Evidence map›Paper›PMID 32628715›Full record

ArticlePloS one2020

Long-term effects on growth of an energy-enhanced parenteral nutrition in preterm newborn: A quasi-experimental study.

Gianluca Terrin, Alessandra Coscia, Giovanni Boscarino, Francesca Faccioli, Maria Di Chiara, Carla Greco, Elisa Onestà, Salvatore Oliva, Marina Aloi, Lucia Dito and 3 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 20 citations in OpenAlex.

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  10. Zinc levels in neonatal life influence long-term neurodevelopment.Journal of perinatology : official journal of the California Perinatal Association · 2021
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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 2 institutions in 1 country.

Gianluca TerrinDepartment of Maternal and Child Health Policlinico Umberto I, University La Sapienza, Rome, Italy.ORCID 0000-0003-3541-2876
Alessandra CosciaNeonatology Unit, Department of Public Health and Pediatrics, University of Turin, Turin, Italy.
Giovanni BoscarinoDepartment of Maternal and Child Health Policlinico Umberto I, University La Sapienza, Rome, Italy.
Francesca FaccioliDepartment of Maternal and Child Health Policlinico Umberto I, University La Sapienza, Rome, Italy.
Maria Di ChiaraDepartment of Maternal and Child Health Policlinico Umberto I, University La Sapienza, Rome, Italy.
Carla GrecoDepartment of Maternal and Child Health Policlinico Umberto I, University La Sapienza, Rome, Italy.
Elisa OnestàDepartment of Maternal and Child Health Policlinico Umberto I, University La Sapienza, Rome, Italy.
Salvatore OlivaDepartment of Maternal and Child Health Policlinico Umberto I, University La Sapienza, Rome, Italy.
Marina AloiDepartment of Maternal and Child Health Policlinico Umberto I, University La Sapienza, Rome, Italy.
Lucia DitoDepartment of Maternal and Child Health Policlinico Umberto I, University La Sapienza, Rome, Italy.
Viviana CardilliDepartment of Maternal and Child Health Policlinico Umberto I, University La Sapienza, Rome, Italy.
Daniela RegoliDepartment of Maternal and Child Health Policlinico Umberto I, University La Sapienza, Rome, Italy.
Mario De CurtisDepartment of Maternal and Child Health Policlinico Umberto I, University La Sapienza, Rome, Italy.
Policlinico Umberto I · ITUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo assess the best energy intake in Parenteral Nutrition (PN) for preterm newborns, considering both possible benefits for growth and risk of complications.

methodsQuasi-experimental study comparing two cohorts of newborns, receiving Energy-Enhanced vs. Standard PN (Cohort A, from 1st January 2015 to 31 January 2016 and Cohort B from 1st February 2016 to 31 March 2017; respectively) after implementation of a change in the PN protocol. The primary outcome measure was growth at 24 months of life. The PN associated complications were also measured.

resultsWe enrolled 132 newborns in two Cohorts, similar for prenatal and postnatal clinical characteristics. Although, body weight and length at 24 months of life were significantly higher (p<0.05) in the Cohort A (11.1, 95% CI 10.6 to 11.6 Kg; 85.0 95% CI 83.8 to 86.2 cm) compared with Cohort B (10.4, 95% CI 9.9 to 10.9 Kg; 81.3 95% CI 79.7 to 82.8 cm), body weight and length Z-Score in the first 24 months of life were similar between the two Cohorts. The rate of PN associated complications was very high in both study Cohorts (up to 98% of enrolments). Multivariate analysis showed that length at 24 months was significantly associated with receiving standard PN (cohort A) in the first week of life and on the energy intake in the first week of life. We also found a marginally insignificant association between Cohort A assignment and body weight at 24 months of life (p = 0.060).

conclusionsEnergy-enhanced PN in early life has not significant effects on long-term growth in preterm newborns. The high prevalence of PN associated complications, poses concerns about the utility of high energy intake recommended by current guidelines for PN.

Indexed as

Energy IntakeParenteral NutritionFemaleHumansInfant, NewbornInfant, PrematureMaleSafetySurveys and QuestionnairesTime Factors

Identifiers

PMID32628715
PMCPMC7337335
OpenAlexW3039195715

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.