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Table 1 Basic characteristics of research and the evaluation of research quality

From: Factors influencing necrotizing enterocolitis in premature infants in China: a systematic review and meta-analysis

Author, year

Study area

Study time

Study type

Study population

NEC diagnostic criteria

Case group/ control group

Influencing factors

NOS score

Zeng, 2021 [24]

Sichuan

2011.1-2019.10

Case control

BW < 1500 g, Bell staging ≥ II

Adoption of modified BELL-NEC grading standards (1978)

30/467

â‘ â‘®

7

Cheng, 2016 [23]

Sichuan

2010.3-2015.3

Case control

GA < 34 weeks, Bell staging ≥ II

Practical Neonatology, 4th Revised Bell staging diagnostic criteria

66/132

①②③⑨⑫

8

Liu, 2019 [25]

Fujian

2012.1-2018.12

Case control

BW < 2500 g

Practical Neonatology, 4th Revised Bell staging diagnostic criteria

95/95

④⑦⑯

7

Shang, 2014 [26]

Sichuan

2011.8-2013.9

Case control

GA < 37 weeks, BW < 2500 g

Adoption of modified BELL-NEC grading standards (1978)

37/62

④⑨⑩

7

Sun, 2017 [27]

Shandong

2013.12-2016.9

Case control

GA < 37 weeks, BW < 2000 g

Practical Neonatology, 4th Revised Bell staging diagnostic criteria

37/60

②③⑤⑨⑩

8

Dong, 2021 [10]

Henan

2012.1-2019.11

Case control

GA < 32 weeks, Bell Staging II-III

Revised Bell Subdivision periodical standard (1986)

113/113

â‘ â‘©

7

Lu, 2022 [28]

Zhejiang

2018.1-2019.12

Case control

GA < 34weeks, BW < 1500 g, Bell staging ≥ II

Practical Neonatology, 5th Edition

52/52

②⑨⑬

6

Wang, 2022 [29]

Jilin

2011.1-2020.12

Case control

GA < 37weeks, Bell Staging II-III

Practical Neonatology, 5th Edition

298/300

②⑨

7

Li, 2019 [30]

Shanxi

2012.2-2018.11

Case control

GA < 37 weeks, BW < 2500 g

Practical Neonatology, 4th Revised Bell staging diagnostic criteria

25/175

③⑤⑥⑨⑩⑰

6

Lu, 2018 [31]

Guangxi

2013.1-2015.5

Case control

GA < 33weeks, Bell staging ≥ II

Practical Neonatology, 4th Revised Bell staging diagnostic criteria

50/50

①③⑨⑩⑪⑱

7

Lu, 2013 [32]

Jiangxi

2011.7-2013.4

Case control

GA < 37 weeks, BW < 2500 g

Refer to Avery’s diseases of the newborn the revised Bell marking criteria

54/57

①④⑰

6

Lu, 2015 [33]

Xamen

2008.1-2011.12

Case control

GA < 37 weeks, BW < 2500 g

Practical Neonatology, 4th Revised Bell staging diagnostic criteria

59/95

④⑨⑩

6

Qu, 2019 [34]

Guangdong

2013.6-2015.12

Case control

GA ≤ 32weeks

Practical Neonatology, 4th Revised Bell staging diagnostic criteria

65/130

①②③⑦⑧⑫

8

Shi, 2019 [35]

Shanxi

2015.1-2018.6

Case control

GA < 37 weeks, BW < 2500 g

Practical Neonatology, 4th Revised Bell staging diagnostic criteria

32/150

①②③⑦⑧⑩

7

Wang, 2014 [36]

Beijing

2010.10-2012.12

Case control

GA < 33weeks, Bell staging ≥ II

Adoption of modified BELL-NEC grading standards (1978)

49/121

â‘¢

7

Yu, 2018 [37]

Guizhou

2006.1-2015.12

Case control

BW < 2500 g

Practical Neonatology, 4th Revised Bell staging diagnostic criteria

146/146

①②⑨⑩⑪

7

Zhu, 2012 [38]

Jiangsu

2006.8-2011.4

Case control

BW < 1500 g, Bell staging ≥ II

Practical Neonatology, 4th Revised Bell staging diagnostic criteria

20/303

①⑪

8

Hou, 2017 [39]

Liaoning

2011.1-2016.1

Case control

GA < 37 weeks, BW < 2500 g

Practical Neonatology, 4th Revised Bell staging diagnostic criteria

76/80

①⑧⑨

7

Song, 2021 [40]

Henan

2012.1-2020.7

Case control

BW < 2500 g, Bell Staging II-III

Revised Bell Subdivision periodical standard (1986)

166/166

②⑱

9

Zhang, 2019 [41]

Sichuan

2013.1-2016.12

Case control

GA< 37weeks, BW 1 000 ~ 1 499 g

Practical Neonatology, 4th Revised Bell staging diagnostic criteria

33/33

①③⑩

8

Lu, 2017 [42]

