Research Article

Bowel Perforation in Premature Infants with Necrotizing Enterocolitis: Risk Factors and Outcomes

Table 1

General characteristics in NEC infants with and without bowel perforation.

Perforated NEC group ()Nonperforated NEC group ()

Gestational age (weeks)31.52 ± 2.3133.49 ± 2.570.03
Body weight (g)1550 ± 550.251967.87 ± 518.980.03
Male5 (50.00)30 (63.83)0.65
SGA3 (30.00)7 (14.80)0.49
Twin pregnancy5 (50.00)13 (27.60)0.31
Low Apgar score1 (10.00)5 (10.60)1.00
In utero fetal distress1 (10.00)3 (6.30)0.55
Cesarean section6 (60.00)30 (63.80)1.00
Maternal diseases4 (40.00)17 (36.1)1.00
SNAP-II8.38 ± 4.758.14 ± 6.830.09
SNAPPE-II12.88 ± 9.0213.05 ± 9.960.96

Note: data were expressed as mean ± SD; data were expressed as the number (percentage within the group); defined as 5-minute Apgar score <7; compared to the nonperforated NEC group.
NEC, necrotizing enterocolitis; SGA, small for gestational age; SNAP, Score for Neonatal Acute Physiology; SNAPPE-II, SNAP-Perinatal Extension-II.
Among the NEC group with perforation, 4 cases gave up treatment (all the 4 cases died according to our follow-up by telephone call), while in the NEC group without perforation, 9 cases gave up treatment due to economic reasons (6 died and 3 survived).