Evidence map›Paper›PMID 29934384›Full record

Trial reportBMJ open2018

Risk of postneonatal mortality, hospitalisation and suboptimal breast feeding practices in low birthweight infants from rural Haryana, India: findings from a secondary data analysis.

Ravi Prakash Upadhyay, Jose Carlos Martines, Sunita Taneja, Sarmila Mazumder, Rajiv Bahl, Nita Bhandari, Suresh Dalpath, Maharaj Kishan Bhan

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01138449 (Efficacy of Neonatal Vitamin A Supplementation in Improving Child Survival in Haryana, India), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.6field-weighted citation impact, top 33% 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.

NCT01138449 nacompletednot on this map

Efficacy of Neonatal Vitamin A Supplementation in Improving Child Survival in Haryana, India: Generation of Evidence Necessary for Informing Global Policy

TypeinterventionalSponsorSociety for Applied StudiesRan2010 to 2013Enrolled44,984ConditionsNeonatal Vitamin A SupplementationArmsVitamin A
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 23 citations in OpenAlex.

  1. Trial
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. 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 6 institutions in 7 countries.

Ravi Prakash UpadhyayCentre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Jose Carlos MartinesCentre for Intervention Science in Maternal and Child Health, Centre for International Health, University of Bergen, Bergen, Norway.
Sunita TanejaCentre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Sarmila MazumderCentre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Rajiv BahlDepartment of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Geneva, Switzerland.
Nita BhandariCentre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Suresh DalpathDepartment of Health, National Health Mission, Haryana, India.
Maharaj Kishan BhanDepartment of Science and Technology, Indian Institute of Technology (IIT), New Delhi, India.
Centre for Research and Development · ZWDepartment of Science and Technology · INMission Health · USSociety for Applied Studies · INUniversity of Bergen · NOWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectivesLow birth weight (LBW) is a risk factor for neonatal mortality and morbidity. It is important to examine whether this risk persists beyond neonatal period. The current secondary data analysis aimed to examine association of birth weight with mortality, hospitalisation and breast feeding practices during infancy.

designData from a large randomised controlled trial of neonatal vitamin A supplementation (Neovita) trial were used. Log binomial model was applied to assess association between birth weight and mortality, hospitalisation and breast feeding practices.

settingRural Haryana, North India.

participantsNewborns recruited in the primary intervention trial that aimed to evaluate the effect of single-dose oral vitamin A supplementation on mortality in the first 6 months of life.

resultsWe recruited a total of 44 984 infants, of which 10 658 (23.7%) were born LBW, that is, birth weight less than 2500 g. In the neonatal period, LBW babies had four times higher risk of mortality (relative risk (RR) 3.92; 95% CI 3.33 to 4.66) compared with normal birthweight babies. In the postneonatal period, the risk was two times higher (RR 1.92; 95% CI 1.71 to 2.15); even higher in those with birth weight <2000 g (RR 3.38; 95% CI 2.71 to 4.12). The risk of hospitalisation in the neonatal period and postneonatal period was (RR 1.86; 95% CI 1.64 to 2.11) and (RR 1.13; 95% CI 1.05 to 1.21), respectively. LBWs were at increased risk of breast feeding initiation 24 hours after birth (RR 1.64; 95% CI 1.45 to 1.81), no breast feeding at 6 months (RR 1.34; 95% CI 1.23 to 1.46) and at 12 months of age (RR 1.24; 95% CI 1.18 to 1.30).

conclusionsLBW babies, especially those with birth weight of <2000 g, were at increased risk of mortality, hospitalisation and suboptimal breast feeding practices during entire infancy and therefore require additional care beyond the first 28 days of life. TRIAL REGISTRATION NUMBER: NCT01138449.

Indexed as

Infant MortalityBirth WeightBreast FeedingData AnalysisDietary SupplementsFemaleHospitalizationHumansIndiaInfantInfant, Low Birth WeightInfant, NewbornMaleRural PopulationVitamin AVitamin Abreast feeding practicescare and supportextended home visitationhospitalisation riskIndiainfant mortalitylow birth weightpostneonatal mortality

Identifiers

PMID29934384
PMCPMC6020937
OpenAlexW2808736051

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.