Evidence map›Paper›PMID 33359473›Full record

ArticleThe Journal of pediatrics2021

Standardized Feeding Approach Mitigates Weight Loss in Infants with Congenital Heart Disease.

Amy Jo Lisanti, Melanie Savoca, J William Gaynor, Maria R Mascarenhas, Chitra Ravishankar, Erin Sullivan, Karyn Pieciak, Andrew Costarino, Jodi Chen, Andrea Kennedy and 5 more

Open access · greenAbstract readEvaluation Study
In one paragraph

Article in The Journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

15 authors at 2 institutions in 1 country.

Amy Jo LisantiChildren's Hospital of Philadelphia, Nursing and Clinical Care Services, Philadelphia, PA; University of Pennsylvania, School of Nursing, Philadelphia, PA.
Melanie SavocaChildren's Hospital of Philadelphia, Nursing and Clinical Care Services, Philadelphia, PA.
J William GaynorChildren's Hospital of Philadelphia, Division of Pediatric Cardiothoracic Surgery, Philadelphia, PA; University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA.
Maria R MascarenhasUniversity of Pennsylvania, Perelman School of Medicine, Philadelphia, PA; Children's Hospital of Philadelphia, Division of Gastroenterology, Hepatology and Nutrition, Philadelphia, PA.
Chitra RavishankarUniversity of Pennsylvania, Perelman School of Medicine, Philadelphia, PA; Children's Hospital of Philadelphia, Division of Cardiology, Philadelphia, PA.
Erin SullivanChildren's Hospital of Philadelphia, Nursing and Clinical Care Services, Philadelphia, PA.
Karyn PieciakChildren's Hospital of Philadelphia, Nursing and Clinical Care Services, Philadelphia, PA.
Andrew CostarinoUniversity of Pennsylvania, Perelman School of Medicine, Philadelphia, PA; Children's Hospital of Philadelphia, Division of Cardiac Critical Care Medicine, Philadelphia, PA.
Jodi ChenUniversity of Pennsylvania, Perelman School of Medicine, Philadelphia, PA; Children's Hospital of Philadelphia, Division of Cardiac Critical Care Medicine, Philadelphia, PA.
Andrea KennedyChildren's Hospital of Philadelphia, Center for Healthcare and Quality Analytics, Philadelphia, PA.
Robert OlsenChildren's Hospital of Philadelphia, Center for Healthcare and Quality Analytics, Philadelphia, PA.
Jungwon MinChildren's Hospital of Philadelphia, Department of Biomedical and Health Informatics, Data Science and Biostatistics Unit, Philadelphia, PA.
Antara MondalChildren's Hospital of Philadelphia, Department of Biomedical and Health Informatics, Data Science and Biostatistics Unit, Philadelphia, PA.
Jing HuangChildren's Hospital of Philadelphia, Research Institute, Philadelphia, PA; Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Sharon Y IrvingChildren's Hospital of Philadelphia, Nursing and Clinical Care Services, Philadelphia, PA; University of Pennsylvania, School of Nursing, Philadelphia, PA.
Children's Hospital of Philadelphia · USUniversity of Pennsylvania · US

Funding

RESEARCH ON VULNERABLE WOMEN CHILDREN AND FAMILIEST32NR007100 · NINR · UNIVERSITY OF PENNSYLVANIA · PI MEDOFF-COOPER, BARBARA S · 1998 to 2018
$7.2M
NINR NIH HHS T32 NR007100
6 · The paper itself

Abstract

objectiveTo evaluate the effect of a standardized feeding approach using a clinical nutrition pathway on weight-for-age Z score (WAZ) over hospital length of stay (HLOS) for infants with congenital heart disease (CHD). STUDY

designA 10-year retrospective cohort study examined eligible infants who underwent neonatal cardiac surgery between July 2009 and December 2018 (n = 987). Eligibility criteria included infants born at least 37 weeks of gestation and a minimum birth weight of 2 kg who underwent cardiac surgery for CHD within the first 30 days of life. Using the best linear unbiased predictions from a linear mixed effects model, WAZ change over HLOS was estimated before and after January 2013, when the standardized feeding approach was initiated. The best linear unbiased predictions model included adjustment for patient characteristics including sex, race, HLOS, and class of cardiac defect.

resultsThe change in WAZ over HLOS was significantly higher from 2013 to 2018 than from 2009 to 2012 (β = 0.16; SE = 0.02; P < .001), after controlling for sex, race, HLOS, and CHD category, indicating that infants experienced a decreased WAZ loss over HLOS after the standardized feeding approach was initiated. Additionally, differences were found in WAZ loss over HLOS between infants with single ventricle CHD (β = 0.26; SE = 0.04; P < .001) and 2 ventricle CHD (β = 0.04; SE = 0.02; P = .04).

conclusionsThese data suggest that an organized, focused approach for nutrition therapy using a standardized pathway improves weight change outcomes before hospital discharge for infants with single and 2 ventricle CHD who require neonatal cardiac surgery.

Indexed as

Weight GainWeight LossCritical PathwaysFemaleHeart Defects, CongenitalHospitalizationHumansInfantInfant, NewbornLinear ModelsLogistic ModelsMaleNutrition TherapyPerioperative CareRetrospective StudiesTreatment Outcomecongenital heart diseasecritical carefeedinggrowthnutrition

Identifiers

PMID33359473
PMCPMC8005454
OpenAlexW3113754059

What OpenQuestion holds

Textmetadata
LicenceTDM
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.