{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T15:13:29Z","timestamp":1785338009636,"version":"3.55.0"},"reference-count":38,"publisher":"Georg Thieme Verlag KG","issue":"S 01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>\n            Objective\u2003This study aimed to assess whether bedside ultrasound (BUS) as the first imaging modality allows an earlier diagnosis of necrotizing enterocolitis (NEC) compared with abdominal radiography.<\/jats:p><jats:p>\n            Study Design\u2003A before\u2013after controlled study in preterm infants with suspected NEC. The intervention group (October 2019\u2013October 2021) received BUS as the first imaging modality and was managed accordingly to BUS findings. The control group (October 2015\u2013September 2019) received radiography as the first imaging modality. The main outcome was NEC confirmation at the time of initial imaging. Secondary outcomes included time to diagnosis, laboratory data, and treatment requirements.<\/jats:p><jats:p>\n            Results\u2003Thirty-five episodes of suspected NEC with 14 (40%) confirmed NEC cases and 49 episodes of suspected NEC with 22 (44.9%) confirmed NEC cases were included in the intervention and control groups, respectively. In the intervention group, 11 of 14 (78.6%) NEC cases were confirmed at initial evaluation compared with 5 of 22 (22.7%) in the control group (p\u2009=\u20090.001). Infants in the intervention group developed thrombocytopenia and coagulopathy less frequently, were exposed to less radiation, and required less days of parenteral nutrition compared with the control group (p\u2009&lt;\u20090.05).<\/jats:p><jats:p>\n            Conclusion\u2003The use of BUS as the first imaging modality allowed an earlier diagnosis and timely treatment of NEC compared with abdominal radiography.<\/jats:p><jats:p>Key Points<\/jats:p>","DOI":"10.1055\/a-1925-1797","type":"journal-article","created":{"date-parts":[[2022,8,17]],"date-time":"2022-08-17T01:03:30Z","timestamp":1660698210000},"page":"e630-e640","source":"Crossref","is-referenced-by-count":4,"special_numbering":"S","title":["Bedside Ultrasound for Early Diagnosis of Necrotizing Enterocolitis: A Pilot Study"],"prefix":"10.1055","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9653-954X","authenticated-orcid":false,"given":"Ignacio","family":"Oulego-Erroz","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit, Complejo Asistencial Universitario de Le\u00f3n, Le\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0128-4215","authenticated-orcid":false,"given":"Javier","family":"Rodr\u00edguez-Fanjul","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit, Hospital Germans Trias i Pujol, Badalona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Terroba-Seara","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit, Complejo Asistencial Universitario de Le\u00f3n, Le\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clara","family":"Sorribes-Orti","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit, Hospital Germans Trias i Pujol, Badalona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Fernandez-Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Complejo Asistencial Universitario de Le\u00f3n, Le\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Fuentes-Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Complejo Asistencial Universitario de Le\u00f3n, Le\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1lvaro","family":"Pou-Bl\u00e1zquez","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Complejo Asistencial Universitario de Le\u00f3n, Le\u00f3n, 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