{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T09:37:11Z","timestamp":1785404231924,"version":"3.56.0"},"reference-count":37,"publisher":"Cambridge University Press (CUP)","issue":"11","license":[{"start":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T00:00:00Z","timestamp":1761523200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1047951125110068_as1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Patients with CHD are at risk for developing necrotising enterocolitis. Currently, no standardised approaches for identification, diagnosis, and treatment of necrotising enterocolitis exists, and there are varying rates and management strategies of necrotising enterocolitis across centres. We used the Paediatric Cardiac Critical Care Consortium to identify high- and low-performing centres based on necrotising enterocolitis rates and convened a necrotising enterocolitis working group. The aims of the group were to understand why variability exists, identify risk factors, and create a foundation for a prospective improvement project.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951125110068_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Nine centres participated, and collaborative learning sessions were held with multidisciplinary input. REDCap surveys were disseminated to centres to create consensus among site practices and recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951125110068_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The following topics were discussed: diagnosis, risk factors, and management. Diagnosis consensus suggests (1) Diagnosis would benefit from a comprehensive scoring tool, and (2) ultrasound may serve as a highly sensitive diagnostic tool for those at high risk with the absence of other radiologic findings of necrotising enterocolitis. Risk factor consensus suggests (1) those with ductal-dependent systemic blood flow are the highest risk, and (2) vasopressors with splanchnic constriction should be used with caution. Management consensus suggests (1) breastmilk be used first-line for feeding, 2) resume feeds 24\u201348 hours after a necrotising enterocolitis rule-out, and 3) surgical deference to physical examination and laboratory evaluation above radiographic findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951125110068_as4\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Variability exists in diagnosing necrotising enterocolitis and feeding approaches for at-risk patients. Opportunities exist for collaboration to standardise definitions, compare outcomes, identify risk factors, and create consensus on the management of necrotising enterocolitis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1047951125110068","type":"journal-article","created":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T07:28:14Z","timestamp":1761550094000},"page":"2291-2296","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Key learning points from a CHD necrotising enterocolitis learning collaborative across high- and low-performing centres"],"prefix":"10.1017","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9965-4105","authenticated-orcid":false,"given":"Hani","family":"Siddeek","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03r0ha626","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1659-6884","authenticated-orcid":false,"given":"Jamie M.","family":"Furlong-Dillard","sequence":"additional","affiliation":[{"name":"Norton Children\u2019s Hospital\/University of Louisville"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David K.","family":"Bailly","sequence":"additional","affiliation":[{"name":"University of Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Briceno-Medina","sequence":"additional","affiliation":[{"name":"Le Bonheur Children\u2019s Hospital - University of Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah U.","family":"Frank","sequence":"additional","affiliation":[{"name":"University of Virginia Health Children\u2019s"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Hogan","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon","family":"Kirkland","sequence":"additional","affiliation":[{"name":"University of Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura A.","family":"Ortmann","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piyagarnt","family":"Vichayavilas","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6851-2588","authenticated-orcid":false,"given":"Jeffrey G.","family":"Weiner","sequence":"additional","affiliation":[{"name":"Monroe Carell Jr Children\u2019s Hospital at Vanderbilt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4356-2957","authenticated-orcid":false,"given":"Melissa","family":"Winder","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03r0ha626","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin E.","family":"Gordon","sequence":"additional","affiliation":[{"name":"Advocate Children\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin L.","family":"Hummel","sequence":"additional","affiliation":[{"name":"Phoenix Children\u2019s"},{"name":"University of Arizona College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,10,27]]},"reference":[{"key":"S1047951125110068_ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-021-02691-1"},{"key":"S1047951125110068_ref7","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2022.1024566"},{"key":"S1047951125110068_ref5","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197801000-00001"},{"key":"S1047951125110068_ref24","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951117002815"},{"key":"S1047951125110068_ref16","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1390349"},{"key":"S1047951125110068_ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-021-05187-5"},{"key":"S1047951125110068_ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2018.09.008"},{"key":"S1047951125110068_ref9","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1005408"},{"key":"S1047951125110068_ref29","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2016.09.020"},{"key":"S1047951125110068_ref8","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2018.00312"},{"key":"S1047951125110068_ref37","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-008613"},{"key":"S1047951125110068_ref25","doi-asserted-by":"publisher","DOI":"10.1038\/s41372-020-0722-1"},{"key":"S1047951125110068_ref3","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951122001871"},{"key":"S1047951125110068_ref2","first-page":"1","article-title":"Cardiogenic necrotizing enterocolitis in infants with congenital heart disease: a systematic review and meta-analysis","author":"Asztalos","year":"2024","journal-title":"Pediatr Cardiol 2024"},{"key":"S1047951125110068_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"S1047951125110068_ref26","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-3216"},{"key":"S1047951125110068_ref17","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-11002-0016"},{"key":"S1047951125110068_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2020.01.027"},{"key":"S1047951125110068_ref10","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-023-03932-3"},{"key":"S1047951125110068_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2023.04.014"},{"key":"S1047951125110068_ref15","doi-asserted-by":"publisher","DOI":"10.4103\/apc.apc_30_21"},{"key":"S1047951125110068_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2018.07.004"},{"key":"S1047951125110068_ref27","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2020.00257"},{"key":"S1047951125110068_ref36","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2021.0334"},{"key":"S1047951125110068_ref14","doi-asserted-by":"publisher","DOI":"10.1159\/000506866"},{"key":"S1047951125110068_ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-023-03117-w"},{"key":"S1047951125110068_ref6","doi-asserted-by":"publisher","DOI":"10.6061\/clinics\/2021\/e1816"},{"key":"S1047951125110068_ref20","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-11002-0005"},{"key":"S1047951125110068_ref21","doi-asserted-by":"publisher","DOI":"10.1053\/j.sempedsurg.2017.11.009"},{"key":"S1047951125110068_ref18","doi-asserted-by":"publisher","DOI":"10.1542\/peds.106.5.1080"},{"key":"S1047951125110068_ref30","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7211180"},{"key":"S1047951125110068_ref32","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951112001370"},{"key":"S1047951125110068_ref23","doi-asserted-by":"publisher","DOI":"10.3390\/nu13030932"},{"key":"S1047951125110068_ref31","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2009.10.069"},{"key":"S1047951125110068_ref35","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000582"},{"key":"S1047951125110068_ref33","doi-asserted-by":"publisher","DOI":"10.1097\/01.PCC.0000225371.10446.8F"},{"key":"S1047951125110068_ref34","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0b013e318198b167"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951125110068","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T03:30:13Z","timestamp":1764559813000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951125110068\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,27]]},"references-count":37,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["S1047951125110068"],"URL":"https:\/\/doi.org\/10.1017\/s1047951125110068","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,27]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike licence (https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the same Creative Commons licence is used to distribute the re-used or adapted article and the original article is properly cited. The written permission of Cambridge University Press must be obtained prior to any commercial use.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}