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NEC-zero recommendations from scoping review of evidence to prevent and foster timely recognition of necrotizing enterocolitis

Overview of attention for article published in Maternal Health, Neonatology and Perinatology, December 2017
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (90th percentile)
  • High Attention Score compared to outputs of the same age and source (88th percentile)

Mentioned by

blogs
1 blog
twitter
23 tweeters
facebook
1 Facebook page

Citations

dimensions_citation
14 Dimensions

Readers on

mendeley
53 Mendeley
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Title
NEC-zero recommendations from scoping review of evidence to prevent and foster timely recognition of necrotizing enterocolitis
Published in
Maternal Health, Neonatology and Perinatology, December 2017
DOI 10.1186/s40748-017-0062-0
Pubmed ID
Authors

Sheila M. Gephart, Corrine Hanson, Christine M. Wetzel, Michelle Fleiner, Erin Umberger, Laura Martin, Suma Rao, Amit Agrawal, Terri Marin, Khaver Kirmani, Megan Quinn, Jenny Quinn, Katherine M. Dudding, Tanya Clay, Jason Sauberan, Yael Eskenazi, Caroline Porter, Amy L. Msowoya, Christina Wyles, Melissa Avenado-Ruiz, Shayla Vo, Kristina M. Reber, Jennifer Duchon

Abstract

Although decades have focused on unraveling its etiology, necrotizing enterocolitis (NEC) remains a chief threat to the health of premature infants. Both modifiable and non-modifiable risk factors contribute to varying rates of disease across neonatal intensive care units (NICUs). The purpose of this paper is to present a scoping review with two new meta-analyses, clinical recommendations, and implementation strategies to prevent and foster timely recognition of NEC. Using the Translating Research into Practice (TRIP) framework, we conducted a stakeholder-engaged scoping review to classify strength of evidence and form implementation recommendations using GRADE criteria across subgroup areas: 1) promoting human milk, 2) feeding protocols and transfusion, 3) timely recognition strategies, and 4) medication stewardship. Sub-groups answered 5 key questions, reviewed 11 position statements and 71 research reports. Meta-analyses with random effects were conducted on effects of standardized feeding protocols and donor human milk derived fortifiers on NEC. Quality of evidence ranged from very low (timely recognition) to moderate (feeding protocols, prioritize human milk, limiting antibiotics and antacids). Prioritizing human milk, feeding protocols and avoiding antacids were strongly recommended. Weak recommendations (i.e. "probably do it") for limiting antibiotics and use of a standard timely recognition approach are presented. Meta-analysis of data from infants weighing <1250 g fed donor human milk based fortifier had reduced odds of NEC compared to those fed cow's milk based fortifier (OR = 0.36, 95% CI 0.13, 1.00; p = 0.05; 4 studies, N = 1164). Use of standardized feeding protocols for infants <1500 g reduced odds of NEC by 67% (OR = 0.33, 95% CI 0.17, 0.65, p = 0.001; 9 studies; N = 4755 infants). Parents recommended that NEC information be shared early in the NICU stay, when feedings were adjusted, or feeding intolerance occurred via print and video materials to supplement verbal instruction. Evidence for NEC prevention is of sufficient quality to implement. Implementation that addresses system-level interventions that engage the whole team, including parents, will yield the best impact to prevent NEC and foster its timely recognition.

Twitter Demographics

The data shown below were collected from the profiles of 23 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 53 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 53 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 10 19%
Other 6 11%
Researcher 5 9%
Student > Ph. D. Student 5 9%
Student > Postgraduate 3 6%
Other 14 26%
Unknown 10 19%
Readers by discipline Count As %
Medicine and Dentistry 26 49%
Nursing and Health Professions 11 21%
Pharmacology, Toxicology and Pharmaceutical Science 1 2%
Psychology 1 2%
Social Sciences 1 2%
Other 1 2%
Unknown 12 23%

Attention Score in Context

This research output has an Altmetric Attention Score of 23. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 March 2019.
All research outputs
#780,910
of 14,453,232 outputs
Outputs from Maternal Health, Neonatology and Perinatology
#4
of 60 outputs
Outputs of similar age
#29,432
of 318,894 outputs
Outputs of similar age from Maternal Health, Neonatology and Perinatology
#2
of 17 outputs
Altmetric has tracked 14,453,232 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 94th percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 60 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.3. This one has done particularly well, scoring higher than 93% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 318,894 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 90% of its contemporaries.
We're also able to compare this research output to 17 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 88% of its contemporaries.