Chongqing

2010.3-2015.3

Case control

GA < 37 weeks, BW < 2500 g, Bell staging ≥ II

Practical Neonatology, 4th Revised Bell staging /diagnostic criteria

66/132

①②③⑨⑫

9

Zhu, 2021 [43]

Anhui

2015.5-2020.1

Case control

BW ≥ 1000 g, < 1500 g, Bell staging ≥ II

Refer to Avery’s diseases of the newborn the revised Bell marking criteria

19/218

①⑨⑳

9

Huang, 2022 [44]

Chongqing

2008.1-2021.12

Case control

small for GA infant, prematurity, Bell staging ≥ II

Reference to the Vermont

Oxford Network’s revised diagnostic criteria based on Bell staging

140/280

①⑨⑬⑱

7

Liu, 2022 [11]

Neimenggu

2015.1-2021.12

Case control

GA < 32weeks

Reference Modification Bell Staging (1978)

77/577

①③⑮⑱

8

Yang, 2022 [45]

Beijing

2016.3-2020.6

Case control

GA < 37 weeks, BW < 2500 g,

Reference Modification Bell Staging (1978)

78/100

①⑬

8

Yang, 2018 [46]

Sichuan

2016.1-2016.12

Case control

GA < 37 weeks

Practical Neonatology, 4th, Revised Bell staging diagnostic criteria

22/407

⑧⑩⑬⑭

7

Zhuang, 2007 [47]

Fujian

2002.1-2005.5

Case control

GA < 37 weeks

Refer to Avery’s diseases of the newborn the revised Bell marking criteria

20/80

①⑨⑭

6

Li ,2020 [48]

Jiangsu

2014.5-2018.12

Case control

GA 32–37 weeks, BW < 2500 g

Reference to the U.S. Guidelines for the Management of Necrotizing Small Bowel Colitis in Very Low Birth Mass Children

57/30

②③⑯

7

Ma, 2021 [49]

Zhejiang

2017.9-2020.6

Case control

GA < 34weeks, Bell staging ≥ stage II

Reference Modification Bell Staging (1978)

54/106

⑥⑫

6

Deng, 2017 [50]

Sichuan

2014.1-2016.12

Case control

GA < 34weeks, Bell staging ≥ stage II

Practical Neonatology, 4th Revised Bell staging diagnostic criteria

54/108

①②③⑦⑬

6

Zhu, 2020 [51]

Hebei

2019.1-2019.9

Case control

GA < 37 weeks, BW < 2500 g

Practical Neonatology, 4th Revised Bell staging diagnostic criteria

38/462

①③④⑨⑩

8

Wang, 2017 [52]

Henan

2013.6-2016.6

Case control

GA < 37 weeks, BW < 2500 g

Practical Neonatology, 4th Revised Bell staging diagnostic criteria

58/36

①⑦⑨⑩

7

Wang, 2020 [53]

Henan

2010.1-2018.12

Case control

GA < 37 weeks, BW < 2500 g

Practical Neonatology, 4th Revised Bell staging diagnostic criteria

30/34

①④⑨⑩

6

Zhang, 2017 [54]

Guangdong

2013.1-2015.12

Case control

GA < 32 weeks

Reference Modification Bell Staging (1978)

61/376

①③⑩⑳

6

Chen, 2020 [55]

Chongqing

2010.1-2016.10

Cohort study

GA < 34 weeks, Bell staging ≥ stage II

Practical Neonatology, 4th Revised Bell staging diagnostic criteria

30/150

①⑲

8

Tan, 2022 [56]

Sichuan

2019.1-2021.6

Cohort study

1500 g < BW < 2500 g

Practical Neonatology, 4th Revised Bell staging diagnostic criteria

68/124

①②⑩⑪

9

Yu, 2023 [12]

Hainan

2014.1-2021.12

Case control

BW < 1500 g, Bell staging ≥ stage II

Reference Modification Bell Staging (1978)

62/62

①⑯⑱

9

Tain, 2023 [57]

Shandong

2017.4-2019.6

Case control

GA < 37 weeks, BW < 1500 g

Practical Neonatology, 4th Revised Bell staging diagnostic criteria

19/91

①③⑨⑲

7

  1. GA gestational age, BW birth weight, NEC necrotizing enterocolitis, NOS Newcastle-Ottawa Scale
  2. ①Septicemia ②Blood transfusion ③Neonatal asphyxia ④Pneumonia ⑤Infection occurs ⑥Gestational diabetes ⑦Respiratory distress syndrome ⑧Mechanical ventilation ⑨Oral probiotics ⑩Breastfeeding ⑪Congenital heart disease ⑫Intrahepatic cholestasis of pregnancy ⑬Prenatal application of glucocorticoids ⑭Intravenous immunoglobulin ⑮Hypoalbuminemia ⑯Patent ductus arteriosus ⑰respiratory failure ⑱Severe anemia ⑲Meconium-stained amniotic fluid ⑳History of antibiotic use