Risk factors of meconium-related ileus in very low birth weight infants: patients-control study
Very low birth weight (VLBW) neonates experience various problems, including meconium-related ileus (MRI). This study investigated the risk factors of MRI and surgical MRI in VLBW infants. VLBW neonates admitted to the Neonatal Intensive Care Unit of Seoul National University Children’s Hospital fro...
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| Veröffentlicht in: | Scientific reports 2020-03, Vol.10 (1), p.4674-4674, Article 4674 |
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| description | Very low birth weight (VLBW) neonates experience various problems, including meconium-related ileus (MRI). This study investigated the risk factors of MRI and surgical MRI in VLBW infants. VLBW neonates admitted to the Neonatal Intensive Care Unit of Seoul National University Children’s Hospital from October 2002 to September 2016 were included in the study. The diagnostic criteria for MRI were a decreased frequency of defecation with intolerable feeding, vomiting, and increased gastric residue (>50%); meconium-filled bowel dilatation in an imaging study; and no evidence of necrotizing enteritis or spontaneous intestinal perforation. Medical MRIs and surgical MRIs were managed through conventional treatment and surgical intervention. Of 1543 neonates, 69 and 1474 were in the patient and control groups, respectively. The risk factors for MRI include low birth weight (BW), cesarean section delivery, fetal distress, maternal diabetes, maternal hypertension, and maternal steroid use. Low BW and fetal distress were independent risk factors for MRI. Compared to the medical MRI group (n = 44), the risk factors for surgical MRI (n = 25) included males, younger gestational age, low BW, and meconium located at the small bowel. Male gender and low BW were independent risk factors for surgical MRI. Low BW and fetal distress were independent risk factors for MRI and male gender and low BW were independent risk factors for surgical MRI. In VLBW neonates, careful attention to the risk factors for MRI could minimize or avoid surgical interventions. |
| doi_str_mv | 10.1038/s41598-020-60016-3 |
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This study investigated the risk factors of MRI and surgical MRI in VLBW infants. VLBW neonates admitted to the Neonatal Intensive Care Unit of Seoul National University Children’s Hospital from October 2002 to September 2016 were included in the study. The diagnostic criteria for MRI were a decreased frequency of defecation with intolerable feeding, vomiting, and increased gastric residue (>50%); meconium-filled bowel dilatation in an imaging study; and no evidence of necrotizing enteritis or spontaneous intestinal perforation. Medical MRIs and surgical MRIs were managed through conventional treatment and surgical intervention. Of 1543 neonates, 69 and 1474 were in the patient and control groups, respectively. The risk factors for MRI include low birth weight (BW), cesarean section delivery, fetal distress, maternal diabetes, maternal hypertension, and maternal steroid use. Low BW and fetal distress were independent risk factors for MRI. Compared to the medical MRI group (n = 44), the risk factors for surgical MRI (n = 25) included males, younger gestational age, low BW, and meconium located at the small bowel. Male gender and low BW were independent risk factors for surgical MRI. Low BW and fetal distress were independent risk factors for MRI and male gender and low BW were independent risk factors for surgical MRI. In VLBW neonates, careful attention to the risk factors for MRI could minimize or avoid surgical interventions.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-020-60016-3</identifier><identifier>PMID: 32170203</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/4020/1503/1581/3189 ; 692/4020/2741/520/1563 ; Apgar Score ; Birth Weight ; Case-Control Studies ; Cesarean section ; Defecation ; Diabetes mellitus ; Disease Susceptibility ; Enterocolitis, Necrotizing ; Female ; Fetuses ; Gestational Age ; Health risk assessment ; Humanities and Social Sciences ; Humans ; Ileus - diagnosis ; Ileus - epidemiology ; Ileus - etiology ; Ileus - mortality ; Infant, Extremely Low Birth Weight ; Infants ; Low birth weight ; Magnetic resonance imaging ; Male ; Meconium ; multidisciplinary ; Necrotizing enterocolitis ; Neonates ; Patients ; Prognosis ; Republic of Korea - epidemiology ; Risk Assessment ; Risk Factors ; Science ; Science (multidisciplinary) ; Small intestine ; Vomiting</subject><ispartof>Scientific reports, 2020-03, Vol.10 (1), p.4674-4674, Article 4674</ispartof><rights>The Author(s) 2020</rights><rights>This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c540t-1bd9c5789d56415142e85b2911ff809edc70a45d7859d3b3e9fcb9a0e624d3563</citedby><cites>FETCH-LOGICAL-c540t-1bd9c5789d56415142e85b2911ff809edc70a45d7859d3b3e9fcb9a0e624d3563</cites><orcidid>0000-0002-7063-168X ; 0000-0001-6435-9627 ; 0000-0002-5343-0448</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7070079/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7070079/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,41120,42189,51576,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32170203$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Byun, Jeik</creatorcontrib><creatorcontrib>Han, Ji-Won</creatorcontrib><creatorcontrib>Youn, Joong Kee</creatorcontrib><creatorcontrib>Yang, Hee-Beom</creatorcontrib><creatorcontrib>Shin, Seung Han</creatorcontrib><creatorcontrib>Kim, Ee-Kyung</creatorcontrib><creatorcontrib>Kim, Hyun-Young</creatorcontrib><creatorcontrib>Jung, Sung-Eun</creatorcontrib><title>Risk factors of meconium-related ileus in very low birth weight infants: patients-control study</title><title>Scientific reports</title><addtitle>Sci Rep</addtitle><addtitle>Sci Rep</addtitle><description>Very low birth weight (VLBW) neonates experience various problems, including meconium-related ileus (MRI). This study investigated the risk factors of MRI and surgical MRI in VLBW infants. VLBW neonates admitted to the Neonatal Intensive Care Unit of Seoul National University Children’s Hospital from October 2002 to September 2016 were included in the study. The diagnostic criteria for MRI were a decreased frequency of defecation with intolerable feeding, vomiting, and increased gastric residue (>50%); meconium-filled bowel dilatation in an imaging study; and no evidence of necrotizing enteritis or spontaneous intestinal perforation. Medical MRIs and surgical MRIs were managed through conventional treatment and surgical intervention. Of 1543 neonates, 69 and 1474 were in the patient and control groups, respectively. The risk factors for MRI include low birth weight (BW), cesarean section delivery, fetal distress, maternal diabetes, maternal hypertension, and maternal steroid use. Low BW and fetal distress were independent risk factors for MRI. Compared to the medical MRI group (n = 44), the risk factors for surgical MRI (n = 25) included males, younger gestational age, low BW, and meconium located at the small bowel. Male gender and low BW were independent risk factors for surgical MRI. Low BW and fetal distress were independent risk factors for MRI and male gender and low BW were independent risk factors for surgical MRI. In VLBW neonates, careful attention to the risk factors for MRI could minimize or avoid surgical interventions.</description><subject>692/4020/1503/1581/3189</subject><subject>692/4020/2741/520/1563</subject><subject>Apgar Score</subject><subject>Birth Weight</subject><subject>Case-Control Studies</subject><subject>Cesarean section</subject><subject>Defecation</subject><subject>Diabetes mellitus</subject><subject>Disease Susceptibility</subject><subject>Enterocolitis, Necrotizing</subject><subject>Female</subject><subject>Fetuses</subject><subject>Gestational Age</subject><subject>Health risk assessment</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Ileus - diagnosis</subject><subject>Ileus - epidemiology</subject><subject>Ileus - etiology</subject><subject>Ileus - mortality</subject><subject>Infant, Extremely Low Birth Weight</subject><subject>Infants</subject><subject>Low birth weight</subject><subject>Magnetic resonance imaging</subject><subject>Male</subject><subject>Meconium</subject><subject>multidisciplinary</subject><subject>Necrotizing enterocolitis</subject><subject>Neonates</subject><subject>Patients</subject><subject>Prognosis</subject><subject>Republic of Korea - 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diagnosis</topic><topic>Ileus - epidemiology</topic><topic>Ileus - etiology</topic><topic>Ileus - mortality</topic><topic>Infant, Extremely