Evidence map›Paper›PMID 31567786›Full record

Trial reportJournal of pediatric gastroenterology and nutrition2019

Safety of a Triple-chamber Bag Parenteral Nutrition in Children Ages up to 24 Months: An Observational Study.

Henrik Arnell, Frederic V Valla, Geneviève Malfilâtre, Patrick Pladys, Thibault Senterre, Alessandro Pontes-Arruda

Open access · hybridAbstract readClinical Trial, Phase IVMulticenter StudyObservational Study
In one paragraph

Trial report in Journal of pediatric gastroenterology and nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. 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 at 6 institutions in 4 countries.

Henrik ArnellKarolinska University Hospital Department of Paediatric Gastroenterology, Hepatology and Nutrition, and Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Frederic V VallaPaediatric Intensive Care Unit, Hospices Civils de Lyon, Lyon-Bron, France.
Geneviève MalfilâtreNeonatal Intensive Care Unit, CHU Tivoli, La Louvière, Belgium.
Patrick PladysService Pédiatrie and CIC1414, CHU Rennes, Rennes, France.
Thibault SenterreDepartment of Neonatology, CHU de Liège, CHR de la Citadelle, University of Liège, Belgium and Baxter Healthcare Corporation, Braine-L'Alleud, Belgium.
Alessandro Pontes-ArrudaBaxter Healthcare Corporation, Deerfield, IL.
Baxter (Belgium) · BEBaxter (United States) · USCentre Hospitalier Universitaire de Tivoli · BECIC Rennes · FRHospices Civils de Lyon · FRKarolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHypermagnesemia has been reported in preterm neonates treated with commercial pediatric triple-chamber bag (3CB) parenteral nutrition (PN). This postmarketing study was requested by the European Medicines Agency to assess the safety of a 3CB PN product in full-term neonates and children up to 24 months of age.

methodsThis prospective, multicenter, observational study enrolled hospitalized, full-term, newborn infants and children up to 24 months of age receiving >70% of nutrition as PN and requiring ≥50% of nutrition as PN for ≥5 days. All patients received 3CB PN during the study for ≤15 days. The primary outcome was serum magnesium, summarized by age group (0-1, >1-12, and >12-24 months). Secondary outcomes were nutritional intake and adverse events (AEs), including clinically significant abnormal laboratory results and vital signs.

resultsA total of 102 eligible patients were included. Median (interquartile range) parenteral magnesium intake was 0.23 (0.18-0.30) mmol · kg · day. Mean serum magnesium showed no consistent changes during treatment in any age group. One moderate and 3 mild AEs of hypermagnesemia were reported in 4 patients (3.9%), all ages 0 to 1 month. Other AEs in >2 patients were hypertriglyceridemia (6.9%), laryngitis (3.9%), hyperkalemia, hypokalemia, hyponatremia, hypophosphatemia, and neonatal hypotension (each 2.9%). Other serum electrolytes were stable, and revealed no safety concerns.

conclusionsMean serum magnesium levels were not affected by 3CB PN in full-term neonates and children up to 24 months of age. The risk of hypermagnesemia AEs was low when providing median parenteral magnesium of 0.2 to 0.3 mmol · kg · day in this population.

Indexed as

Child, PreschoolEnergy IntakeFemaleHumansInfantInfant, NewbornMagnesiumMaleParenteral NutritionParenteral Nutrition SolutionsProspective StudiesMagnesiumParenteral Nutrition Solutions

Identifiers

PMID31567786
PMCPMC6882531
OpenAlexW2975501526

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.