Near-infrared spectroscopy as a diagnostic tool for necrotizing enterocolitis in preterm infants

Autor: Martin, van der Heide, Jan B F, Hulscher, Arend F, Bos, Elisabeth M W, Kooi
Rok vydání: 2020
Předmět:
Zdroj: Pediatric research. 90(1)
ISSN: 1530-0447
Popis: We aimed to investigate whether splanchnic tissue oxygen saturation (rWe retrospectively included infants with suspected NEC, gestational age32 weeks and/or birth weight1200 g in the first 3 weeks after birth. We calculated mean rOf the 75 infants, 21 (28%) had NEC (Bell's stage ≥2). Characteristics of infants with and without NEC differed only on mechanical ventilation and nil-per-os status. RUsing NIRS, high SCOR may confirm NEC and high variability of rNear-infrared spectroscopy may contribute to the diagnosis of necrotizing enterocolitis. When clinical signs are present a high splanchnic-cerebral oxygenation may indicate necrotizing enterocolitis. A low splanchnic-cerebral oxygenation ratio and high variability of splanchnic tissue oxygen saturation may rule out necrotizing enterocolitis. Whether a bedside real-time availability of the splanchnic-cerebral oxygenation ratio and variability of splanchnic tissue oxygen saturation improves NEC diagnosis needs to be further investigated.
Databáze: OpenAIRE