Document Detail


Factors associated with age of onset of necrotizing enterocolitis.
MedLine Citation:
PMID:  2789545     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To investigate factors associated with risk and age of onset for necrotizing enterocolitis (NEC), a retrospective case-control review was performed of patients with NEC and control infants matched for birthweight and date of admission. NEC cases were defined by Bell staging criteria and were included if pneumatosis intestinalis, histologic confirmation, or a recognized complication of NEC was identified in association with clinical signs and symptoms. NEC was significantly related to birthweight and premature post-conceptional age. In contrast to control infants, patients with NEC had higher 5 minute Apgar scores, less significant respiratory disease, and more rapid feeding practices. Two distinct subgroups of patients with NEC based on postnatal age of onset were apparent. Patients with early onset NEC (21 days or less postnatal age) had less significant respiratory disease and were fed more rapidly than late onset patients. Late onset NEC (more than 21 days postnatal age) occurred frequently in convalescing, relatively well premature infants who were still, however, of preterm postconceptional age. Relatively well premature infants with minimal respiratory disease are still at risk for NEC. Advances in neonatal care and survival of very low birthweight infants may account for a shift in prevalence to older infants who are yet of preterm postconceptional age.
Authors:
R F Covert; J Neu; M J Elliott; J L Rea; P A Gimotty
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of perinatology     Volume:  6     ISSN:  0735-1631     ISO Abbreviation:  Am J Perinatol     Publication Date:  1989 Oct 
Date Detail:
Created Date:  1989-11-07     Completed Date:  1989-11-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  455-60     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, University of Florida College of Medicine, Gainesville.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Birth Weight
Case-Control Studies
Enterocolitis, Pseudomembranous / complications,  epidemiology*
Humans
Infant
Infant, Low Birth Weight*
Infant, Newborn
Infant, Premature, Diseases / epidemiology*
Pneumatosis Cystoides Intestinalis / complications
Respiration Disorders / complications
Retrospective Studies
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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