{"id":"https://openalex.org/W4414540525","doi":"https://doi.org/10.1016/j.jpedsurg.2025.162692","title":"\u2018Impact of a Regional Damage Control Surgery Pathway on Time to Surgery for Neonates With Severe Necrotising Enterocolitis. A Prospective Cohort Study\u2019","display_name":"\u2018Impact of a Regional Damage Control Surgery Pathway on Time to Surgery for Neonates With Severe Necrotising Enterocolitis. A Prospective Cohort Study\u2019","publication_year":2025,"publication_date":"2025-09-26","ids":{"openalex":"https://openalex.org/W4414540525","doi":"https://doi.org/10.1016/j.jpedsurg.2025.162692","pmid":"https://pubmed.ncbi.nlm.nih.gov/41016551"},"language":"en","primary_location":{"id":"doi:10.1016/j.jpedsurg.2025.162692","doi":"https://doi.org/10.1016/j.jpedsurg.2025.162692","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jpedsurg.2025.162692","pdf_url":"https://www.jpedsurg.org/article/S0022-3468(25)00539-1/pdf","source":{"id":"https://openalex.org/S39924113","display_name":"Journal of Pediatric Surgery","issn_l":"0022-3468","issn":["0022-3468","1531-5037"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-2","poland-100","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Pediatric Surgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://www.jpedsurg.org/article/S0022-3468(25)00539-1/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5005720156","display_name":"G. Suren Arul","orcid":"https://orcid.org/0000-0002-1586-6857","observed_orcids":["https://orcid.org/0000-0002-1586-6857"]},"institutions":[{"id":"https://openalex.org/I4210099987","display_name":"Birmingham Women's Hospital","ror":"https://ror.org/00xe5zs60","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210099987","https://openalex.org/I4210155225"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"G. Suren Arul","raw_affiliation_strings":["Birmingham Women and Children's Hospital (BWCH), UK. Electronic address: suren.arul@nhs.net","Birmingham Women and Children's Hospital (BWCH). Electronic address: suren.arul@nhs.net"],"raw_orcid":"https://orcid.org/0000-0002-1586-6857","affiliations":[{"raw_affiliation_string":"Birmingham Women and Children's Hospital (BWCH), UK. Electronic address: suren.arul@nhs.net","institution_ids":["https://openalex.org/I4210099987"]},{"raw_affiliation_string":"Birmingham Women and Children's Hospital (BWCH). Electronic address: suren.arul@nhs.net","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Alison Jones","orcid":"https://orcid.org/0000-0003-4531-0347","observed_orcids":["https://orcid.org/0000-0003-4531-0347"]},"institutions":[{"id":"https://openalex.org/I4210099987","display_name":"Birmingham Women's Hospital","ror":"https://ror.org/00xe5zs60","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210099987","https://openalex.org/I4210155225"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Alison Jones","raw_affiliation_strings":["Birmingham Women and Children's Hospital (BWCH), UK","BWCH"],"raw_orcid":"https://orcid.org/0000-0003-4531-0347","affiliations":[{"raw_affiliation_string":"Birmingham Women and Children's Hospital (BWCH), UK","institution_ids":["https://openalex.org/I4210099987"]},{"raw_affiliation_string":"BWCH","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009636499","display_name":"Jeffrey N. Martin","orcid":"https://orcid.org/0000-0002-9773-3256","observed_orcids":["https://orcid.org/0000-0002-9773-3256"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jeffrey Martin","raw_affiliation_strings":["Neonatal Intensive Care Unit, BWCH, UK; Paediatric Intensive Care Unit, BWCH, UK","BWCH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neonatal Intensive Care Unit, BWCH, UK; Paediatric Intensive Care Unit, BWCH, UK","institution_ids":[]},{"raw_affiliation_string":"BWCH","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002947434","display_name":"Alex Philpott","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Alex Philpott","raw_affiliation_strings":["West Midlands KIDSNTS Transport Service, UK","West Midlands KIDSNTS transport service"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"West Midlands KIDSNTS Transport Service, UK","institution_ids":[]},{"raw_affiliation_string":"West Midlands KIDSNTS transport service","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110150394","display_name":"Matt Nash","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Matt Nash","raw_affiliation_strings":["Neonatal Intensive Care Unit, BWCH, UK","BWCH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neonatal