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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1989-10-12
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pubmed:abstractText |
Necrotizing enterocolitis (NEC), a disease associated with prematurity, carries a significant morbidity and mortality. This study was designed to evaluate our progress in dealing with NEC both medically and surgically in a single large neonatal intensive care unit (NICU). We also sought to confirm the relation of birth weight and particular indications for operation to outcome. Over 6 1/2 years, there were 7,807 admissions to a large NICU. Though there has been a steady increase in total admissions, especially of infants weighing less than 1,000 gm, survival has improved significantly in all groups (mean 89.1%). NEC occurred in 358 infants (4.6%), and 115 (32%) required surgical intervention. Infants weighing between 751 and 1,000 gm had the highest incidence of NEC. There has been a significant decrease in the mortality of both medically and surgically treated infants with NEC; in both cases, this decrease is weight-dependent. We found that using erythema and edema of the abdominal wall and a fixed-loop roentgenographic pattern as early indicators of necrotic bowel significantly improves survival in surgically treated infants.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0038-4348
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
82
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1103-7
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2772678-Acute Disease,
pubmed-meshheading:2772678-Birth Weight,
pubmed-meshheading:2772678-Combined Modality Therapy,
pubmed-meshheading:2772678-Emergencies,
pubmed-meshheading:2772678-Enterocolitis, Pseudomembranous,
pubmed-meshheading:2772678-Evaluation Studies as Topic,
pubmed-meshheading:2772678-Hospitals, District,
pubmed-meshheading:2772678-Humans,
pubmed-meshheading:2772678-Infant, Low Birth Weight,
pubmed-meshheading:2772678-Infant, Newborn,
pubmed-meshheading:2772678-Infant, Premature, Diseases,
pubmed-meshheading:2772678-Intensive Care Units, Neonatal,
pubmed-meshheading:2772678-Retrospective Studies,
pubmed-meshheading:2772678-Tennessee
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pubmed:year |
1989
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pubmed:articleTitle |
Necrotizing enterocolitis: improving survival within a single facility.
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pubmed:affiliation |
Department of Pediatric Surgery, LeBonheur Children's Medical Center, Memphis.
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pubmed:publicationType |
Journal Article,
Comparative Study
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