Evidence map›Paper›PMID 34980023›Full record

ArticleBMC pediatrics2022

Predictive factors for the surgical treatment of necrotizing enterocolitis in preterm infants: a single-center retrospective study.

Yusheng Liu, Lingyan Qiao, Xiongwei Wu, Zhong Jiang, Xiwei Hao

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.5field-weighted citation impact, top 21% 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

11 citing papers in PubMed, 14 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Yusheng LiuDepartment of Pediatric Surgery, The Affiliated Hospital of Qingdao University, Qingdao, 266000, Shandong Province, China. sdqdlys@126.com.
Lingyan QiaoDepartment of Pediatric Endocrinology and Genetic Metabolic Diseases, Qingdao Women and Children's Hospital, Qingdao, 266000, Shandong Province, China.
Xiongwei WuDepartment of Pediatric Surgery, The Affiliated Hospital of Qingdao University, Qingdao, 266000, Shandong Province, China.
Zhong JiangDepartment of Pediatric Surgery, The Affiliated Hospital of Qingdao University, Qingdao, 266000, Shandong Province, China.
Xiwei HaoDepartment of Pediatric Surgery, The Affiliated Hospital of Qingdao University, Qingdao, 266000, Shandong Province, China.
Affiliated Hospital of Qingdao University · CNQingdao University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNecrotizing enterocolitis (NEC) is a gastrointestinal disease that tends to occur in premature infants. Some features may be associated with an increased probability that preterm infants with NEC will require surgical treatment. This study aimed to identify the factors that increased the probability of surgical treatment in infants with NEC.

methodsWe retrospectively analyzed the data of premature infants with NEC who were hospitalized at The Affiliated Hospital of Qingdao University from April 2011 to April 2021. According to the treatments received, these patients were divided into medical NEC group and surgical NEC group. The perinatal characteristics, clinical manifestations, and laboratory values before the onset of NEC were subjected to univariate and multivariate analyses.

resultsA total of 623 preterm infants with NEC (> Bell's stage I) were included in this study, including 350 (56%) who received surgical treatment and 273 (44%) who received conservative medical treatment. Multivariate analysis showed that lower gestational age (P = 0.001, odds ratio (OR) (95% CI) = 0.91[0.86-0.96]), early occurrence of NEC (P = 0.003, OR (95% CI) = 0.86 [0.77-0.95]), hemodynamically significant patent ductus arteriosus (P = 0.003, OR (95% CI) = 7.50 [2.03-28.47]), and low serum bicarbonate (P = 0.043, OR (95% CI) = 0.863 [0.749-0.995]) were associated with an increased probability of surgical treatment in preterm infants with NEC.

conclusionsOur findings were applied to identify potential predictors for surgical treatment in preterm infants with NEC, which may facilitate early decisive management.

Indexed as

Ductus Arteriosus, PatentEnterocolitis, NecrotizingInfant, Premature, DiseasesFemaleHumansInfantInfant, NewbornInfant, PrematurePregnancyRetrospective StudiesNecrotizing enterocolitisPremature birthRisk factorsSurgery

Identifiers

PMID34980023
PMCPMC8722129
OpenAlexW4206033674

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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.