Necrotizing Enterocolitis and Focal Intestinal Perforation in Neonatal Intensive Care Units in the State of Baden-Württemberg, Germany

Böhler, Thomas; Bruder, Ingo; Ruef, Peter; Arand, Jörg; Teufel, Manfred; Mohrmann, Matthias; Hentschel, Roland

doi:10.4081/pr.2014.5194

Open AccessArticle

Necrotizing Enterocolitis and Focal Intestinal Perforation in Neonatal Intensive Care Units in the State of Baden-Württemberg, Germany

by

Thomas Böhler

^1,*,

Ingo Bruder

¹,

Peter Ruef

¹,

Jörg Arand

¹,

Manfred Teufel

¹,

Matthias Mohrmann

¹ and

Roland Hentschel

¹

Medical Service of Statutory Health Insurance in Baden-Württemberg, Karlsruhe, Germany

²

Regional Office for Quality Assurance in Hospitals, Hospital Federation Baden-Württemberg, Stuttgart, Germany

³

Childrens' Hospital, SLK- Klinikum, Heilbronn, Germany

⁴

Department of Neonatology, Children’s Hospital, University of Tübingen, Tübingen, Germany

⁵

Childrens' Hospital, Böblingen, Germany

⁶

Medical Service of Statutory Health Insurance in Baden-Württemberg, Lahr, Germany

⁷

Department of Neonatology, Children’s Hospital, University of Freiburg, Freiburg, Germany

^*

Author to whom correspondence should be addressed.

Pediatr. Rep. 2014, 6(1), 5194; https://doi.org/10.4081/pr.2014.5194

Submission received: 6 December 2013 / Revised: 11 January 2014 / Accepted: 12 January 2014 / Published: 17 February 2014

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Abstract

In preterm infants with very low birth weight (VLBW) <1500 g the most important acquired intestinal diseases are necrotising enterocolitis (NEC) and focal intestinal perforation (FIP). We analyzed data of the neonatology module of national external comparative quality assurance for inpatients in the state of Baden-Württemberg, Germany. Between 2010 and 2012, 59 of 3549 VLBW infants developed FIP (1.7%), 128 of them NEC (3.6%). In approximately 3% of infants with BW<1000 g FIP was diagnosed, which was nearly 9 times more often than in infants with BW between 1250 and 1499 g (FIP frequency 0.36%). NEC frequency increased with decreasing BW and was more than 10 times higher in the smallest infants (BW<750 g: 7.87%) compared to those with BW between 1250 and 1499 g (0.72%). The BW limit of 1250 g differentiates between groups of patients with distinguished risks for NEC and FIP.

Keywords: neonatology; pediatric surgery; quality assurance; German Federal Joint Commission; extremely low birth weight infants

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MDPI and ACS Style

Böhler, T.; Bruder, I.; Ruef, P.; Arand, J.; Teufel, M.; Mohrmann, M.; Hentschel, R. Necrotizing Enterocolitis and Focal Intestinal Perforation in Neonatal Intensive Care Units in the State of Baden-Württemberg, Germany. Pediatr. Rep. 2014, 6, 5194. https://doi.org/10.4081/pr.2014.5194

AMA Style

Böhler T, Bruder I, Ruef P, Arand J, Teufel M, Mohrmann M, Hentschel R. Necrotizing Enterocolitis and Focal Intestinal Perforation in Neonatal Intensive Care Units in the State of Baden-Württemberg, Germany. Pediatric Reports. 2014; 6(1):5194. https://doi.org/10.4081/pr.2014.5194

Chicago/Turabian Style

Böhler, Thomas, Ingo Bruder, Peter Ruef, Jörg Arand, Manfred Teufel, Matthias Mohrmann, and Roland Hentschel. 2014. "Necrotizing Enterocolitis and Focal Intestinal Perforation in Neonatal Intensive Care Units in the State of Baden-Württemberg, Germany" Pediatric Reports 6, no. 1: 5194. https://doi.org/10.4081/pr.2014.5194

APA Style

Böhler, T., Bruder, I., Ruef, P., Arand, J., Teufel, M., Mohrmann, M., & Hentschel, R. (2014). Necrotizing Enterocolitis and Focal Intestinal Perforation in Neonatal Intensive Care Units in the State of Baden-Württemberg, Germany. Pediatric Reports, 6(1), 5194. https://doi.org/10.4081/pr.2014.5194

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Necrotizing Enterocolitis and Focal Intestinal Perforation in Neonatal Intensive Care Units in the State of Baden-Württemberg, Germany

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