ArticleSurgery2012
Does hospital transfer predict mortality in very low birth weight infants requiring surgery for necrotizing enterocolitis?
Article in Surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Pooled it
- [Comparative analysis of clinical characteristics of term and preterm neonates with necrotizing enterocolitis undergoing surgery].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025Article
- Centralization as the key survival benefit in acute neonatal surgery.Frontiers in pediatrics · 2024Article
- Opioid and Methadone Use for Infants With Surgically Treated Necrotizing Enterocolitis.JAMA network open · 2023Article
- The pattern of neonatal gastro-intestinal perforation in upper Egypt.Annals of pediatric surgery · 2020Article
- Survival rates for surgically treated necrotising enterocolitis have improved over the last four decades.Acta paediatrica (Oslo, Norway : 1992) · 2019Observational
- Surgical necrotizing enterocolitis.Seminars in perinatology · 2017Review
- Article
- Primary laparotomy is effective and safe in the treatment of necrotizing enterocolitis.World journal of surgery · 2014Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundNecrotizing enterocolitis (NEC) is a leading cause of infant mortality, and the most common reason for emergent surgery in very low birth weight (VLBW, < 1,500 g) infants. We investigated whether transfer for higher level of surgical care affects mortality in this population.
methodsVLBW infants who underwent NEC surgery were reviewed retrospectively from the California Patient Discharge Linked Birth Cohort Database (1999-2007). Transfer for emergent operation was defined as surgery ≤2 days after transfer. Mortality was analyzed with multivariate logistic regression.
resultsOverall, 1,272 VLBW infants with surgical NEC were identified, with a 39% mortality. Transfer for operative care occurred in 406 (32%) infants. Unadjusted mortality was not increased for infants who were transferred compared with not transferred (37% vs. 40%; P = .25). Adjusted mortality for infants transferred for operative care did not differ from those who received operative care at their primary neonatal intensive care unit (odds ratio 0.75, 95% confidence interval 0.42-1.32). Lower birth weight, lack of prenatal care, peritoneal drainage as sole surgical intervention, and pulmonary interstitial emphysema/pulmonary hemorrhage were associated with increased odds of mortality (P < .05).
conclusionVLBW infants with surgical NEC do not demonstrate increased risk of mortality when transferred emergently for operative care. Future efforts must engage health professionals caring for this vulnerable population to maximize resource allocation and safety.
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