Evidence map›Paper›PMID 31896121›Full record

Trial reportPediatric research2020

Plasma ammonia concentrations in extremely low birthweight infants in the first week after birth: secondary analysis from the ProVIDe randomized clinical trial.

Barbara E Cormack, Yannan Jiang, Jane E Harding, Caroline A Crowther, Adrienne Lynn, Arun Nair, Michael Hewson, Mike Meyer, Roland Broadbent, Dianne Webster and 3 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatric research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 28% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Supplementary parenteral arginine corrects hypoargininaemia and rebalances plasma amino acid profiles in very preterm infants receiving parenteral nutrition: A prospective study.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
    Article
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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

13 authors at 8 institutions in 1 country.

Barbara E CormackLiggins Institute, University of Auckland, Auckland, New Zealand.
Yannan JiangLiggins Institute, University of Auckland, Auckland, New Zealand.
Jane E HardingLiggins Institute, University of Auckland, Auckland, New Zealand.
Caroline A CrowtherLiggins Institute, University of Auckland, Auckland, New Zealand.
Adrienne LynnNeonatal Intensive Care Unit, Christchurch Women's Hospital, Christchurch, New Zealand.
Arun NairNewborn Intensive Care Unit, Waikato Hospital, Hamilton, New Zealand.
Michael HewsonNeonatal Intensive Care Unit, Wellington Hospital, Wellington, New Zealand.
Mike MeyerNeonatal Unit, Middlemore Hospital, Auckland, New Zealand.
Roland BroadbentNeonatal Intensive Care Unit, Dunedin Hospital, Dunedin, New Zealand.
Dianne WebsterLabPlus, Auckland District Health Board, Auckland, New Zealand.
Emma GlamuzinaNational Adult and Paediatric Metabolic Service, Auckland, New Zealand.
Bryony RyderNational Adult and Paediatric Metabolic Service, Auckland, New Zealand.
Frank H BloomfieldLiggins Institute, University of Auckland, Auckland, New Zealand. f.bloomfield@auckland.ac.nz.
University of Auckland · NZAuckland City Hospital · NZAuckland District Health Board · NZChristchurch Hospital · NZDunedin Public Hospital · NZMiddlemore Hospital · NZWaikato Hospital · NZWellington Hospital · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about normative ammonia concentrations in extremely low birthweight (ELBW) babies and whether these vary with birth characteristics. We aimed to determine ammonia concentrations in ELBW babies in the first week after birth and relationships with neonatal characteristics and protein intake.

methodsArterial blood samples for the measurement of plasma ammonia concentration were collected within 7 days of birth from ProVIDe trial participants in six New Zealand neonatal intensive care units.

resultsThree hundred and twenty-two babies were included. Median (range) gestational age was 25.7 (22.7-31.6) weeks. Median (interquartile range (IQR)) ammonia concentration was 102 (80-131) µg/dL. There were no statistically significant associations between ammonia concentrations and birthweight or sex. Ammonia concentrations were weakly correlated with mean total (Spearman's r

conclusionsPlasma ammonia concentrations in ELBW babies are similar to those of larger and more mature babies and only weakly correlated with protein intake. Currently, recommended thresholds for investigation of hyperammonaemia are appropriate for ELBW babies. Protein intake should not be limited by concerns about potential hyperammonaemia.

Indexed as

AmmoniaBirth WeightData Interpretation, StatisticalFemaleGestational AgeHumansHyperammonemiaInfant, Extremely Low Birth WeightInfant, NewbornIntensive Care, NeonatalIntensive Care Units, NeonatalMaleNew ZealandTreatment OutcomeAmmonia

Identifiers

PMID31896121
PMCPMC7384986
OpenAlexW2998619109

What OpenQuestion holds

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LicenceCC BY
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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.