December 2014. Volume 10. Number 4

A validated risk scale of necrotizing enterocolitis but with limitations

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Gephart SM, Spitzer AR, Effken JA, Dodd E, Halpern M, McGrath JM. Discrimination of GutCheck(NEC): a clinical risk index for necrotizing enterocolitis. J Perinatol. 2014;34:468-75.
Reviewers: Ochoa Sangrador C1, Andrés de Llano JM2.
1Servicio de Pediatría. Hospital Virgen de la Concha. Zamora. España.
2Servicio de Pediatría. Hospital General del Río Carrión. Palencia. España.
Correspondence: Carlos Ochoa Sangrador. Email: cochoas2@gmail.com
Reception date: 19/08/2014
Acceptance date: 25/08/2014
Publication date: 01/10/2014

Abstract

Authors' conclusions: the necrotizing enterocolitis risk index GutCheckNEC gets an acceptable performance for surgical cases which need surgery or those who die but the accuracy is not so good for other cases.

Reviewers' commentary: this predictive scale can help to quantify the risk of necrotizing enterocolitis in our patients, although the important weight in the scale of the level of risk of the participating centers may limit its applicability. The scale has been validated but its clinical usefulness has not been assessed. Checking the protective role of breast milk and probiotics has practical interest; current evidence does not justify ignoring these interventions in our NICUs.

How to cite this article

Ochoa Sangrador C, Andrés de Llano JM. Una escala de riesgo de enterocolitis necrotizante validada pero con limitaciones. Evid Pediatr. 2014;10:61.

AVC | Critically appraised articles

Gephart SM, Spitzer AR, Effken JA, Dodd E, Halpern M, McGrath JM. Discrimination of GutCheck(NEC): a clinical risk index for necrotizing enterocolitis. J Perinatol. 2014;34:468-75.
Reviewers: Ochoa Sangrador C1, Andrés de Llano JM2.
1Servicio de Pediatría. Hospital Virgen de la Concha. Zamora. España.
2Servicio de Pediatría. Hospital General del Río Carrión. Palencia. España.
Correspondence: Carlos Ochoa Sangrador. Email: cochoas2@gmail.com
Reception date: 19/08/2014
Acceptance date: 25/08/2014
Publication date: 01/10/2014

How to cite this article

Ochoa Sangrador C, Andrés de Llano JM. Una escala de riesgo de enterocolitis necrotizante validada pero con limitaciones. Evid Pediatr. 2014;10:61.

References

  1. Abdullah F, Zhang Y, Camp M, Mukherjee D, Gabre-Kidan A, Colombani PM, et al. Necrotizing enterocolitis in 20,822 infants: analysis of medical and surgical treatments. Clin Pediatr (Phila). 2010;49:166-71.
  2. Quigley M, McGuire W. Formula versus donor breast milk for feeding preterm or low birth weight infants. Cochrane Database Syst Rev. 2014;4:CD002971.
  3. AlFaleh K, Anabrees J. Probiotics for prevention of necrotizing enterocolitis in preterm infants. Cochrane Database Syst Rev. 2014;4:CD005496.
  4. Ji J, Ling XB, Zhao Y, Hu Z, Zheng X, Xu Z, et al. A data-driven algorithm integrating clinical and laboratory features for the diagnosis and prognosis of necrotizing enterocolitis. PLoS One. 2014;9:e89860.
01/10/2014

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