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. Author manuscript; available in PMC: 2013 Sep 2.
Published in final edited form as: Adv Neonatal Care. 2011 Jun;11(3):155–166. doi: 10.1097/ANC.0b013e31821baaf4

Table 4.

Distribution of Intestinal Signs by Bell Staging [% of cases]

Nurse-Sensitive Assessments
(with definition)
All NEC patients
(n=117)
Stage I
(n=37)
Stage II
(n=28)
Stage IIIA
(n=15)
Stage IIIB
(n=37)
Increased pregavage residuals
Increase in prefeeding gastric residuals from
baseline
72.4% 78.4% 81.5% 93.3% 51.4%
Abdominal distention
Increase in abdominal girth measured as part
of the abdominal exam
82.1% 81.1% 78.6% 100% 78.4%
Emesis
Nurse assessment and documentation of
emesis
38.5% 32.4% 42.9% 46.7% 37.8%
Guaiac-positive stool
Presence of fecal occult blood, as measured
via Guaiac test
34.5% 29.7% 63% 26.7% 21.6%
Frank blood from rectum
Nurse assessment and documentation of
frank blood from rectum
14.7% 10.8% 40.7% 0 5.4%
Absent bowel sounds
Nurse assessment and documentation of
absent bowel sounds
23.9% 13.5% 21.4% 40% 29.7%
Abdominal tenderness
Nurse assessment and documentation of
abdominal tenderness
10.3% 0 3.6% 33.3% 16.2%
Right Lower Quadrant (RLQ) mass
Nurse assessment and documentation of
abdominal mass, specifically in the right
lower quadrant
0.9% 2.7% 0 0 0
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