期刊
CLINICAL PEDIATRICS
卷 49, 期 2, 页码 166-171出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/0009922809349161
关键词
necrotizing enterocolitis; clinical outcomes; medical versus surgical management
类别
资金
- Robert Garrett Fund for the Surgical Treatment of Children
Necrotizing enterocolitis (NEC) is the most common gastrointestinal emergency of the neonate. Previous information about this disease has largely been gathered from limited series. We analyzed 13 years of the National Inpatient Sample (NIS) and 3 years of the Kids' Inpatient Database (KID; 1997, 2000, 2003) to generate the most comprehensive profile of outcomes to date of medically versus surgically treated NEC. We identified 20 822 infants with NEC, of whom 15 419 (74.1%) and 5403 (25.9%) were undergoing medical and surgical management, respectively. Overall, surgical patients had greater length of stay, total hospital charges, and mortality. Among infants dying during admission, there was no significant difference in length of stay or charges between the medical and surgical groups. These findings highlight the need for developing a clinically relevant risk stratification tool to identify NEC patients at high risk for death.
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