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 1 | Center 2 | p-value | (n=18) | (n=6) |
| Gestational age (weeks) as median, mean ± SD | 25 (24.9; 1.54) | 27.5 (27.35; 3.98) | 0.04 |
| Birth weight (gram) as median mean ± SD | 759 (746.4; 230.7) | 775 (805; 362) | 0.65 |
| SGA (%) | 22.2 | 50.0 | 0.31 |
| Male gender (%) | 44.4 | 66.7 | 0.64 |
| Singletons (%) | 83.3 | 100 | 0.55 |
| Prenatal steroids (%) | 77.8 | 50.0 | 0.31 |
| Amnion infection synd. (%) | 25.0 | 33.3 | 0.99 |
| IVH (grade 3-4, %) | 12.5 | 33.3 | 0.29 |
| RPM (grade 3-4, %) | 26.7 | 33.3 | 0.99 |
| BPD (grade 2-3, %) | 46.2 | 16.7 | 0.60 |
| Death (%) | 22.2 | 0 | 0.28 |
| Time between NPO and first contact with surgeon (days) as mean ± SD | 1.824 (2.4) | 0.1667 (0.6) | 0.008 |
| Length of removed intestine (cm) as median, mean ± SD | 39 (49.96; 36.7) | 11 (19.5; 17.25) | 0.043 |
| Abdominal surgical procedures per patient as median, mean ± SD | 3 (2.6; 0.8281) | 2 (2.6; 0.8944) | 0.99 |
| Short bowel syndrome (%) | 38.9 | 0 | 0.03 |
| Exclusively human milk (%) | 27.7 | 33.3 | 0.99 |
| Human milk combined with formula (%) | 27.7 | 33.3 | 0.99 |
| Exclusively formula milk (%) | 44.4 | 33.3 | 0.99 |
| Amount of oral feeds in ml/kg/die (median, mean ± SD) | on day 5 | 46 (45.4; 20.3) | 42.5 (41.7; 39.53) | 0.74 | on day 10 | 78 (73.3; 45.7) | 82.5 (82.5; 67.3) | 0.73 | on day 15 | 71 (62.5; 71.6) | 72 (84.5; 61.1) | 0.33 |
| Prophylaxis with probiotics (%) on day 14 of life | 76,5 | 83,3 | 0.99 |
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