Evidence map›Paper›PMID 34039435›Full record

Observational studyJournal of health, population, and nutrition2021

Impact of emollient therapy for preterm infants in the neonatal period on child neurodevelopment in Bangladesh: an observational cohort study.

Gary L Darmstadt, Naila Z Khan, Summer Rosenstock, Humaira Muslima, Monowara Parveen, Wajeeha Mahmood, A S M Nawshad Uddin Ahmed, M A K Azad Chowdhury, Scott Zeger, Samir K Saha

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of health, population, and nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00162747 (Topical Emollient Therapy for Prevention of Infections in Preterm Infants), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 16% 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.

NCT00162747 phase4completednot on this map

Topical Emollient Therapy for Prevention of Infections in Preterm Infants

TypeinterventionalSponsorJohns Hopkins Bloomberg School of Public HealthRan2001 to 2005Enrolled600ConditionsSkin DiseasesArmsAquaphor, Sunflower Seed Oil
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Skin Care Supports Overall Well-Being.Clinical, cosmetic and investigational dermatology · 2025
    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

10 authors at 5 institutions in 2 countries.

Gary L DarmstadtPrematurity Research Center, Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, 1701 Page Mill Road, Palo Alto, CA, 94304, USA. gdarmsta@stanford.edu.ORCID 0000-0002-7522-5824
Naila Z KhanClinical Neurosciences Center, Bangladesh Protibondhi Foundation, Dhaka, Bangladesh.
Summer RosenstockCenter for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Humaira MuslimaClinical Neurosciences Center, Bangladesh Protibondhi Foundation, Dhaka, Bangladesh.
Monowara ParveenClinical Neurosciences Center, Bangladesh Protibondhi Foundation, Dhaka, Bangladesh.
Wajeeha MahmoodPrematurity Research Center, Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, 1701 Page Mill Road, Palo Alto, CA, 94304, USA.
A S M Nawshad Uddin AhmedDepartment of Neonatology, Bangladesh Institute of Child Health, Dhaka Shishu Hospital, Dhaka, Bangladesh.
M A K Azad ChowdhuryDepartment of Neonatology, Bangladesh Institute of Child Health, Dhaka Shishu Hospital, Dhaka, Bangladesh.
Scott ZegerDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Samir K SahaDepartment of Microbiology, Bangladesh Institute of Child Health, Dhaka Shishu Hospital, Dhaka, Bangladesh.
Bangladesh Shishu (Children) Hospital & Institute · BDChild Health Research Foundation · BDJohns Hopkins University · USStanford Medicine · USStanford University · US

Funding

United States Agency for International Development HRN-A-00-96-90006-00
6 · The paper itself

Abstract

backgroundTopical treatment with sunflower seed oil (SSO) or Aquaphor® reduced sepsis and neonatal mortality in hospitalized preterm infants <33 weeks' gestational age in Bangladesh. We sought to determine whether the emollient treatments improved neurodevelopmental outcomes during early childhood.

methods497 infants were randomized to receive SSO, Aquaphor®, or neither through the neonatal period or hospital discharge. 159 infant survivors were enrolled in the longitudinal follow-up study using a validated Rapid Neurodevelopmental Assessment tool and the Bayley Scales of Infant Development II (BSID II) administered at three-monthly intervals for the first year and thereafter at six-monthly intervals. Lowess smoothing was used to display neurodevelopmental status across multiple domains by age and treatment group, and Generalized Estimating Equations (GEE) were used to compare treatment groups across age points.

results123 children completed at least one follow-up visit. Lowess graphs suggest that lower proportions of children who received massage with either SSO or Aquaphor® had neurodevelopmental delays than control infants in a composite outcome of disabilities. In GEE analysis, infants receiving SSO showed a significant protective effect on the development of fine motor skills [odds ratio (OR) 0.92, 95% confidence interval (CI) 0.86-0.98, p=0.006]. The Psychomotor Development Index (PDI) in the BSID II showed significantly lower disability rates in the Aquaphor group (23.6%) compared to the control (55.2%) (OR 0.21, 95% CI 0.06-0.72, p=0.004).

conclusionsEmollient massage of very preterm, hospitalized newborn infants improved some child neurodevelopmental outcomes over the first 2 years of follow-up. Findings warrant further confirmatory research.

trial registrationClinicalTrials.gov (98-04-21-03-2) under weblink https://clinicaltrials.gov/ct2/show/NCT00162747.

Indexed as

EmollientsInfant, PrematureBangladeshChildChild DevelopmentChild, PreschoolFollow-Up StudiesHumansInfantInfant, NewbornInfant, Very Low Birth WeightEmollientsEmollientFollow-upNeonatalNeurodevelopmentNewbornPreterm

Identifiers

PMID34039435
PMCPMC8152128
OpenAlexW3165168746

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.