Characterizing Cardiac Necrotizing Enterocolitis Within a Single Medical Center A Retrospective Electronic Data Review Öffentlichkeit

Cooke, Tori (Fall 2024)

Permanent URL: https://etd.library.emory.edu/concern/etds/1z40kv331?locale=de
Published

Abstract

Neonates with certain clinical diagnoses, like congenital heart disease (CHD) are at an increased risk for developing necrotizing enterocolitis (NEC). Certain risk factors associated with congenital heart disease also contribute to a patient’s risk for cardiac NEC. Cardiac necrotizing enterocolitis is diagnosed using clinical and radiological signs. The severity of and treatment for NEC is determined by Bell’s Staging Criteria. The diagnosis of NEC in the CHD population can have an impact on patient outcomes. CHD patients diagnosed with NEC can have impaired neurodevelopment, increased hospital costs and length of stay, and develop other comorbidities. This retrospective electronic data review characterized cardiac NEC within a single medical center. While the initial intent was to examine risk factors associated with the development of cardiac necrotizing enterocolitis, diagnostic and treatment approaches, and patient outcomes, the data provided by the electronic data warehouse could not be used to characterize these factors. The project focused on characterizing patients with cardiac NEC and associations between diagnoses and demographic factors.

Table of Contents

Background

Significance

Project Aims

Clinical Question

Review of the Literature

Search Strategy

Evaluation of Risk Factors for NEC in the CHD Population

Evaluation of Diagnostic Criteria for NEC in the CHD Population

Evaluation of Treatment Protocols for NEC in the CHD Population

Evaluation of Patient Outcomes Related to the Diagnosis of NEC in the CHD Population

Appraisal of Research

Summary

Methods

Design

Quality Improvement Project Population

Data Sources

Data Elements and Creation of the Analytic Database for Quality Improvement

Results

Demographic Characteristics

Clinical Characteristics

Exploratory Analysis

Discussion

References

About this Scholarly Project

Rights statement
  • Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.
School
Specialty
Degree
Submission
Language
  • English
Research Field
Stichwort
Committee Chair / Thesis Advisor
Zuletzt geändert

Primary PDF

Supplemental Files