Evidence map›Paper›PMID 28768286›Full record

ArticleNeonatology2017

NICU Human Milk Dose and 20-Month Neurodevelopmental Outcome in Very Low Birth Weight Infants.

Kousiki Patra, Matthew Hamilton, Tricia J Johnson, Michelle Greene, Elizabeth Dabrowski, Paula P Meier, Aloka L Patel

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Neonatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04540575 (Reducing Disparity in Receipt of Mother's Own Milk in Very Low Birth Weight Infants), which is not on this map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
5.0field-weighted citation impact, top 4% 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.

NCT04540575 nacompletednot on this mapstarted 2020, after this paper: background citation

Reducing Disparity in Receipt of Mother's Own Milk in Very Low Birth Weight Infants: An Economic Intervention to Improve Adherence to Sustained Maternal Breast Pump Use

TypeinterventionalSponsorRush University Medical CenterRan2020 to 2025Enrolled362ConditionsPumping, Breast, Milk, Human, Infant, Very Low Birth Weight, Preterm BirthArmsNICU Acquires MOM, Mother Provides MOM
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Timing and intensity of lactation support influences NICU discharge on maternal milk.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Importance of human milk for infants in the clinical setting: Updates and mechanistic links.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2023
    Review
  12. Dilemmas in establishing preterm enteral feeding: where do we start and how fast do we go?Journal of perinatology : official journal of the California Perinatal Association · 2023
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Proactive Lactation Care is Associated With Improved Outcomes in a Referral NICU.Journal of human lactation : official journal of International Lactation Consultant Association · 2022
    Article
  19. Article
  20. Observational
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

7 authors at 3 institutions in 1 country.

Kousiki PatraDepartment of Pediatrics, Rush University Medical Center, Chicago, IL, USA.
Matthew Hamilton
Tricia J Johnson
Michelle Greene
Elizabeth Dabrowski
Paula P Meier
Aloka L Patel
Pediatrics and Genetics · USNorthwestern University · USRush University Medical Center · US

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

backgroundThe association between human milk (HM) feeding in the NICU and neurodevelopmental (ND) outcome in very low birth weight (VLBW) infants is unclear. Limitations of previous studies include a lack of exact estimates of HM dose and of generalizability to minority populations.

objectiveTo determine the impact on ND outcome of an exact dose of HM received in the NICU in a diverse, contemporary cohort of VLBW infants.

methodsWe included 430 VLBW infants born in the period 2008-2012 for whom the mean daily dose (DD) of HM received during the stay in the NICU (NICU HM-DD) was calculated prospectively from the daily nutritional intake from admission to discharge. Outcomes included Bayley-III index scores at 20 months' corrected age (CA) as assessed upon ND follow-up, which were collected retrospectively. Multivariable linear regression analyses controlled for neonatal and social risk factors.

resultsEach 10 mL/kg/day increase in NICU HM-DD was associated with a 0.35 increase in cognitive index score (95% CI [0.03-0.66], p = 0.03), but no significant associations were detected for the language or motor indices.

conclusionsThere is a significant dose-dependent association between NICU HM intake and cognitive scores at 20 months' CA. Further follow-up will determine whether these findings persist at school age, and could help alleviate the special-education and health-care burden in this population.

Indexed as

Child DevelopmentInfant, Very Low Birth WeightIntensive Care Units, NeonatalMilk, HumanAge FactorsBirth WeightChild LanguageCognitionFemaleHumansInfantInfant, NewbornInfant Nutritional Physiological PhenomenaLinear ModelsMaleMotor ActivityHuman milkNeurodevelopmental outcomeVery low birth weight infants

Identifiers

PMID28768286
PMCPMC5683911
OpenAlexW2741603692

What OpenQuestion holds

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Read underepoch 390

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.