[Risk factors related to mortality in newborns with stage III necrosing enterocolitis].
BACKGROUND
The aim of this study was to identify risk factors associated to mortality in newborn stage III necrotizing enterocolitis (NEC III).


METHODS
Neonatal Intensive Care Unit (NICU) at the Hospital de Pediatría CMN Siglo XXI IMSS; Mexico City.


METHODS
Twenty one clinical records were analyzed. A case-control study was realized from patients admitted in the NICU from January to November 1997.


RESULTS
Two cases were excluded. The 19 that remained had 52% mortality. They were ten cases and nine controls. They were no significant differences between both groups in gestational age, birth weight, breast or formula feeding, neither X-rays nor whíte blood cells and platelet counts showed differences, except in band-count increase. Anterior abdominal wall celullitis and gut perforation, both had significative differences (p = 0.01); also shock and acute renal failure had an odds ratio of 11.2 and 72, respectively.


CONCLUSIONS
The NEC mortality in this study is similar to previous communications; nevertheless, the gestational age of these patients is greater than the literature reports. The most significant risk factors found in this paper in relationship to mortality were shock and acute renal failure; both had a high odds ratio.
Rivera-Moreno
M A
MA
Unidad de Cuidados Intensivos Neonatales (UCIN), Hospital de Pediatría (HP) CMN SXXI. IMSS, México D.F.
Mercado-Arellano
J A
JA
Ulloa-Ricardez
A
A
Franco-Gutiérrez
M
M
D058186:Acute Kidney Injury / Q000209:etiology; D016022:Case-Control Studies; D020345:Enterocolitis, Necrotizing / Q000150:complications / Q000401:mortality* / Q000473:pathology; D006801:Humans; D007231:Infant, Newborn; D012307:Risk Factors
Factores de riesgo relacionados a la mortalidad en recién nacidos con enterocolitis necrosante (ECN) estadio III.