Evidence map›Paper›PMID 26389596›Full record

Observational studyPloS one2015

Highest Plasma Phenylalanine Levels in (Very) Premature Infants on Intravenous Feeding; A Need for Concern.

Ernesto Cortés-Castell, Pablo Sánchez-González, Antonio Palazón-Bru, Vicente Bosch-Giménez, Herminia Manero-Soler, Mercedes Juste-Ruiz, María Mercedes Rizo-Baeza, Vicente Francisco Gil-Guillén

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 93% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
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

8 authors at 4 institutions in 1 country.

Ernesto Cortés-CastellDepartment of Pharmacology, Paediatrics and Organic Chemistry, Miguel Hernández University, San Juan de Alicante, Spain.
Pablo Sánchez-GonzálezClinical Analysis Department, Alicante General University Hospital, Alicante, Spain.
Antonio Palazón-BruDepartment of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Spain.
Vicente Bosch-GiménezDepartment of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain.
Herminia Manero-SolerClinical Analysis Department, Alicante General University Hospital, Alicante, Spain.
Mercedes Juste-RuizDepartment of Pharmacology, Paediatrics and Organic Chemistry, Miguel Hernández University, San Juan de Alicante, Spain.
María Mercedes Rizo-BaezaDepartment of Nursing, University of Alicante, San Vicente del Raspeig, Spain.
Vicente Francisco Gil-GuillénDepartment of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Spain.
Universitat de Miguel Hernández d'Elx · ESHospital General Universitario de Alicante Doctor Balmis · ESUniversidad de Murcia · ESUniversity of Alicante · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyse the association in newborns between blood levels of phenylalanine and feeding method and gestational age. STUDY

designThis observational, cross-sectional study included a sample of 11,829 infants between 2008 and 2013 in a Spanish region. Data were recorded on phenylalanine values, feeding method [breast, formula, mixed (breast plus formula), or partial or fully intravenous feeding], gestational age in weeks (<32, 32-37, ≥37), gender and days since birth at the moment of blood collection. Outcomes were [phenylalanine] and [phenylalanine] ≥95th percentile. Associations were analysed using multivariate models [linear (means difference) and logistic regression (adjusted odds ratios)].

resultsHigher phenylalanine values were associated with lower gestational age (p<0.001) and with intravenous feeding (p<0.001).

conclusionThe degree of prematurity and intravenous feeding influenced the plasma concentration of phenylalanine in the newborn. Caution should be taken in [phenylalanine] for newborns with intravenous feeding, monitoring them carefully. Very preterm infants given the recommended amount of amino acids should also be strictly monitored. These findings should be taken into consideration and call for adapting the amounts to the needs of the infant.

Indexed as

Parenteral NutritionBreast FeedingCross-Sectional StudiesFemaleGestational AgeHumansInfant FormulaInfant, NewbornInfant, PrematureMaleMultivariate AnalysisPhenylalanineSpainPhenylalanine

Identifiers

PMID26389596
PMCPMC4577102
OpenAlexW2126268701

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.