ArticlePediatric surgery international2018
Comparison of abdominal radiographs and sonography in prognostic prediction of infants with necrotizing enterocolitis.
Article in Pediatric surgery international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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18 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Methods of identifying surgical Necrotizing Enterocolitis-a systematic review and meta-analysis.Pediatric research · 2025Pooled it
- Beyond early diagnosis: toward AI-enabled multi-omics prediction of necrotizing enterocolitis.World journal of pediatrics : WJP · 2026Article
- Ultrasound-based nomogram for predicting high-risk hepatic portal venous gas in children: a retrospective cohort study.Translational pediatrics · 2026Article
- Comparison of detection frequencies between ultrasonography and abdominal radiography for abnormal signs in necrotizing enterocolitis: a systematic review and meta-analysis.Frontiers in pediatrics · 2026Article
- A standardized universal protocol for using adjunct abdominal ultrasound at the time of diagnosis for suspected necrotizing enterocolitis.Pediatric radiology · 2025Article
- Risk Factors for 30-day Mortality in Patients with Surgically Treated Necrotizing Enterocolitis: A Multicenter Retrospective Cohort Study.European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie · 2025Article
- Discrepancy between patient prognosis and degree of portal venous gas detected using ultrasound.Journal of medical ultrasonics (2001) · 2023Article
- Clinical Outcome of Ultrasound-Detected Perforated Necrotizing Enterocolitis without Radiographic Pneumoperitoneum in Very Preterm Infants.Journal of clinical medicine · 2023Article
- Fecal Keratin 8 Is a Noninvasive and Specific Marker for Intestinal Injury in Necrotizing Enterocolitis.Journal of immunology research · 2023Article
- Application of abdominal ultrasonography in surgical necrotizing enterocolitis: a retrospective study.Frontiers in microbiology · 2023Article
- Value of abdominal ultrasonography in predicting intestinal resection for premature infants with necrotizing enterocolitis.BMC gastroenterology · 2022Review
- The role of ultrasound in necrotizing enterocolitis.Pediatric radiology · 2022Review
- Predictive factors for rapid progression in preterm neonates with necrotizing enterocolitis.Frontiers in pediatrics · 2022Article
- Evaluation of parenteral nutrition-associated liver disease in surgical infants for necrotizing enterocolitis.Medicine · 2020Observational
- Soap bubble appearance: an ominous sign.BMJ case reports · 2019Article
- Abdominal Ultrasound and Abdominal Radiograph to Diagnose Necrotizing Enterocolitis in Extremely Preterm Infants.Kansas journal of medicine · 2019Review
- Point-of-care Ultrasound to Diagnose and Monitor the Course of Necrotizing Enterocolitis.Newborn (Clarksville, Md.)Article
- Differentiation of food protein-induced enterocolitis syndrome and necrotizing enterocolitis in neonates by abdominal sonography.Jornal de pediatriaArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to investigate the comparison of AR and AUS in predicting prognosis in infants with necrotizing enterocolitis.
methodsAll patients were diagnosed as NEC at the department of general surgery and neonatal surgery, Qilu children's hospital between 1st, Jun, 2010 and 30th, Dec, 2016. The logistic regression analysis and the area under ROC curve (AUC)s were also used to compare the prognostic values of radiograph and sonograph for NEC.
resultsThroughout the study period, 86 preterm neonates were hospitalized with diagnosis of definite NEC. Among these patients, 39 infants (45.3%) required surgical treatment. After adjusting for competing sonographic factors, we identified that thick bowel wall (more than 2.5 mm) (p = 0.001, HR: 1.849), intramural gas (pneumatosis intestinalis) (p = 0.017, HR: 1.265), portal venous gas (p = 0.002, HR: 1.824), and reduced peristalsis (p = 0.021, HR: 1.544) were independent prognostic factors associated with NEC. After adjusting for competing radiographic factors, we identified that free peritoneal gas (p = 0.007, HR: 1.472), portal venous gas (p = 0.012, HR: 1.649), and dilatation and elongation (p = 0.025, HR: 1.327). Moreover, we found that the AUROC for AR logistic model was 0.745 (95% CI 0.629-0.812), which was significant lower than the AUS logistic model (AUROC: 0.857, 95% CI 0.802-0.946) for predicting prognosis of NEC.
conclusionsIn conclusion, we found that several radiographic and sonographic parameters were associated with the prognosis of patients with NEC. The AUS model based on the logistic regression analysis was significant superior to the AR model in the prognostic prediction of NEC.
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