Evidence map›Paper›PMID 25861285›Full record

ArticleInternational journal of pediatrics2015

Enteral L-Arginine and Glutamine Supplementation for Prevention of NEC in Preterm Neonates.

M S El-Shimi, H A Awad, M A Abdelwahed, M H Mohamed, S M Khafagy, G Saleh

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in International journal of pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01263041 (Effect of Early Enteral Supplementation of L-arginine and Glutamine on Preterm Neonate), which is not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 14% 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.

NCT01263041 phase2 / phase3completednot on this map

Effect of Early Enteral Supplementation of L-arginine and Glutamine on Preterm Neonate

TypeinterventionalSponsorAin Shams UniversityRan2011 to 2014Enrolled75ConditionsNEC, SepsisArmsGlutamine, l-arginine
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Supplementary parenteral arginine corrects hypoargininaemia and rebalances plasma amino acid profiles in very preterm infants receiving parenteral nutrition: A prospective study.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
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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

6 authors at 1 institution in 1 country.

M S El-ShimiPediatric Department, Faculty of Medicine, Ain Shams University, Cairo 16088, Egypt.
H A AwadPediatric Department, Faculty of Medicine, Ain Shams University, Cairo 16088, Egypt.
M A AbdelwahedPediatric Department, Faculty of Medicine, Ain Shams University, Cairo 16088, Egypt.
M H MohamedPediatric Department, Faculty of Medicine, Ain Shams University, Cairo 16088, Egypt.
S M KhafagyPediatric Department, Faculty of Medicine, Ain Shams University, Cairo 16088, Egypt.
G SalehPediatric Department, Faculty of Medicine, Ain Shams University, Cairo 16088, Egypt.
Ain Shams University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective. Evaluating the efficacy and safety of arginine and glutamine supplementation in decreasing the incidence of NEC among preterm neonates. Methods. Prospective case-control study done on 75 preterm neonates ≤34 weeks, divided equally into L-arginine group receiving enteral L-arginine, glutamine group receiving enteral glutamine, and control group. Serum L-arginine and glutamine levels were measured at time of enrollment (sample 1), after 14 days of enrollment (sample 2), and at time of diagnosis of NEC (sample 3). Results. The incidence of NEC was 9.3%. There was no difference in the frequency of NEC between L-arginine and control groups (P > 0.05). NEC was not detected in glutamine group; L-arginine concentrations were significantly lower in arginine group than control group in both samples while glutamine concentrations were comparable in glutamine and control groups in both samples. No significant difference was found between groups as regards number of septic episodes, duration to reach full oral intake, or duration of hospital stay. Conclusion. Enteral L-arginine supplementation did not seem to reduce the incidence of NEC. Enteral glutamine may have a preventive role against NEC if supplied early to preterm neonates. However, larger studies are needed to confirm these findings. This work is registered in ClinicalTrials.gov (ClinicalTrials.gov Identifier: NCT01263041).

Identifiers

PMID25861285
PMCPMC4377475
OpenAlexW2060371564

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Registered trials

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.