From: Lipid enemas for meconium evacuation in preterm infants – a retrospective cohort study
(I) Variable enemas (n = 201) | (II) Lipid enemas (n = 141) | (III) No enemas (n = 57) | P-values | |
---|---|---|---|---|
Focal intestinal perforation | ||||
FIP rate | 24/201 (11.9%) | 9/141 (6.4%) | 0/57(0.0%) | I vs. II 0.09 I vs. III < 0.01 II vs. III 0.06 |
Diagnosis of FIP (DOL) | 6 (2–20) | 12 (5–21) | – | I vs. II 0.23 I vs. III - II vs. III - |
Location of FIP | ||||
- Terminal ileum | 19/24 (79.2%) | 5/9 (55.6%) | – | I vs. II 0.04 |
- Colon | 3/24 (12.5%) | 4/9 (44.4%) | – | I vs. III 0.39 |
- Not specified or no surgical treatment | 2/24 (8.3%) | 0 | – | |
Necrotizing enterocolitis and sepsis | ||||
NEC rate | 6/201 (3.0%) | 11/141 (7.8%) | 2/57 (3.5%) | I vs. II 0.04 I vs. III 0.84 II vs. III 0.35 |
Diagnosis of NEC (DOL) | 12.5 (6–46) | 7 (3–44) | 7 (4–10) | I vs. II 0.59 I vs. III 0.29 II vs. III 0.51 |
Diagnosis of ≥1 sepsis | 37/201 (18.4%) | 19/141 (13.5%) | 8/57 (14.0%) | I vs. II 0.23 I vs. III 0.44 II vs. III 0.92 |
Stooling pattern and sum of enemas | ||||
First meconium (DOL) | 1 (1–2) | 2 (1–5) | 1 (1–3) | I vs. II < 0.01 I vs. III 0.24 II vs. III < 0.01 |
First transitional stool (DOL) | 5 (2–14) | 5 (3–16) | 5 (2–9) | I vs. II 0.04 I vs. III 0.06 II vs. III < 0.01 |
First normal stool (DOL) | 7 (4–20) | 7 (5–20) | 6.5 (5–16) | I vs. II < 0.01 I vs. III 0.97 II vs. III < 0.01 |
Sum of stools until first normal stool | 20 (9–59) | 19 (6–57) | 20 (9–38) | I vs. II 0.19 I vs. III 0.64 II vs. III 0.62 |
Sum of enemas until first normal stool | 10 (2–41) | 3 (1–22) | 0 | I vs. II < 0.01 I vs. III < 0.01 II vs. III < 0.01 |
Enteral and parenteral nutrition | ||||
Days from birth to full enteral feeds | 7 (5–110) | 7 (5–47) | 6 (4–98) | I vs. II 0.05 I vs. III < 0.01 II vs. III < 0.01 |
Enteral intake on the 14th day of life (ml) | 154 (0–186) | 154 (0–186) | 157 (100–175) | I vs. II 0.66 I vs. III 0.34 II vs. III 0.53 |
Days from birth with IV line for PN | 7 (5–109) | 7 (5–79) | 6 (5–98) | I vs. II 0.13 I vs. III < 0.01 II vs. III < 0.01 |
N Infants with central IV lines | 97/201 (48.3%) | 79/141 (56.0%) | 18/57 (31.6%) | I vs. II 0.16 I vs. III 0.03 II vs. III < 0.01 |
Total days with central IV lines | 8 (1–109) | 8 (1–163) | 6.5 (1–32) | I vs. II 0.27 I vs. III 0.01 II vs. III < 0.01 |