Evidence map›Paper›PMID 33206228›Full record

ArticlePediatric nephrology (Berlin, Germany)2021

Efficacy of intradialytic amino acids on nutritional status in children with stage 5 chronic kidney disease.

Hagar El-Saied Saad El-Serw, Dina Abdel Rasoul Helal Bassiouni, Angy Adel Al-Wakeil, Ragaa Shawky Aly Ibrahim El-Masry, Ashraf Mohamed Abd Ei Basset Bakr

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Article in Pediatric nephrology (Berlin, Germany), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.1field-weighted citation impact, top 47% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

5 authors at 1 institution in 1 country.

Hagar El-Saied Saad El-SerwFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Dina Abdel Rasoul Helal BassiouniFaculty of Medicine, Pediatric Department, Mansoura University, Elgomhoria Street, Mansoura, Egypt. d_A_h_b@yahoo.com.ORCID 0000-0002-3575-887X
Angy Adel Al-WakeilFaculty of Medicine, Pediatric Department, Mansoura University, Elgomhoria Street, Mansoura, Egypt.
Ragaa Shawky Aly Ibrahim El-MasryPublic Health & Preventive Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Ashraf Mohamed Abd Ei Basset BakrFaculty of Medicine, Pediatric Department, Mansoura University, Elgomhoria Street, Mansoura, Egypt.
Mansoura University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProtein energy wasting (PEW) is a common cause of morbidity and mortality in patients with stage 5 chronic kidney disease (CKD 5). Intradialytic parenteral nutrition (IDPN) has been used as a therapy for preventing and treating PEW in children with CKD 5 when other conventional modalities fail. However, not enough data is available to define its effectiveness in treating malnutrition in children. This study aims to investigate potential benefits of IDPN in Egyptian children with CKD 5.

methodsIn this prospective, placebo-controlled, parallel-group single blinded study, we enrolled 50 CKD 5 patients; 25 patients (intervention group) received intravenous amino acids (KIDIMN), while 25 patients (control group) received normal saline as placebo, each given during regular dialysis 3 times a week for 9 months. Patients were subjected to nutritional assessment at baseline and 3-, 6-, and 9-month follow-up using height Z-score, hand grip strength (HGS) for muscle power assessment, body composition monitor (BCM) for assessing lean tissue mass (LTM) and adipose tissue mass (ATM), and biochemical measures including serum albumin, serum triglyceride, and serum cholesterol.

resultsWhen comparing baseline and 9-month follow-up values, significant improvement was recorded in height Z-score, LTM, and serum albumin in the intervention group unlike the control group where no significant changes were recorded.

conclusionIDPN is proposed to be an effective method for preventing and treating malnutrition in children with CKD 5. However, further multi-centric studies with larger sample size and longer duration of follow-up are still recommended.

Indexed as

Child Nutrition DisordersKidney Failure, ChronicRenal Insufficiency, ChronicAmino AcidsChildHand StrengthHumansMalnutritionNutritional StatusProspective StudiesProtein-Energy MalnutritionRenal DialysisAmino AcidsAmino acidsChildrenDialysisKidney failureParenteral nutritionProtein energy wasting

Identifiers

PMID33206228
OpenAlexW3105161802

What OpenQuestion holds

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Registered trials

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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.