Evidence map›Paper›PMID 27806990›Full record

ArticleArchives of disease in childhood. Fetal and neonatal edition2017

Influence of own mother's milk on bronchopulmonary dysplasia and costs.

Aloka L Patel, Tricia J Johnson, Beverley Robin, Harold R Bigger, Ashley Buchanan, Elizabeth Christian, Vikram Nandhan, Anita Shroff, Michael Schoeny, Janet L Engstrom and 1 more

Abstract read
In one paragraph

Article in Archives of disease in childhood. Fetal and neonatal edition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

58 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  16. Multi-prong quality improvement approach for increasing mother's own milk use for very low birth weight infants.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  17. Observational
  18. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Aloka L PatelDepartment of Pediatrics, Rush University Medical Center, Chicago, Illinois, USA.
Tricia J JohnsonDepartment of Health Systems Management, Rush University Medical Center, Chicago, Illinois, USA.
Beverley RobinDepartment of Pediatrics, Rush University Medical Center, Chicago, Illinois, USA.
Harold R BiggerDepartment of Pediatrics, Rush University Medical Center, Chicago, Illinois, USA.
Ashley BuchananDepartment of Pediatrics, Rush University Medical Center, Chicago, Illinois, USA.
Elizabeth ChristianRush University Medical College, Chicago, Illinois, USA.
Vikram NandhanDepartment of Pediatrics, Rush University Medical Center, Chicago, Illinois, USA.
Anita ShroffRush University Medical College, Chicago, Illinois, USA.
Michael SchoenyCollege of Nursing, Rush University Medical Center, Chicago, Illinois, USA.
Janet L EngstromCollege of Nursing, Rush University Medical Center, Chicago, Illinois, USA.
Paula P MeierDepartment of Pediatrics, Rush University Medical Center, Chicago, Illinois, USA.

Funding

Health Benefits and Cost of Human Milk Feedings for Very Low Birthweight InfantsR01NR010009 · NINR · RUSH UNIVERSITY MEDICAL CENTER · PI MEIER, PAULA P · 2007 to 2011
$2.7M
NINR NIH HHS R01 NR010009
6 · The paper itself

Abstract

backgroundHuman milk from the infant's mother (own mother's milk; OMM) feedings reduces the risk of several morbidities in very low birthweight (VLBW) infants, but limited data exist regarding its impact on bronchopulmonary dysplasia (BPD).

objectiveTo prospectively study the impact of OMM received in the neonatal intensive care unit (NICU) on the risk of BPD and associated costs. DESIGN/

methodsA 5-year prospective cohort study of the impact of OMM dose on growth, morbidity and NICU costs in VLBW infants. OMM dose was the proportion of enteral intake that consisted of OMM from birth to 36 weeks postmenstrual age (PMA) or discharge, whichever occurred first. BPD was defined as the receipt of oxygen and/or positive pressure ventilation at 36 weeks PMA. NICU costs included hospital and physician costs.

resultsThe cohort consisted of 254 VLBW infants with mean birth weight 1027±257 g and gestational age 27.8±2.5 weeks. Multivariable logistic regression demonstrated a 9.5% reduction in the odds of BPD for every 10% increase in OMM dose (OR 0.905 (0.824 to 0.995)). After controlling for demographic and clinical factors, BPD was associated with an increase of US$41 929 in NICU costs.

conclusionsIncreased dose of OMM feedings from birth to 36 weeks PMA was associated with a reduction in the odds of BPD in VLBW infants. Thus, high-dose OMM feeding may be an inexpensive, effective strategy to help reduce the risk of this costly multifactorial morbidity.

Indexed as

Milk, HumanBirth WeightBreast Milk ExpressionBronchopulmonary DysplasiaFemaleGestational AgeHealth Care CostsHumansIllinoisInfant CareInfant, NewbornInfant, PrematureInfant, Very Low Birth WeightIntensive Care Units, NeonatalMaleMothersbronchopulmonary dysplasiacostshuman milkNeonatologypremature infant

Identifiers

PMID27806990
PMCPMC5586102

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Registered trials

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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.