Evidence map›Paper›PMID 10738450›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2000

Neonatal hypernatremic dehydration associated with breast-feeding malnutrition: a retrospective survey.

V H Livingstone, C E Willis, L O Abdel-Wareth, P Thiessen, G Lockitch

Open access · greenAbstract read
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 123 citations in OpenAlex.

  1. Pooled it
  2. Review
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  7. Life Threatening Severe Hypernatraemic Dehydration in Neonates: A Report of Two Cases.Journal of clinical and diagnostic research : JCDR · 2017
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  15. Physiological weight loss in the breastfed neonate: a systematic review.Open medicine : a peer-reviewed, independent, open-access journal · 2008
    Article
  16. Article
  17. Hypernatraemia in the first few days: is the incidence rising?Archives of disease in childhood. Fetal and neonatal edition · 2002
    Article
  18. Article
  19. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

V H LivingstoneDepartment of Family Practice, University of British Columbia, Vancouver. vlivings@direct.ca
C E Willis
L O Abdel-Wareth
P Thiessen
G Lockitch
University of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypernatremic dehydration in neonates is a potentially devastating condition. Recent reports have identified breast-feeding malnutrition as a key factor in its pathophysiology.

methodsUsing a theoretical framework for breast-feeding kinetics, a retrospective chart review of all neonates less than 28 days of age who were seen at either British Columbia's Children's Hospital or the Vancouver Breastfeeding Centre between 1991-1994 was conducted to identify and classify possible causes of breast-feeding malnutrition among neonates who developed hypernatremic dehydration.

resultsTwenty-one cases hypernatremic dehydration were identified. Infant weight loss ranged from 8% to 30% of birth weight, and serum sodium levels ranged from 146 mmol/L to 207 mmol/L. In each case, maternal or infant factors (e.g., poor breast-feeding technique, lactation failure following postpartum hemorrhage and infant suckling disorders associated with cleft palate or ankyloglossia) that could interfere with either lactation or breast-feeding dynamics and account for insufficient breast milk intake were identified.

interpretationPrenatal and in-hospital screening for maternal and infant risk factors for breast-feeding malnutrition combined with early postpartum follow-up to detect excessive infant weight loss are important for the prevention of neonatal hypernatremic dehydration.

Indexed as

Breast FeedingBritish ColumbiaDehydrationHumansHypernatremiaInfant, NewbornNutrition DisordersPerinatal CareRetrospective StudiesRisk AssessmentRisk Factors

Identifiers

PMID10738450
PMCPMC1231219
OpenAlexW2142863238

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.