{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T10:06:20Z","timestamp":1779789980667,"version":"3.53.1"},"reference-count":31,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T00:00:00Z","timestamp":1762128000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neonatal-Perinatal Medicine"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Preventable complicated outcomes and death from neonatal intestinal obstruction (NIO) need to be identified with insights into how to improve survival. This study aimed to evaluate the incidence and predictors of early postoperative morbidity and mortality (EPMM) in NIO.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and methods<\/jats:title>\n                    <jats:p>Charts of neonates with NIO operated between 2013 and 2023 were reviewed. The primary outcomes were the incidence of EPMM within 30\u00a0days. The secondary outcomes were the evaluation of the relationship between explanatory variables and EPMM using univariate and multivariate logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 130 newborns were enrolled in the study. The most common etiology of NIO was anorectal malformations. Forty two patients (32.3%) presented associated congenital anomalies. The mean age at surgery was 4\u00a0days. The mean duration of the intervention was 105\u00a0min. The 30-day morbidity and mortality rates were, respectively, 36.5% and 23.1%. Sepsis was the most important postoperative complication. The independent risk factors of postoperative morbidity were the presence of associated malformations (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.011, OR = 2.728, CI [1.255\u20135.931]) and prolonged duration of surgery (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.039, OR = 2.361, CI [1.044\u20135.340]). The independent risk factors of early mortality were the low birth weight (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 10\u20133, OR = 5,907, CI [2241\u201315,574]) and the prolonged duration of surgery (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.009, OR = 3,643, CI [1381\u20139608]).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study underscores the high burden of EPMM in NIO from LICs. Sepsis, associated malformations, low birth weight, prematurity, and prolonged surgery were major contributors. Addressing these challenges through improved perioperative care, infection control, and healthcare infrastructure may improve outcomes in such settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19345798251394353","type":"journal-article","created":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T06:08:22Z","timestamp":1762236502000},"page":"396-403","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Early postoperative morbidity and mortality in neonatal intestinal obstruction: Predictors and challenges in a low-income country"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8129-0617","authenticated-orcid":false,"given":"Saloua","family":"Ammar","sequence":"first","affiliation":[{"name":"Hedi Chaker Hospital"},{"name":"University of Medicine of Sfax, University of Sfax"},{"name":"University of Sfax"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emna","family":"Krichen","sequence":"additional","affiliation":[{"name":"Hedi Chaker Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0296-7640","authenticated-orcid":false,"given":"Imen","family":"Sellami","sequence":"additional","affiliation":[{"name":"University of Medicine of Sfax, University of Sfax"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Kolsi","sequence":"additional","affiliation":[{"name":"Hedi Chaker Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiraz","family":"Rgaieg","sequence":"additional","affiliation":[{"name":"Hedi Chaker Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manel","family":"Kammoun","sequence":"additional","affiliation":[{"name":"University of Medicine of Sfax, University of Sfax"},{"name":"Hedi Chaker Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anouar","family":"Jarraya","sequence":"additional","affiliation":[{"name":"University of Medicine of Sfax, University of Sfax"},{"name":"Hedi Chaker Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amira","family":"Bouraoui","sequence":"additional","affiliation":[{"name":"Hedi Chaker Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nedia","family":"Hmida","sequence":"additional","affiliation":[{"name":"Hedi Chaker Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1768-3448","authenticated-orcid":false,"given":"Hayet","family":"Zitouni","sequence":"additional","affiliation":[{"name":"Hedi Chaker Hospital"},{"name":"University of Medicine of Sfax, University of Sfax"},{"name":"University of Sfax"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riadh","family":"Mhiri","sequence":"additional","affiliation":[{"name":"Hedi Chaker Hospital"},{"name":"University of Medicine of Sfax, University of Sfax"},{"name":"University of Sfax"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,3]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)00767-4"},{"key":"e_1_3_4_3_2","first-page":"117955652311967","article-title":"Etiology and outcome of intestinal obstruction in neonates: a 5-year investigation of admitted cases from a tertiary neonatal intensive care unit in northern Iran","volume":"17","author":"Farrokhani P","year":"2023","unstructured":"Farrokhani P, Farhadi R, Ala S, et al. 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