Research Article

Impact of an In-House Pediatric Surgery Unit and Human Milk Centered Enteral Nutrition on Necrotizing Enterocolitis

Table 4

Mortality and morbidity of neonates who underwent surgery due to necrotizing enterocolitis.

Center 1Center 2p-value
(n=18)(n=6)

Gestational age (weeks) as median, mean ± SD25 (24.9; 1.54)27.5 (27.35; 3.98)0.04

Birth weight (gram) as median mean ± SD759 (746.4; 230.7)775 (805; 362)0.65

SGA (%)22.250.00.31

Male gender (%)44.466.70.64

Singletons (%)83.31000.55

Prenatal steroids (%)77.850.00.31

Amnion infection synd. (%)25.033.30.99

IVH (grade 3-4, %)12.533.30.29

RPM (grade 3-4, %)26.733.30.99

BPD (grade 2-3, %)46.216.70.60

Death (%)22.200.28

Time between NPO and first contact with surgeon (days) as mean ± SD1.824 (2.4)0.1667 (0.6)0.008

Length of removed intestine (cm) as median, mean ± SD39 (49.96; 36.7)11 (19.5; 17.25)0.043

Abdominal surgical procedures per patient as median, mean ± SD3 (2.6; 0.8281)2 (2.6; 0.8944)0.99

Short bowel syndrome (%)38.900.03

Exclusively human milk (%)27.733.30.99

Human milk combined with formula (%)27.733.30.99

Exclusively formula milk (%)44.433.30.99

Amount of oral feeds in ml/kg/die (median, mean ± SD)on day 546 (45.4; 20.3)42.5 (41.7; 39.53)0.74
on day 1078 (73.3; 45.7)82.5 (82.5; 67.3)0.73
on day 1571 (62.5; 71.6)72 (84.5; 61.1)0.33

Prophylaxis with probiotics (%) on day 14 of life76,583,30.99