The Risk of Developing Constipation After Neonatal Necrotizing Enterocolitis

Frontiers in Pediatrics

article

Shan-Ming Chen¹  Jing-Yang Huang³  Ming-Chi Wu⁵  Jia-Yuh Chen² 

[1] Department of Pediatrics, Chung Shan Medical University Hospital;Department of Pediatrics, School of Medicine, Chung Shan Medical University;Institute of Medicine, Chung Shan Medical University;Department of Medical Research, Chung Shan Medical University Hospital;Department of Medical Imaging, Chung Shan Medical University Hospital;Department of Medical Informatics, Chung Shan Medical University;Department of Pediatrics, Changhua Christian Children's Hospital

关键词: adjusted hazard ratios;    constipation;    dysbiosis;    failure to thrive;    necrotizing enterocolitis;   

DOI  :  10.3389/fped.2020.00120

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Background: Neonatal necrotizing enterocolitis (NEC) is a complex and lethal inflammatory bowel necrosis that primarily affects premature infants. Gut dysbiosis has been implicated in the pathogenesis of NEC. We aim to assess the association between NEC and two other diseases in children, including allergic diseases and constipation, considered to be associated with the alterations in gut microbiota composition. Methods: This retrospective population-based cohort study was conducted using the Taiwan Birth Registration Database, Birth Certificate Application, and National Health Insurance Research Database to inter-link the medical claims of neonates and their mothers. A total of 2,650,634 delivery events were retrieved from 2005 to 2015. We identified a NEC cohort and selected a comparison cohort according to propensity score matching (1:1). Cox proportional hazard regression models were used to determine possible associations of predictors and to obtain adjusted hazard ratios (aHRs). Results: A total of 1,145 subjects in the NEC cohort and 1,145 subjects in the matched cohort were analyzed during the observation period. No significant difference was observed in the incidence of allergic diseases between the two groups. NEC patients had a significant 30.7% increased risk of developing constipation (aHR = 1.307; 95% CI 1.089–1.568). The cumulative incidence of constipation was significantly higher in the NEC cohort than in the matched cohort by the end of follow-up (log-rank test P = 0.003). Conclusion: Infants with NEC have a significantly higher incidence rate of developing constipation and FTT but no increased risk of allergic diseases.

【 授权许可】

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