Evidence map›Paper›PMID 36526960›Full record

ReviewBMC gastroenterology2022

Value of abdominal ultrasonography in predicting intestinal resection for premature infants with necrotizing enterocolitis.

Jingyu Chen, Fangting Mu, Kai Gao, Chengwei Yan, Gongli Chen, Chunbao Guo

Open access · goldAbstract readReview
In one paragraph

Review in BMC gastroenterology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
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  6. [Ultrasound diagnosis of necrotizing enterocolitis in neonates].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026
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  16. [ROC curves: general characteristics and their usefulness in clinical practice].Revista medica del Instituto Mexicano del Seguro Social · 2023
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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

6 authors at 3 institutions in 1 country.

Jingyu Chen *Department of Ultrasound, Children's Hospital, Chongqing Medical University, Chongqing, People's Republic of China.
Fangting Mu *Department of Ultrasound, Children's Hospital, Chongqing Medical University, Chongqing, People's Republic of China.
Kai GaoDepartment of Pediatrics, Women and Children's Hospital, Chongqing Medical University, 120 Longshan Rd., Chongqing, 401147, People's Republic of China.
Chengwei YanDepartment of Pediatric General Surgery, Chongqing University Three Gorges Hospital, Chongqing, People's Republic of China.
Gongli ChenDepartment of Pediatrics, Women and Children's Hospital, Chongqing Medical University, 120 Longshan Rd., Chongqing, 401147, People's Republic of China.
Chunbao GuoDepartment of Pediatrics, Women and Children's Hospital, Chongqing Medical University, 120 Longshan Rd., Chongqing, 401147, People's Republic of China. guochunbao@hospital.cqmu.edu.cn.
Chongqing Medical University · CNChildren's Hospital of Chongqing Medical University · CNChongqing Three Gorges University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbdominal ultrasonography (AUS) has been suggested to be valuable in the early detection of necrotizing enterocolitis (NEC).

objectiveHere, we intended to assess the efficiency of abdominal ultrasound in terms of predicting bowel resection in infants with NEC.

methodsFrom January 2018 to March 2021, 164 hospitalized children with NEC who underwent surgical management were enrolled. The enrolled infants were separated into two groups according to whether they underwent bowel resection. We reviewed the clinical data, as well as dynamic sonographic and abdominal radiographic (AR) parameters. The potential performance of AUS parameters was identified and compared with that of AR using a logistic regression analysis and receiver operating characteristic (ROC) curve analysis.

resultsSeveral parameters were detected to be statistically significant in predicting the occurrence of bowel resection, including thick to thin transformation [p < 0.001, odds ratios (OR), 4.38; 95% confidence interval (CI) 2.26-8.52], absence of peristalsis certain areas (p = 0.001, OR, 2.99; 95% CI 1.53-5.86), absence of bowel wall perfusion (p < 0.001, OR 10.56; 95% CI 5.09-21.90), and portal venous gas (p = 0.016, OR, 2.21; 95% CI 1.12-4.37). Furthermore, the ROC curve analysis showed significant differences (p = 0.0021) in the area under the receiver operating curve (AUROC) for the logistic models of AUS (AUROC: 0.755, 95% CI 0.660-0.849) and AR (AUROC: 0.693, 95% CI 0.597-0.789) for the prediction of intestinal resection.

conclusionsA dynamic AUS examination play an important role to indicate the potential for bowel loss during the surgery.

Indexed as

Enterocolitis, NecrotizingInfant, Newborn, DiseasesAbdomenChildHumansInfantInfant, NewbornInfant, PrematureUltrasonographyAbdominal radiographAbdominal ultrasonographyIntestinal resectionNecrotizing enterocolitis

Identifiers

PMID36526960
PMCPMC9758908
OpenAlexW4312066196

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Registered trials

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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.