Implementation of the neonatal necrotizing enterocolitis early detection system (NeoNEEDS) in preterm infants: A quality improvement study

Q2 Nursing

Journal of Neonatal Nursing Pub Date : 2025-09-12 DOI:10.1016/j.jnn.2025.101725

Hartin I.K. Nadi, Yeni Rustina, Mega Hasanul Huda

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引用次数: 0

Abstract

Background

Preterm infants have a higher risk of developing necrotizing enterocolitis (NEC) due to immature organ systems. Early detection is essential to reduce complications and support timely management. This study aimed to evaluate the implementation of the NeoNEEDS instrument as a tool for early NEC detection in preterm infants.

Methods

This study employed a quality improvement design using the five-step Evidence-Based Practice (EBP) process: ask, gather, appraise, act, and evaluate.

Results

The NeoNEEDS instrument demonstrated high sensitivity (83.3 %) and specificity (81.3 %) in identifying NEC. Among all parameters, feeding tolerance showed the highest sensitivity (100 %) and a specificity of 70 %. A NeoNEEDS score of ≥3.5 indicated a high risk for NEC, warranting close clinical monitoring. The instrument showed a statistically significant association with NEC detection (p < 0.001).

Conclusion

These findings support the clinical use of NeoNEEDS to enhance early NEC identification and guide timely interventions.

查看原文本刊更多论文

早产儿新生儿坏死性小肠结肠炎早期检测系统（neoneed）的实施：一项质量改善研究

背景：由于器官系统不成熟，早产儿发生坏死性小肠结肠炎（NEC）的风险较高。早期发现对于减少并发症和支持及时治疗至关重要。本研究旨在评估将neoneds仪器作为早产儿早期NEC检测工具的实施情况。方法本研究采用五步循证实践（EBP）流程进行质量改进设计：询问、收集、评估、行动和评估。结果neoneds检测NEC的灵敏度和特异度分别为83.3%和81.3%。在所有参数中，摄食耐受性的敏感性最高（100%），特异性为70%。neoneed评分≥3.5表示NEC的高风险，需要密切的临床监测。该仪器与NEC检出率有统计学显著相关性（p < 0.001）。结论：本研究结果支持临床应用neoneedas加强NEC早期识别和指导及时干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Neonatal Nursing Nursing-Pediatrics

CiteScore

2.00

自引率

0.00%

发文量

143

期刊介绍： Aims & Scope: This is the practical, bimonthly, research-based journal for all professionals concerned with the care of neonates and their families, both in hospital and the community. It aims to support the development of the essential practice, management, education and health promotion skills required by these professionals. The JNN will provide a forum for the exchange of ideas and information between the range of professionals working in this field; promote cooperation between these professionals; facilitate partnership care with families; provide information and informed opinion; promote innovation and change in the care of neonates and their families; and provide an education resource for this important rapidly developing field.