Low Birth Weight</topic><topic>Infants</topic><topic>Low birth weight</topic><topic>Magnetic resonance imaging</topic><topic>Male</topic><topic>Meconium</topic><topic>multidisciplinary</topic><topic>Necrotizing enterocolitis</topic><topic>Neonates</topic><topic>Patients</topic><topic>Prognosis</topic><topic>Republic of Korea - epidemiology</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Science</topic><topic>Science (multidisciplinary)</topic><topic>Small intestine</topic><topic>Vomiting</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Byun, Jeik</creatorcontrib><creatorcontrib>Han, Ji-Won</creatorcontrib><creatorcontrib>Youn, Joong Kee</creatorcontrib><creatorcontrib>Yang, Hee-Beom</creatorcontrib><creatorcontrib>Shin, Seung Han</creatorcontrib><creatorcontrib>Kim, Ee-Kyung</creatorcontrib><creatorcontrib>Kim, Hyun-Young</creatorcontrib><creatorcontrib>Jung, Sung-Eun</creatorcontrib><collection>Springer Nature OA/Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Scientific reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Byun, Jeik</au><au>Han, Ji-Won</au><au>Youn, Joong Kee</au><au>Yang, Hee-Beom</au><au>Shin, Seung Han</au><au>Kim, Ee-Kyung</au><au>Kim, Hyun-Young</au><au>Jung, Sung-Eun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors of meconium-related ileus in very low birth weight infants: patients-control study</atitle><jtitle>Scientific reports</jtitle><stitle>Sci Rep</stitle><addtitle>Sci Rep</addtitle><date>2020-03-13</date><risdate>2020</risdate><volume>10</volume><issue>1</issue><spage>4674</spage><epage>4674</epage><pages>4674-4674</pages><artnum>4674</artnum><issn>2045-2322</issn><eissn>2045-2322</eissn><abstract>Very low birth weight (VLBW) neonates experience various problems, including meconium-related ileus (MRI). This study investigated the risk factors of MRI and surgical MRI in VLBW infants. VLBW neonates admitted to the Neonatal Intensive Care Unit of Seoul National University Children’s Hospital from October 2002 to September 2016 were included in the study. The diagnostic criteria for MRI were a decreased frequency of defecation with intolerable feeding, vomiting, and increased gastric residue (>50%); meconium-filled bowel dilatation in an imaging study; and no evidence of necrotizing enteritis or spontaneous intestinal perforation. Medical MRIs and surgical MRIs were managed through conventional treatment and surgical intervention. Of 1543 neonates, 69 and 1474 were in the patient and control groups, respectively. The risk factors for MRI include low birth weight (BW), cesarean section delivery, fetal distress, maternal diabetes, maternal hypertension, and maternal steroid use. Low BW and fetal distress were independent risk factors for MRI. Compared to the medical MRI group (n = 44), the risk factors for surgical MRI (n = 25) included males, younger gestational age, low BW, and meconium located at the small bowel. Male gender and low BW were independent risk factors for surgical MRI. Low BW and fetal distress were independent risk factors for MRI and male gender and low BW were independent risk factors for surgical MRI. In VLBW neonates, careful attention to the risk factors for MRI could minimize or avoid surgical interventions.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>32170203</pmid><doi>10.1038/s41598-020-60016-3</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-7063-168X</orcidid><orcidid>https://orcid.org/0000-0001-6435-9627</orcidid><orcidid>https://orcid.org/0000-0002-5343-0448</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | 692/4020/1503/1581/3189 692/4020/2741/520/1563 Apgar Score Birth Weight Case-Control Studies Cesarean section Defecation Diabetes mellitus Disease Susceptibility Enterocolitis, Necrotizing Female Fetuses Gestational Age Health risk assessment Humanities and Social Sciences Humans Ileus - diagnosis Ileus - epidemiology Ileus - etiology Ileus - mortality Infant, Extremely Low Birth Weight Infants Low birth weight Magnetic resonance imaging Male Meconium multidisciplinary Necrotizing enterocolitis Neonates Patients Prognosis Republic of Korea - epidemiology Risk Assessment Risk Factors Science Science (multidisciplinary) Small intestine Vomiting |
| title | Risk factors of meconium-related ileus in very low birth weight infants: patients-control study |
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