Intensive Care Unit, BWCH, UK","institution_ids":[]},{"raw_affiliation_string":"BWCH","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Andrea Hughes","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Andrea Hughes","raw_affiliation_strings":["Blood Transfusion Service, BWCH, UK","Blood transfusion service, BWCH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Blood Transfusion Service, BWCH, UK","institution_ids":[]},{"raw_affiliation_string":"Blood transfusion service, BWCH","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102595435","display_name":"Sarah Hulbert","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sarah Hulbert","raw_affiliation_strings":["Blood Transfusion Service, BWCH, UK","Blood transfusion service, BWCH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Blood Transfusion Service, BWCH, UK","institution_ids":[]},{"raw_affiliation_string":"Blood transfusion service, BWCH","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054418700","display_name":"Muhammad Ismail Tajik","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Myrthe Tajik","raw_affiliation_strings":["Neonatal Intensive Care Unit, BWCH, UK; Paediatric Anaesthesia, BWCH, UK","BWCH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neonatal Intensive Care Unit, BWCH, UK; Paediatric Anaesthesia, BWCH, UK","institution_ids":[]},{"raw_affiliation_string":"BWCH","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046081728","display_name":"Max J. Pachl","orcid":"https://orcid.org/0000-0001-7228-862X","observed_orcids":["https://orcid.org/0000-0001-7228-862X"]},"institutions":[{"id":"https://openalex.org/I4210099987","display_name":"Birmingham Women's Hospital","ror":"https://ror.org/00xe5zs60","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210099987","https://openalex.org/I4210155225"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Max Pachl","raw_affiliation_strings":["Birmingham Women and Children's Hospital (BWCH), UK","BWCH"],"raw_orcid":"https://orcid.org/0000-0001-7228-862X","affiliations":[{"raw_affiliation_string":"Birmingham Women and Children's Hospital (BWCH), UK","institution_ids":["https://openalex.org/I4210099987"]},{"raw_affiliation_string":"BWCH","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082682637","display_name":"Giampiero Soccorso","orcid":"https://orcid.org/0000-0002-3895-178X","observed_orcids":["https://orcid.org/0000-0002-3895-178X"]},"institutions":[{"id":"https://openalex.org/I4210099987","display_name":"Birmingham Women's Hospital","ror":"https://ror.org/00xe5zs60","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210099987","https://openalex.org/I4210155225"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Giampiero Soccorso","raw_affiliation_strings":["Birmingham Women and Children's Hospital (BWCH), UK","BWCH"],"raw_orcid":"https://orcid.org/0000-0002-3895-178X","affiliations":[{"raw_affiliation_string":"Birmingham Women and Children's Hospital (BWCH), UK","institution_ids":["https://openalex.org/I4210099987"]},{"raw_affiliation_string":"BWCH","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032706403","display_name":"Michael Singh","orcid":"https://orcid.org/0009-0004-0182-2484","observed_orcids":["https://orcid.org/0009-0004-0182-2484"]},"institutions":[{"id":"https://openalex.org/I4210099987","display_name":"Birmingham Women's Hospital","ror":"https://ror.org/00xe5zs60","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210099987","https://openalex.org/I4210155225"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Michael Singh","raw_affiliation_strings":["Birmingham Women and Children's Hospital (BWCH), UK","BWCH"],"raw_orcid":"https://orcid.org/0009-0004-0182-2484","affiliations":[{"raw_affiliation_string":"Birmingham Women and Children's Hospital (BWCH), UK","institution_ids":["https://openalex.org/I4210099987"]},{"raw_affiliation_string":"BWCH","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037974311","display_name":"Ingo Jester","orcid":"https://orcid.org/0000-0002-7501-8470","observed_orcids":["https://orcid.org/0000-0002-7501-8470"]},"institutions":[{"id":"https://openalex.org/I4210099987","display_name":"Birmingham Women's Hospital","ror":"https://ror.org/00xe5zs60","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210099987","https://openalex.org/I4210155225"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Ingo Jester","raw_affiliation_strings":["Birmingham Women and Children's Hospital (BWCH), UK","BWCH"],"raw_orcid":"https://orcid.org/0000-0002-7501-8470","affiliations":[{"raw_affiliation_string":"Birmingham