Evidence map›Paper›PMID 30552093›Full record

ArticleArchives of disease in childhood2019

Home use of breast milk fortifier to promote postdischarge growth and breast feeding in preterm infants: a quality improvement project.

Luise V Marino, Carol Fudge, Freya Pearson, Mark John Johnson

Abstract read
In one paragraph

Article in Archives of disease in childhood, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Article
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  4. Review
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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

4 authors.

Luise V MarinoDepartment of Dietetics/SLT, University Hospital Southampton NHS Foundation Trust, University of Southampton, Southampton, UK.ORCID 0000-0002-1257-121X
Carol FudgeDepartment of Dietetics/SLT, University Hospital Southampton NHS Foundation Trust, University of Southampton, Southampton, UK.
Freya PearsonNeonatal Unit, University Hospital Southampton NHS Foundation Trust, University of Southampton, Southampton, UK.ORCID 0000-0002-6114-285X
Mark John JohnsonNIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, University of Southampton, Southampton, UK.ORCID 0000-0003-1829-9912

Funding

Department of Health DRF-2012-05-272Department of Health ICA-CL-2016-02-001
6 · The paper itself

Abstract

To improve the postdischarge growth of exclusively breastfed preterm infants, born weighing ≤1.8 kg, by using breast milk fortifier (BMF) supplements postdischarge until 48 weeks' gestational age. A quality improvement (QI) project involving plan-do-study-act (PDSA) cycles. A tertiary surgical neonatal unit. Preterm infants weighing ≤1.8 kg at birth. We completed four PDSA cycles to develop and improve an electronic patient information sheet to promote the use BMF beyond discharge. Safety, feasibility and attitudes of parents to home BMF were assessed using questionnaires. A retrospective audit (July 2015-September 2017) was completed investigating the effects of home BMF on growth up to 1 year of age. Change in SD scores for weight for age, length for age and head circumference of age at various time points compared with those at birth were calculated. Compared with baseline measurements (infants born October 2012-November 2013), the QI project resulted in improved growth (measured as the change in SD score from birth, cSDS) at discharge for weight (cSDS -0.7), head circumference (cSDS 0.4) and length (cSDS-0.8), and at 1 year for weight (cSDS 0.9) and length (cSDS 0.8). Home BMF appeared to be safe, and parents found its use acceptable. QI methods facilitated the successful integration of BMF into routine clinical care after discharge, improving the growth trajectory of exclusively breastfed preterm infants discharged home, as well as supporting breast feeding in this vulnerable population group.

Indexed as

Breast FeedingFood, FortifiedMilk, HumanBody HeightBody WeightCephalometryClinical AuditHumansInfantInfant, NewbornInfant, PrematurePatient DischargeQuality ImprovementRetrospective StudiesUnited Kingdombreast milk fortifiergrowthnutritionpreterm infantsquality improvement

Identifiers

PMID30552093
PMCPMC6889743

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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.