{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T05:43:39Z","timestamp":1747979019567,"version":"3.37.3"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"13","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:p>\n            Objective\u2003The aim of this study was to determine whether a regional quality improvement (QI) initiative decreased incidence and severity of surgical necrotizing enterocolitis (NEC) in very low birth weight (VLBW) infants.<\/jats:p><jats:p>\n            Study Design\u2003A retrospective review of all VLBW infants who received care at one of the three hospitals involved in a NEC QI initiative from 2011 to 2016. Primary outcome was the number of surgical NEC cases per year. Secondary outcomes included associated outcomes and mortality.<\/jats:p><jats:p>\n            Results\u2003Sixty-three infants with either a diagnosis of Stage III NEC (n\u2009=\u200940) or spontaneous intestinal perforation (SIP) (n\u2009=\u200923) were included. The incidence of medical and surgical NEC and the mortality rate of infants with surgical NEC decreased over time. Incidence and mortality of SIP did not significantly change.<\/jats:p><jats:p>\n            Conclusion\u2003A regional QI bundle to reduce the overall incidence of NEC also significantly decreased the incidence of surgical NEC and all-cause mortality of infants diagnosed with surgical NEC.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/s-0040-1712967","type":"journal-article","created":{"date-parts":[[2020,6,8]],"date-time":"2020-06-08T23:19:45Z","timestamp":1591658385000},"page":"1386-1392","source":"Crossref","is-referenced-by-count":4,"title":["Quality Improvement Efforts Reduce Incidence of Surgical Necrotizing Enterocolitis and Related Deaths"],"prefix":"10.1055","volume":"38","author":[{"given":"Gillian R.","family":"Goddard","sequence":"additional","affiliation":[{"name":"Division of Pediatric and General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2592-8046","authenticated-orcid":false,"given":"Kera","family":"McNelis","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Cincinnati, College of Medicine, Cincinnati, Ohio"},{"name":"Division of Neonatology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Poindexter","sequence":"additional","affiliation":[{"name":"Division of Pediatric and General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio"},{"name":"Department of Pediatrics, University of Cincinnati, College of Medicine, Cincinnati, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Todd","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Division of Pediatric and General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio"},{"name":"Department of Pediatrics, University of Cincinnati, College of Medicine, Cincinnati, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline","family":"Wessel","sequence":"additional","affiliation":[{"name":"Division of Pediatric and General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy T.","family":"Nathan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Cincinnati, College of Medicine, Cincinnati, Ohio"},{"name":"Division of Neonatology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael A.","family":"Helmrath","sequence":"additional","affiliation":[{"name":"Division of Pediatric and General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio"},{"name":"Department of Pediatrics, University of Cincinnati, College of Medicine, Cincinnati, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brenda","family":"Poindexter","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Cincinnati, College of Medicine, Cincinnati, Ohio"},{"name":"Division of Neonatology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,6,8]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1053\/j.semperi.2016.09.020","article-title":"Surgical necrotizing enterocolitis","volume":"41","author":"J R Robinson","year":"2017","journal-title":"Semin Perinatol"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.siny.2013.10.001","article-title":"Necrotizing enterocolitis: the road to 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