Evidence map›Paper›PMID 42338296›Full record

ArticleAnnals of medicine2026

Lactate, mean platelet volume, and nSOFA as combined predictors of perforated necrotizing enterocolitis and mortality in preterm infants: a retrospective cohort study.

Dabin Huang, Yunnan Xiao, Yuanlong Fang, Fei Li, Jiazhang Chen, Jiahao Lai, Yaoxiang Tang, Liling Yang, Shangjie Xiao, Hu Hao

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Article in Annals of medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

10 authors.

Dabin HuangDepartment of Pediatrics, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.ORCID 0000-0003-1533-9413
Yunnan XiaoDepartment of Pediatrics, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Yuanlong FangDepartment of neonatal surgery, Guangdong Women and Children Hospital, Guangzhou, Guangdong, China.
Fei LiDepartment of Pediatrics, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Jiazhang ChenDepartment of Pediatrics, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Jiahao LaiDepartment of Respiratory and Critical Care Medicine, Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong, China.
Yaoxiang TangDepartment of Neonatology, The Maternal and Children Health Care Hospital (Huzhong Hospital) of Huadu, Guangzhou, Guangdong, China.
Liling YangDepartment of Neonatology, The Maternal and Children Health Care Hospital (Huzhong Hospital) of Huadu, Guangzhou, Guangdong, China.
Shangjie XiaoDepartment of neonatal surgery, Guangdong Women and Children Hospital, Guangzhou, Guangdong, China.
Hu HaoDepartment of Pediatrics, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerforated necrotizing enterocolitis (PNEC) is a lethal complication in preterm infants with high mortality, but timely identification and prognostic stratification remain clinically challenging.

methodsThis retrospective cohort study analyzed 110 preterm infants with surgical NEC admitted between 2023-2025, stratified into non-intestinal perforation (NIP group,

resultsCompared with the NIP group, the PNEC group had significantly higher lactate (6.0 vs. 3.9 mmol/L), mean platelet volume (MPV, 12.20 vs. 10.79 fL), neonatal Sequential Organ Failure Assessment (nSOFA, 5.0 vs. 2.0), and mortality (27.3% vs. 10.9%) (all

conclusionsThe combination of lactate, MPV, and nSOFA exhibits synergistic predictive value for PNEC and its associated mortality. Lactate and MPV identify early perforation risk, while nSOFA stratifies mortality risk. This combination provides clinical utility for the early intervention of high-risk neonates with NEC.

Indexed as

Enterocolitis, NecrotizingIntestinal PerforationLactic AcidMean Platelet VolumeBiomarkersFemaleHumansInfant, NewbornInfant, PrematureMalePrognosisRetrospective StudiesRisk FactorsROC CurveBiomarkersLactic AcidIntestinal perforationlactatemean platelet volumemortalitynecrotizing enterocolitisnSOFA

Identifiers

PMID42338296
PMCPMC13295079

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