases in Twins</topic><topic>Enterocolitis, Pseudomembranous - diagnosis</topic><topic>Enterocolitis, Pseudomembranous - epidemiology</topic><topic>Enterocolitis, Pseudomembranous - surgery</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Risk Factors</topic><topic>Triplets</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Powell, Randall W.</creatorcontrib><creatorcontrib>Dyess, D.Lynn</creatorcontrib><creatorcontrib>Luterman, Arnold</creatorcontrib><creatorcontrib>Simon, Neal P.</creatorcontrib><creatorcontrib>Ramenofsky, Max L.</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>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Powell, Randall W.</au><au>Dyess, D.Lynn</au><au>Luterman, Arnold</au><au>Simon, Neal P.</au><au>Ramenofsky, Max L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Necrotizing enterocolitis in multiple-birth infants</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>1990-03-01</date><risdate>1990</risdate><volume>25</volume><issue>3</issue><spage>319</spage><epage>321</epage><pages>319-321</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><abstract>Over a 5-year period, 20 infants of multiple-gestation births (16 twin, 2 triplet) developed necrotizing enterocolitis (NEC) (15 infants) or suspected NEC (5 infants). During the same period, 532 infants of multiple gestations were admitted to our neonatal intensive care unit, yielding a NEC incidence in this population of 3.8%. In two twin sets, both infants developed NEC or suspected NEC, and in three sets only the affected twin was transferred to our nursery. Five infants required surgical intervention (25%) and three infants died (overall mortality, 15%). Fifteen siblings who did not develop NEC served as a control group. Analysis showed that the 1-minute Apgar score was the most significant factor in predicting NEC (
P < .028) and need for surgical intervention (
P < .020). In this series, 82% of the infants with 1-minute Apgar less than 6 developed NEC, whereas 31% with 1-minute Apgar greater than 6 developed NEC.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>2313501</pmid><doi>10.1016/0022-3468(90)90076-L</doi><tpages>3</tpages></addata></record> |
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| ispartof | Journal of pediatric surgery, 1990-03, Vol.25 (3), p.319-321 |
| issn | 0022-3468 1531-5037 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Apgar Score Diseases in Twins Enterocolitis, Pseudomembranous - diagnosis Enterocolitis, Pseudomembranous - epidemiology Enterocolitis, Pseudomembranous - surgery Humans Infant, Newborn Risk Factors Triplets |
| title | Necrotizing enterocolitis in multiple-birth infants |
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