Evidence map›Paper›PMID 34510235›Full record

ReviewPediatric cardiology2021

Necrotizing Enterocolitis in Children with Congenital Heart Disease: A Literature Review.

Sean T Kelleher, Colin J McMahon, Adam James

Open access · hybridAbstract readReview
In one paragraph

Review in Pediatric cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
10.1field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 1 synthesis or guideline pooled it, 91 citations in OpenAlex.

  1. Perioperative Monitoring of Regional Oxygen Saturation in Congenital Heart Disease: Systematic Review of Literature up to 2023.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2026
    Pooled it
  2. Article
  3. Review
  4. Improving preoperative enteral feeding for newborns with congenital heart disease.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Pharmacogenetics in pediatric cardiology.Frontiers in pediatrics · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Standardizing the diagnosis of necrotizing enterocolitis in infants with congenital heart disease.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  15. Necrotizing enterocolitis following spontaneous intestinal perforation in very low birth weight neonates.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Feeding Approach to Optimizing Nutrition in Infants with Congenital Heart Disease.Journal of cardiovascular development and disease · 2025
    Review
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

3 authors at 1 institution in 1 country.

Sean T KelleherDepartment of Paediatric Cardiology, Children's Health Ireland at Crumlin, Dublin 12, Ireland.ORCID http://orcid.org/0000-0002-3021-5462
Colin J McMahonDepartment of Paediatric Cardiology, Children's Health Ireland at Crumlin, Dublin 12, Ireland.
Adam JamesDepartment of Paediatric Cardiology, Children's Health Ireland at Crumlin, Dublin 12, Ireland. adam.james@olchc.ie.
Children's Health Ireland at Crumlin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infants with congenital heart disease (CHD) are at an increased risk of developing necrotising enterocolitis (NEC), a serious inflammatory intestinal condition classically associated with prematurity. CHD not only increases the risk of NEC in preterm infants but is one of the most commonly implicated risk factors in term infants. Existing knowledge on the topic is limited largely to retrospective studies. This review acts to consolidate existing knowledge on the topic in terms of disease incidence, pathophysiology, risk factors, outcomes and the complex relationship between NEC and enteral feeds. Potential preventative strategies, novel biomarkers for NEC in this population, and the role of the intestinal microbiome are all explored. Numerous challenges exist in the study of this complex multifactorial disease which arise from the heterogeneity of the affected population and its relative scarcity. Nevertheless, its high related morbidity and mortality warrant renewed interest in identifying those infants most at risk and implementing strategies to reduce the incidence of NEC in infants with CHD.

Indexed as

Enterocolitis, NecrotizingHeart Defects, CongenitalChildHumansInfantInfant, NewbornInfant, PrematureInfant, Very Low Birth WeightRetrospective StudiesCongenital heart diseaseDuctal dependentMicrobiomeNECNecrotising enterocolitisNeonate

Identifiers

PMID34510235
PMCPMC8557173
OpenAlexW3199965697

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.