Evidence map›Paper›PMID 29486497›Full record

ArticleAmerican journal of perinatology2018

Physiological Approach to Sodium Supplementation in Preterm Infants.

David E Segar, Elizabeth K Segar, Lyndsay A Harshman, John M Dagle, Susan J Carlson, Jeffrey L Segar

Registry-linked trialAbstract read
In one paragraph

Article in American journal of perinatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03889197 (Physiologic Approach to Sodium Supplementation in Premature Infants), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 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.

NCT03889197 phase4completednot on this mapstarted 2019, after this paper: background citation

Physiologic Approach to Sodium Supplementation in Premature Infants

TypeinterventionalSponsorIndiana UniversityRan2019 to 2023Enrolled90ConditionsPostnatal Growth DisorderArmsSodium supplementation guided by urine sodium concentration algorithm
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. It's the little things. A framework and guidance for programs to care for infants 22-23 weeks' gestational age.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Review
  10. A pinch of salt to enhance preemie growth?Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  11. Somatic growth outcomes in response to an individualized neonatal sodium supplementation protocol.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  12. Early-life sodium restriction programs autonomic dysfunction and salt sensitivity in male C57BL/6J mice.American journal of physiology. Regulatory, integrative and comparative physiology · 2025
    Article
  13. Oral sodium supplementation on growth and hypertension in preterm infants: an observational cohort study.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Observational
  14. Article
  15. Early-life sodium deprivation programs long-term changes in ingestive behaviors and energy expenditure in C57BL/6J mice.American journal of physiology. Regulatory, integrative and comparative physiology · 2023
    Article
  16. Sodium and Growth in Preterm Infants: A Review.Newborn (Clarksville, Md.) · 2023
    Article
  17. Maturational changes in sodium metabolism in periviable infants.Pediatric nephrology (Berlin, Germany) · 2021
    Observational
  18. Dissociable effects of dietary sodium in early life upon somatic growth, fluid homeostasis, and spatial memory in mice of both sexes.American journal of physiology. Regulatory, integrative and comparative physiology · 2021
    Article
  19. Article
  20. Fetal storage of osmotically inactive sodium.American journal of physiology. Regulatory, integrative and comparative physiology · 2020
    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

6 authors.

David E SegarStead Family Department of Pediatrics, Carver College of Medicine, University of Iowa, Iowa City, Iowa.
Elizabeth K SegarStead Family Department of Pediatrics, Carver College of Medicine, University of Iowa, Iowa City, Iowa.
Lyndsay A HarshmanStead Family Department of Pediatrics, Carver College of Medicine, University of Iowa, Iowa City, Iowa.
John M DagleStead Family Department of Pediatrics, Carver College of Medicine, University of Iowa, Iowa City, Iowa.
Susan J CarlsonDepartment of Food and Nutritional Services, University of Iowa Stead Family Children's Hospital, Iowa City, Iowa.
Jeffrey L SegarStead Family Department of Pediatrics, Carver College of Medicine, University of Iowa, Iowa City, Iowa.

Funding

Cognitive Profiles and Neuroimaging Correlates in Mild to Moderate Pediatric Chronic Kidney DiseaseK23DK110443 · NIDDK · UNIVERSITY OF IOWA · PI HARSHMAN, LYNDSAY ANNE · 2016 to 2020
$781k
NIDDK NIH HHS K23 DK110443
6 · The paper itself

Abstract

objectiveTo implement and evaluate a clinical practice algorithm to identify preterm infants with sodium deficiency and guide sodium supplementation based on urine sodium concentrations. STUDY

designUrine sodium concentration was measured in infants born at 26

resultsData were compared for 50 infants in the 2014-2015 cohort and 40 infants in the 2016 cohort. Urine sodium concentration met criteria for supplementation in 75% of the 2016 cohort infants within the first 4 weeks after birth. Average daily sodium intake was greater in the 2016 cohort compared with the 2014-2015 cohort (

conclusionInstitution of a clinical practice algorithm to instruct clinicians on sodium supplementation in preterm infants may improve growth outcomes.

Indexed as

Body WeightDietary SupplementsAlgorithmsCohort StudiesFemaleGestational AgeHumansHyponatremiaInfantInfant, Extremely PrematureInfant, NewbornMaleSodiumSodium

Identifiers

PMID29486497
PMCPMC6059989

What OpenQuestion holds

Textmetadata
LicenceTDM
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.