Women and Children's Hospital (BWCH), UK","institution_ids":["https://openalex.org/I4210099987"]},{"raw_affiliation_string":"BWCH","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074574611","display_name":"Hetal Patel","orcid":"https://orcid.org/0000-0002-9251-4820","observed_orcids":["https://orcid.org/0000-0002-9251-4820"]},"institutions":[{"id":"https://openalex.org/I4210099987","display_name":"Birmingham Women's Hospital","ror":"https://ror.org/00xe5zs60","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210099987","https://openalex.org/I4210155225"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Hetal Patel","raw_affiliation_strings":["Birmingham Women and Children's Hospital (BWCH), UK","BWCH"],"raw_orcid":"https://orcid.org/0000-0002-9251-4820","affiliations":[{"raw_affiliation_string":"Birmingham Women and Children's Hospital (BWCH), UK","institution_ids":["https://openalex.org/I4210099987"]},{"raw_affiliation_string":"BWCH","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072260335","display_name":"Anthony Lander","orcid":"https://orcid.org/0000-0003-0503-5512","observed_orcids":["https://orcid.org/0000-0003-0503-5512"]},"institutions":[{"id":"https://openalex.org/I4210099987","display_name":"Birmingham Women's Hospital","ror":"https://ror.org/00xe5zs60","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210099987","https://openalex.org/I4210155225"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Anthony Lander","raw_affiliation_strings":["Birmingham Women and Children's Hospital (BWCH), UK","BWCH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Birmingham Women and Children's Hospital (BWCH), UK","institution_ids":["https://openalex.org/I4210099987"]},{"raw_affiliation_string":"BWCH","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5027166130","display_name":"Hari Krishnan Kanthimathinathan","orcid":"https://orcid.org/0000-0001-5170-1534","observed_orcids":["https://orcid.org/0000-0001-5170-1534"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Hari Krishnan Kanthimathinathan","raw_affiliation_strings":["Neonatal Intensive Care Unit, BWCH, UK; Paediatric Intensive Care Unit, BWCH, UK","BWCH"],"raw_orcid":"https://orcid.org/0000-0001-5170-1534","affiliations":[{"raw_affiliation_string":"Neonatal Intensive Care Unit, BWCH, UK; Paediatric Intensive Care Unit, BWCH, UK","institution_ids":[]},{"raw_affiliation_string":"BWCH","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5005720156"],"corresponding_institution_ids":["https://openalex.org/I4210099987"],"apc_list":{"value":4430,"currency":"USD","value_usd":4430},"apc_paid":{"value":4430,"currency":"USD","value_usd":4430},"fwci":1.2765,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.79084136,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":96,"max":97},"biblio":{"volume":"60","issue":"12","first_page":"162692","last_page":"162692"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11294","display_name":"Infant Nutrition and Health","score":0.9223999977111816,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11294","display_name":"Infant Nutrition and Health","score":0.9223999977111816,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12333","display_name":"Abdominal Surgery and Complications","score":0.01080000028014183,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11961","display_name":"Neonatal and Maternal Infections","score":0.007600000128149986,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/necrotizing-enterocolitis","display_name":"necrotizing enterocolitis","score":0.9850000143051147},{"id":"https://openalex.org/keywords/damage-control-surgery","display_name":"damage control surgery","score":0.8709999918937683},{"id":"https://openalex.org/keywords/newborns","display_name":"neonates","score":0.6990000009536743},{"id":"https://openalex.org/keywords/time-to-surgery","display_name":"time to surgery","score":0.9419999718666077},{"id":"https://openalex.org/keywords/neonatal-surgery","display_name":"neonatal surgery","score":0.5479999780654907},{"id":"https://openalex.org/keywords/perforation","display_name":"perforation","score":0.5839999914169312},{"id":"https://openalex.org/keywords/blood-cross-matching","display_name":"blood crossmatching","score":0.6940000057220459},{"id":"https://openalex.org/keywords/stoma","display_name":"stoma","score":0.6809999942779541},{"id":"https://openalex.org/keywords/neonatal-mortality","display_name":"neonatal