Evidence map›Paper›PMID 22469959›Full record

ReviewAdvances in neonatal care : official journal of the National Association of Neonatal Nurses2012

Necrotizing enterocolitis risk: state of the science.

Sheila M Gephart, Jacqueline M McGrath, Judith A Effken, Melissa D Halpern

Registry-linked trialAbstract readReview
In one paragraph

Review in Advances in neonatal care : official journal of the National Association of Neonatal Nurses, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03631979 (Regular Intestinal Lavage to Promote Enteral Feeding and Prevent Necrotizing Enterocolitis in Extremely Preterm Infants. A Randomized Controlled Trial Protocol), which is not on this map. Cited by 122 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
122citing papers in PubMed, 4 pooled it
10.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03631979 naterminatednot on this mapstarted 2018, after this paper: background citation

Regular Intestinal Lavage to Promote Enteral Feeding and Prevent Necrotizing Enterocolitis in Extremely Preterm Infants. A Randomized Controlled Trial Protocol

TypeinterventionalSponsorUppsala County Council, SwedenRan2018 to 2025Enrolled200ConditionsNecrotizing Enterocolitis, Time to Full Enteral NutritionArmsIntestinal lavage with normal saline
3 · Its place in the literature

Who cites it

122 citing papers in PubMed, 4 syntheses or guidelines pooled it, 247 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Effect of Maternal Diet on Any Necrotizing Enterocolitis in Neonates: A Randomized Double-Blind Study.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2022
    Trial
  6. Trial
  7. Article
  8. Defining growth faltering and malnutrition among very preterm infants in a neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. [Recent advances in artificial intelligence for auxiliary diagnosis and management of neonatal necrotizing enterocolitis].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Review
  18. Article
  19. Article
  20. Article

62 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Sheila M GephartCollege of Nursing, University of Arizona, Tucson, 85721, USA. sgephart@nursing.arizona.edu
Jacqueline M McGrath
Judith A Effken
Melissa D Halpern
University of Arizona · USVirginia Commonwealth University · US

Funding

BILE ACIDS IN THE PATHOGENESIS OF NECROTIZING ENTEROCOLITISR01HD054485 · NICHD · UNIVERSITY OF ARIZONA · PI HALPERN, MELISSA D · 2007 to 2011
$1.7M
Validating a Necrotizing Enterocolitis (NEC) Risk Index for NeonatesF31NR012333 · NINR · UNIVERSITY OF ARIZONA · PI GEPHART, SHEILA MARIA · 2011 to 2011
$31k
NICHD NIH HHS R01 HD054485NINR NIH HHS F31 NR012333
6 · The paper itself

Abstract

Necrotizing enterocolitis (NEC) is the most common cause of gastrointestinal-related morbidity and mortality in the neonatal intensive care unit (NICU). Its onset is sudden and the smallest, most premature infants are the most vulnerable. Necrotizing enterocolitis is a costly disease, accounting for nearly 20% of NICU costs annually. Necrotizing enterocolitis survivors requiring surgery often stay in the NICU more than 90 days and are among those most likely to stay more than 6 months. Significant variations exist in the incidence across regions and units. Although the only consistent independent predictors for NEC remain prematurity and formula feeding, others exist that could increase risk when combined. Awareness of NEC risk factors and adopting practices to reduce NEC risk, including human milk feeding, the use of feeding guidelines, and probiotics, have been shown to reduce the incidence of NEC. The purpose of this review is to examine the state of the science on NEC risk factors and make recommendations for practice and research.

Indexed as

ChildEnterocolitis, NecrotizingHumansIncidenceInfant, NewbornInfant, PrematureInfant, Premature, DiseasesIntensive Care Units, NeonatalMilk, HumanProbioticsRisk Factors

Identifiers

PMID22469959
PMCPMC3357630
OpenAlexW2015540485

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.