Hospital and neurodevelopmental outcomes of extremely low-birth-weight infants with necrotizing enterocolitis and spontaneous intestinal perforation

Objective: We sought to determine the incidence of necrotizing enterocolitis (NEC) and spontaneous intestinal perforation (SIP) in surviving extremely low-birth-weight (ELBW,

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Veröffentlicht in:Journal of perinatology 2012-07, Vol.32 (7), p.552-558
Hauptverfasser: Shah, T A, Meinzen-Derr, J, Gratton, T, Steichen, J, Donovan, E F, Yolton, K, Alexander, B, Narendran, V, Schibler, K R
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container_issue 7
container_start_page 552
container_title Journal of perinatology
container_volume 32
creator Shah, T A
Meinzen-Derr, J
Gratton, T
Steichen, J
Donovan, E F
Yolton, K
Alexander, B
Narendran, V
Schibler, K R
description Objective: We sought to determine the incidence of necrotizing enterocolitis (NEC) and spontaneous intestinal perforation (SIP) in surviving extremely low-birth-weight (ELBW,
doi_str_mv 10.1038/jp.2011.176
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Study Design: Hospital outcome data for all ELBW infants born in the greater Cincinnati region from 1998 to 2009 were extracted from the National Institute of Child Health Neonatal Research Network Database. Neurodevelopmental outcome at 18 to 22 months was assessed using Bayley Scales of Infant Development-II scores for Mental Developmental Index and Psychomotor Developmental Index. Multivariable logistic regression was used and adjusted odds ratios reported to control for confounders. Result: From 1998 to 2009, ELBW infants accounted for 0.5% of the 352 176 live-born infants in greater Cincinnati. The incidence of NEC was 12%, with a 50% case-fatality rate. Death before discharge, morbid complications of prematurity and neurodevelopmental impairment were all increased among infants diagnosed with NEC. Infants with surgical NEC and SIP had a higher incidence of death, but long-term neurodevelopmental outcomes were not different comparing surviving ELBW infants with medical NEC, surgical NEC and SIP. Conclusion: Although ELBW infants comprise a very small proportion of live-born infants, those who develop NEC and SIP are at an increased risk for death, morbid complications of prematurity and neurodevelopmental impairment. 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subjects Birth weight
Care and treatment
Child Development
Childrens health
Collaboration
Complications
Death
Developmental Disabilities - etiology
Enterocolitis
Enterocolitis, Necrotizing - complications
Enterocolitis, Necrotizing - mortality
Enterocolitis, Necrotizing - surgery
Enterocolitis, Neonatal necrotizing
Enterocolitis, Pseudomembranous
Fatalities
Gastrointestinal diseases
Hospitals
Humans
Impairment
Infant
Infant, Extremely Low Birth Weight - growth & development
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases - surgery
Infants
Intestinal Perforation - complications
Intestinal Perforation - mortality
Intestinal Perforation - surgery
Intestine
Low birth weight
Medicine
Medicine & Public Health
Morbidity
Mortality
Multivariable control
Necrosis
Necrotizing enterocolitis
Neonates
Neonatology
Neurodevelopmental disorders
Newborn babies
original-article
Outreach services
Pediatric Surgery
Pediatrics
Population
Population studies
Practice
Premature babies
Prevention
Prognosis
Treatment outcome
title Hospital and neurodevelopmental outcomes of extremely low-birth-weight infants with necrotizing enterocolitis and spontaneous intestinal perforation
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