Evidence map›Paper›PMID 29095430›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2018

Excipient exposure in very low birth weight preterm neonates.

T O Akinmboni, N L Davis, A J Falck, C F Bearer, S M Mooney

Open access · bronzeAbstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 33 citations in OpenAlex.

  1. Use of Topical Analgesics in Neonates.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 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

5 authors at 1 institution in 1 country.

T O AkinmboniDivision of Neonatology, Department of Pediatrics, University of Maryland School of Medicine, Baltimore MD, USA.
N L DavisDivision of Neonatology, Department of Pediatrics, University of Maryland School of Medicine, Baltimore MD, USA.
A J FalckDivision of Neonatology, Department of Pediatrics, University of Maryland School of Medicine, Baltimore MD, USA.
C F BearerDivision of Neonatology, Department of Pediatrics, University of Maryland School of Medicine, Baltimore MD, USA.
S M MooneyDivision of Neonatology, Department of Pediatrics, University of Maryland School of Medicine, Baltimore MD, USA.
University of Maryland, Baltimore · US

Funding

Social Anxiety, Stress and Ethanol Sensitivity in Adolescence and AdulthoodP50AA017823 · NIAAA · UPSTATE MEDICAL UNIVERSITY · PI Marvin Rafael Diaz · 2009 to 2026
$30.5M
Project IV- Cerebellar Function After Hypoxia-Ischemia and Precipitating InflammationP01HD085928 · NICHD · UNIVERSITY OF MARYLAND BALTIMORE · PI BEARER, CYNTHIA FRANCES · 2016 to 2020
$6.3M
EXPERIMENTAL FETAL ALCOHOL SYNDROME: CEREBRAL CORTEXR01AA006916 · NIAAA · UPSTATE MEDICAL UNIVERSITY · PI MIDDLETON, FRANK A., MOONEY, SANDRA M · 1985 to 2014
$4.5M
Nutrient combination to mitigate Fetal Alcohol Spectrum DisorderR01AA024980 · NIAAA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MOONEY, SANDRA M · 2017 to 2021
$2.3M
Experimental Factors in Fetal Alcohol Spectrum DisorderR01AA022413 · NIAAA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MOONEY, SANDRA M · 2014 to 2018
$1.7M
The Role of Lipid Rafts in Fetal Alcohol Spectrum DisorderR01AA016398 · NIAAA · UNIVERSITY OF MARYLAND BALTIMORE · PI BEARER, CYNTHIA FRANCES · 2007 to 2011
$1.5M
Effects of developmental ethanol exposure on brain developmentR01AA018693 · NIAAA · UPSTATE MEDICAL UNIVERSITY · PI MOONEY, SANDRA M · 2010 to 2014
$1.2M
The Role of Lipid Rafts in Billirubin NeurotoxicityR21HD085061 · NICHD · UNIVERSITY OF MARYLAND BALTIMORE · PI BEARER, CYNTHIA FRANCES · 2016 to 2017
$427k
NIAAA NIH HHS P50 AA017823NIAAA NIH HHS R01 AA006916NIAAA NIH HHS R01 AA016398NIAAA NIH HHS R01 AA018693NIAAA NIH HHS R01 AA022413NIAAA NIH HHS R01 AA024980NICHD NIH HHS P01 HD085928NICHD NIH HHS R21 HD085061
6 · The paper itself

Abstract

objectiveThe excipients benzyl alcohol, propylene glycol and ethanol are present in medications used in the neonatal intensive care unit. Exposure to high levels can have adverse effects in a neonatal population. The objective was to quantify excipient exposure in very low birth weight (VLBW) neonates and identify risk factors associated with greater exposure. STUDY

designA retrospective record review of VLBW infants admitted over 1 year. Excipient exposures were calculated and multivariable regression analyses identified risk factors for increasing exposure.

resultsIn total, 98% of subjects were exposed to at least one excipient. A total of 5 to 9% received doses higher than recommended for adults. Necrotizing enterocolitis, seizure, bronchopulmonary dysplasia and longer stay predicted higher excipient exposure.

conclusionThe excipients examined are in medications commonly prescribed for VLBW neonates, and cumulative doses may exceed recommended exposures for adults. Although safety profiles have not been established, judicious use of medication containing these excipients is warranted for this population.

Indexed as

Infant, Very Low Birth WeightBaltimoreBenzyl AlcoholEnvironmental ExposureEthanolExcipientsFemaleHumansInfant, NewbornInfant, Premature, DiseasesIntensive Care Units, NeonatalLength of StayLogistic ModelsMaleMultivariate AnalysisPropylene GlycolBenzyl AlcoholEthanolExcipientsPropylene Glycol

Identifiers

PMID29095430
PMCPMC5790602
OpenAlexW2766743373

What OpenQuestion holds

Textmetadata
LicenceTDM
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.