Long-term prognosis of neonates with necrotizing enterocolitis / 中国当代儿科杂志
Chinese Journal of Contemporary Pediatrics
; (12): 985-989, 2018.
Article
in Zh
| WPRIM
| ID: wpr-776680
Responsible library:
WPRO
ABSTRACT
OBJECTIVE@#To investigate the long-term prognosis of neonates with necrotizing enterocolitis (NEC).@*METHODS@#A total of 83 preterm infants with NEC who survived and were discharged between December 2014 and September 2016 were enrolled and divided into surgery group (n=57) and non-surgery group (n=26). There were 0, 33 and 24 cases of stage I, II and III NEC respectively in the surgery group and 7, 19 and 0 cases respectively in the non-surgery group. The physical development and neurodevelopmental outcomes of the infants were followed up after discharge.@*RESULTS@#Of the 83 infants, the mean corrected age at the end of follow-up was 21±6 months. Of the 83 infants, 31 (37%) had subnormal body weight, and the surgery group had a higher rate of subnormal body weight than the non-surgery group (P<0.05). Twenty-two infants (27%) had subnormal body length and 14 children (17%) had subnormal head circumference among the 83 infants. Eighteen infants (22%) had motor developmental delay/developmental disorders, and the surgery group had a higher incidence rate of the disorders than the non-surgery group (28% vs 8%; P<0.05). Five infants (6%) were diagnosed with cerebral palsy, among whom 4 were in the surgery group and 1 was in the non-surgery group.@*CONCLUSIONS@#Long-term physical development and neurodevelopmental outcomes may be adversely affected in neonates with NEC, in particular in those with severe conditions who need surgical treatment, suggesting that long-term follow-up should be performed for neonates with NEC.
Full text:
1
Index:
WPRIM
Main subject:
Prognosis
/
Infant, Premature
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Developmental Disabilities
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Enterocolitis, Necrotizing
Type of study:
Prognostic_studies
Limits:
Humans
/
Newborn
Language:
Zh
Journal:
Chinese Journal of Contemporary Pediatrics
Year:
2018
Type:
Article