Enterocolite necrosante: experiência de catorze anos
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.4/1657 |
Resumo: | Backgound: Necrotizing enterocolitis ((NEC) is one of most frequent gastrointestinal emergencies in the neonatal period. Aims: To evaluate the incidência, epidemiology, risk factors and clinical outcomes of newborns with necrotizing enterocolitis admitted to a Level III Neonatal Intensive Care Unit (NICU) . Methods: Casuistic review of newborns with NEC adtmitted to a level III unit, from January 1995 to 31 December 2008. Results: Thirty nine patients were diagnosed: 0,8‰ of live birth, 1% of NICU admissions, 4% of very low birth weight (VLBW) and 9,5% of extremely low birth weight (ELBW) infants. Thirty eight (97%) were preterm and 85% had a gestational age (GA) of 31 weeks or less. Birth weight and GA were 1136±725g and 27,9±3,5 weeks. The prevalence for light for gestational age status was 20,5%. Forty four had blood transfusion and 36% received indomethacin treatment. Enteral feeding was started before the diagnosis of NEC in 37 (95%) newborns and 59% had breast milk feeding. NEC stage III occurred in 24 (61,5%), 67% of those had progression of milk intake < 20mg/Kg/d and 83% had rapid progression of milk intake (p=0,43). Nineteen (48,7%) were submitted to surgical intervention. The letality rate was 31%, 50% of NEC stage IIIB and 21,0% of surgical cases. Intestinal strictures and short bowel syndrome occurred in 2 cases, respectively. Conclusions: The incidence of NEC was 0,8‰ live births and 4% in VLBW. It is not possible to conclude about differences in incidence and severity of NEC with the rate of progression of milk intake. |
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Enterocolite necrosante: experiência de catorze anosEnterocolite NecrosanteRecém-NascidoBackgound: Necrotizing enterocolitis ((NEC) is one of most frequent gastrointestinal emergencies in the neonatal period. Aims: To evaluate the incidência, epidemiology, risk factors and clinical outcomes of newborns with necrotizing enterocolitis admitted to a Level III Neonatal Intensive Care Unit (NICU) . Methods: Casuistic review of newborns with NEC adtmitted to a level III unit, from January 1995 to 31 December 2008. Results: Thirty nine patients were diagnosed: 0,8‰ of live birth, 1% of NICU admissions, 4% of very low birth weight (VLBW) and 9,5% of extremely low birth weight (ELBW) infants. Thirty eight (97%) were preterm and 85% had a gestational age (GA) of 31 weeks or less. Birth weight and GA were 1136±725g and 27,9±3,5 weeks. The prevalence for light for gestational age status was 20,5%. Forty four had blood transfusion and 36% received indomethacin treatment. Enteral feeding was started before the diagnosis of NEC in 37 (95%) newborns and 59% had breast milk feeding. NEC stage III occurred in 24 (61,5%), 67% of those had progression of milk intake < 20mg/Kg/d and 83% had rapid progression of milk intake (p=0,43). Nineteen (48,7%) were submitted to surgical intervention. The letality rate was 31%, 50% of NEC stage IIIB and 21,0% of surgical cases. Intestinal strictures and short bowel syndrome occurred in 2 cases, respectively. Conclusions: The incidence of NEC was 0,8‰ live births and 4% in VLBW. It is not possible to conclude about differences in incidence and severity of NEC with the rate of progression of milk intake.Sociedade Portuguesa de PediatriaRIHUCPaul, AFerreira, SResende, CFaria, D2014-03-18T17:09:01Z20122012-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.4/1657porActa Pediatr Port 2012;43(4):145-9info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-11T14:22:55Zoai:rihuc.huc.min-saude.pt:10400.4/1657Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:04:07.934060Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Enterocolite necrosante: experiência de catorze anos |
title |
Enterocolite necrosante: experiência de catorze anos |
spellingShingle |
Enterocolite necrosante: experiência de catorze anos Paul, A Enterocolite Necrosante Recém-Nascido |
title_short |
Enterocolite necrosante: experiência de catorze anos |
title_full |
Enterocolite necrosante: experiência de catorze anos |
title_fullStr |
Enterocolite necrosante: experiência de catorze anos |
title_full_unstemmed |
Enterocolite necrosante: experiência de catorze anos |
title_sort |
Enterocolite necrosante: experiência de catorze anos |
author |
Paul, A |
author_facet |
Paul, A Ferreira, S Resende, C Faria, D |
author_role |
author |
author2 |
Ferreira, S Resende, C Faria, D |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
RIHUC |
dc.contributor.author.fl_str_mv |
Paul, A Ferreira, S Resende, C Faria, D |
dc.subject.por.fl_str_mv |
Enterocolite Necrosante Recém-Nascido |
topic |
Enterocolite Necrosante Recém-Nascido |
description |
Backgound: Necrotizing enterocolitis ((NEC) is one of most frequent gastrointestinal emergencies in the neonatal period. Aims: To evaluate the incidência, epidemiology, risk factors and clinical outcomes of newborns with necrotizing enterocolitis admitted to a Level III Neonatal Intensive Care Unit (NICU) . Methods: Casuistic review of newborns with NEC adtmitted to a level III unit, from January 1995 to 31 December 2008. Results: Thirty nine patients were diagnosed: 0,8‰ of live birth, 1% of NICU admissions, 4% of very low birth weight (VLBW) and 9,5% of extremely low birth weight (ELBW) infants. Thirty eight (97%) were preterm and 85% had a gestational age (GA) of 31 weeks or less. Birth weight and GA were 1136±725g and 27,9±3,5 weeks. The prevalence for light for gestational age status was 20,5%. Forty four had blood transfusion and 36% received indomethacin treatment. Enteral feeding was started before the diagnosis of NEC in 37 (95%) newborns and 59% had breast milk feeding. NEC stage III occurred in 24 (61,5%), 67% of those had progression of milk intake < 20mg/Kg/d and 83% had rapid progression of milk intake (p=0,43). Nineteen (48,7%) were submitted to surgical intervention. The letality rate was 31%, 50% of NEC stage IIIB and 21,0% of surgical cases. Intestinal strictures and short bowel syndrome occurred in 2 cases, respectively. Conclusions: The incidence of NEC was 0,8‰ live births and 4% in VLBW. It is not possible to conclude about differences in incidence and severity of NEC with the rate of progression of milk intake. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012 2012-01-01T00:00:00Z 2014-03-18T17:09:01Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.4/1657 |
url |
http://hdl.handle.net/10400.4/1657 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Acta Pediatr Port 2012;43(4):145-9 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Pediatria |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Pediatria |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799131704076533760 |