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 |