mortality","score":0.7570000290870667},{"id":"https://openalex.org/keywords/parenteral-nutrition","display_name":"parenteral nutrition","score":0.7870000004768372},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.5929999947547913},{"id":"https://openalex.org/keywords/appreciative-inquiry","display_name":"appreciative inquiry","score":0.9900000095367432}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9860000014305115},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.8126999735832214},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.7409999966621399},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.48510000109672546},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.4178999960422516},{"id":"https://openalex.org/C2777284639","wikidata":"https://www.wikidata.org/wiki/Q5211892","display_name":"Damage control surgery","level":3,"score":0.3797000050544739},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.32910001277923584},{"id":"https://openalex.org/C2993333090","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Corrective surgery","level":2,"score":0.2678000032901764},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.2524999976158142},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.22540000081062317}],"mesh":[{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006113","descriptor_name":"United Kingdom","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007231","descriptor_name":"Infant, Newborn","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007235","descriptor_name":"Infant, Premature, Diseases","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012017","descriptor_name":"Referral and Consultation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019091","descriptor_name":"Critical Pathways","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020345","descriptor_name":"Enterocolitis, Necrotizing","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D020345","descriptor_name":"Enterocolitis, Necrotizing","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":true},{"descriptor_ui":"D020345","descriptor_name":"Enterocolitis, Necrotizing","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D058996","descriptor_name":"Quality Improvement","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D061665","descriptor_name":"Time-to-Treatment","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1016/j.jpedsurg.2025.162692","doi":"https://doi.org/10.1016/j.jpedsurg.2025.162692","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jpedsurg.2025.162692","pdf_url":"https://www.jpedsurg.org/article/S0022-3468(25)00539-1/pdf","source":{"id":"https://openalex.org/S39924113","display_name":"Journal of Pediatric Surgery","issn_l":"0022-3468","issn":["0022-3468","1531-5037"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-2","poland-100","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Pediatric Surgery","raw_type":"journal-article"},{"id":"pmid:41016551","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41016551","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of pediatric surgery","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1016/j.jpedsurg.2025.162692","doi":"https://doi.org/10.1016/j.jpedsurg.2025.162692","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jpedsurg.2025.162692","pdf_url":"https://www.jpedsurg.org/article/S0022-3468(25)00539-1/pdf","source":{"id":"https://openalex.org/S39924113","display_name":"Journal of Pediatric Surgery","issn_l":"0022-3468","issn":["0022-3468","1531-5037"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-2","poland-100","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Pediatric Surgery","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4414540525.pdf","grobid_xml":"https://content.openalex.org/works/W4414540525.grobid-xml"},"referenced_works_count":35,"referenced_works":["https://openalex.org/W1968596383","https://openalex.org/W1972127493","https://openalex.org/W1972553247","https://openalex.org/W1985270454","https://openalex.org/W2002926363","https://openalex.org/W2010899103","https://openalex.org/W2015086108","https://openalex.org/W2016772250","https://openalex.org/W2023837787","https://openalex.org/W2024104192","https://openalex.org/W2062812397","https://openalex.org/W2071906571","https://openalex.org/W2076281534","https://openalex.org/W2084062903","https://openalex.org/W2091522759","https://openalex.org/W2136296601","https://openalex.org/W2161088630","https://openalex.org/W2167025239","https://openalex.org/W2557169092","https://openalex.org/W2581258008","https://openalex.org/W2593751751","https://openalex.org/W2790788075","https://openalex.org/W2804655833","https://openalex.org/W2905571433","https://openalex.org/W2931319856","https://openalex.org/W2939250010","https://openalex.org/W3001856178","https://openalex.org/W3041560450","https://openalex.org/W3159336011","https://openalex.org/W3184786919","https://openalex.org/W3217586109","https://openalex.org/W4297535942","https://openalex.org/W4383105011","https://openalex.org/W4403878151","https://openalex.org/W4409798771"],"related_works":["https://openalex.org/W4402371981","https://openalex.org/W3159336011","https://openalex.org/W4399018839","https://openalex.org/W4382072265","https://openalex.org/W4310077155","https://openalex.org/W4407597880","https://openalex.org/W2007022568","https://openalex.org/W6885425162","https://openalex.org/W2471969190","https://openalex.org/W2745201601"],"abstract_inverted_index":{"BACKGROUND:":[0],"In":[1,249],"the":[2,146,149,170,179,235,285,289,295],"UK,":[3],"published":[4],"time":[5,99,152,186,218,243],"from":[6,153,166,298],"diagnosis":[7],"of":[8,148,173,239,301],"perforation":[9,69],"to":[10,23,45,59,106,127,131,135,139,155,175,241,244,273,283],"surgery":[11,156,245],"for":[12,187],"babies":[13,210],"with":[14,32,43,65,117,164,211,266,280],"Necrotising":[15],"Enterocolitis":[16],"(NEC)":[17],"was":[18,62,157,224],"23\u00b75":[19],"h.":[20],"We":[21],"aimed":[22],"determine":[24],"if":[25],"a":[26,33,63],"standardised":[27,52,290],"regional":[28,292],"referral":[29,44,138,154],"pathway,":[30],"combined":[31],"damage":[34,286],"control":[35,287],"surgical":[36,47],"approach":[37],"(DCS)":[38],"could":[39],"reduce":[40],"timings":[41,257],"associated":[42,279],"first":[46,236],"intervention.":[48],"METHOD:":[49],"Our":[50],"pathway":[51,61],"referrals,":[53],"transfer,":[54],"blood-crossmatching":[55],"and":[56,67,78,83,98,137],"DCS.":[57],"Criteria":[58],"trigger":[60],"neonate":[64],"NEC":[66],"either":[68],"or":[70,294],"requiring":[71],"inotropes.":[72],"Pathway":[73],"implementation":[74],"used":[75],"quality":[76],"improvement":[77],"appreciative":[79],"inquiry":[80],"principles.":[81],"Timings":[82],"physiological":[84],"data":[85],"were":[86,90,208,261],"collected":[87],"prospectively":[88],"as":[89],"other":[91],"secondary":[92],"outcomes":[93,260,277],"including":[94],"mortality,":[95],"stoma":[96],"rate":[97],"on":[100,219],"parenteral":[101],"nutrition.":[102],"RESULTS:":[103],"From":[104],"01/08/2021":[105],"31/12/2023,":[107],"60":[108],"neonates":[109],"(median":[110],"gestation":[111],"26":[112,189],"weeks,":[113],"birth":[114],"weight":[115],"815g)":[116],"NEC,":[118],"triggered":[119],"our":[120],"DCS":[121,188],"pathway.":[122,303],"All":[123],"timing":[124],"metrics":[125],"(referral":[126],"PICU":[128,134],"admission,":[129],"admission":[130],"blood":[132],"availability,":[133],"surgery,":[136,284],"surgery)":[140],"showed":[141],"statistically":[142],"significant":[143],"reduction":[144,165,254],"over":[145],"course":[147],"study.":[150],"The":[151],"median":[158],"[interquartile":[159],"range]":[160],"347":[161],"[289-514]":[162],"minutes,":[163],"449":[167],"min":[168,177],"in":[169,178,246,255],"earlier":[171,281],"part":[172],"study":[174,251],"323":[176],"latter":[180],"half[p":[181],"=":[182],"0.01].":[183],"Median":[184,217],"operative":[185],"min.":[190],"Twenty":[191],"patients":[192,198],"(33":[193],"%)":[194,204],"had":[195],"stoma.":[196,231],"Seventeen":[197],"died":[199],"within":[200],"28":[201],"days":[202,226,229],"(28":[203],"after":[205,221,230],"surgery.":[206],"There":[207],"42":[209],"birthweight":[212],"<1000g":[213],"(mortality":[214],"33":[215],"%).":[216],"PN":[220],"primary":[222],"anastomosis":[223],"30":[225],"versus":[227],"93":[228],"CONCLUSION:":[232],"This":[233],"is":[234,271],"prospective":[237],"report":[238],"interventions":[240],"expedite":[242],"severe":[247],"NEC.":[248],"this":[250,302],"we":[252],"demonstrated":[253],"all":[256,299],"measured.":[258],"Clinical":[259],"better":[262],"than":[263],"expected":[264],"compared":[265],"historical":[267],"datasets.":[268],"Further":[269],"work":[270],"needed":[272],"establish":[274],"whether":[275],"improved":[276],"are":[278],"transfer":[282],"approach,":[288,293],"coordinated":[291],"cumulative":[296],"effect":[297],"aspects":[300],"LEVEL":[304],"OF":[305],"EVIDENCE:":[306],"2B":[307],"GS":[308],"Arul":[309],"et":[310],"al.":[311]},"counts_by_year":[{"year":2026,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2025-10-10T00:00:00"}