Evidence map›Paper›PMID 34836364›Full record

ReviewNutrients2021

Belgian Consensus Recommendations to Prevent Vitamin K Deficiency Bleeding in the Term and Preterm Infant.

Simon Fiesack, Anne Smits, Maissa Rayyan, Karel Allegaert, Philippe Alliet, Wim Arts, An Bael, Luc Cornette, Ann De Guchtenaere, Nele De Mulder and 11 more

Open access · goldAbstract readReviewConsensus Statement
In one paragraph

Review in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
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

21 authors at 13 institutions in 2 countries.

Simon FiesackFaculty of Medicine, KU Leuven, 3000 Leuven, Belgium.
Anne SmitsDepartment of Development and Regeneration, KU Leuven, 3000 Leuven, Belgium.ORCID 0000-0002-0710-6698
Maissa RayyanDepartment of Development and Regeneration, KU Leuven, 3000 Leuven, Belgium.
Karel AllegaertDepartment of Development and Regeneration, KU Leuven, 3000 Leuven, Belgium.ORCID 0000-0001-9921-5105
Philippe AllietDepartment of Paediatrics, Jessa Hospital, 3500 Hasselt, Belgium.
Wim ArtsDepartment of Paediatrics, ZOL Genk, 3600 Genk, Belgium.
An BaelDepartment of Pediatrics, ZNA Queen Paola Children's Hospital, Faculty of Medicine UA, 2020 Antwerp, Belgium.
Luc CornetteDepartment of Neonatology, AZ Sint-Jan, 8000 Brugge, Belgium.
Ann De GuchtenaereDepartment of Paediatrics, Ghent University, 9000 Ghent, Belgium.
Nele De MulderVrije Universiteit Brussel (VUB), UZ Bussel, KidZ Health Castle, 1090 Brussels, Belgium.
Isabel GeorgeNeonatologie, AZ Groeninge, 8510 Kortrijk, Belgium.
Elisabeth HenrionDepartment of Neonatal Intensive Care, CHR Sambre et Meuse, 5000 Namur, Belgium.ORCID 0000-0002-9837-0039
Kirsten KeirenFaculty of Medicine, KU Leuven, 3000 Leuven, Belgium.
Nathalie KreinsNeonatal Intensive Care Unit, CHC MontLégia, 4000 Liège, Belgium.
Marc RaesDepartment of Paediatrics, Jessa Hospital, 3500 Hasselt, Belgium.
Pierre PhilippetPediatric Department, CHC MontLégia, 4000 Liège, Belgium.
Bart Van OvermeireKind en Gezin-Opgroeien, Vlaamse Overheid, 1000 Brussels, Belgium.ORCID 0000-0003-1180-0663
Myriam Van WinckelDepartment of Paediatrics, Ghent University Hospital, 9000 Ghent, Belgium.
Vinciane VliegheNeonatal Intensive Care Unit, Queen Fabiola Children's University Hospital, Université Libre de Bruxelles, 1020 Bruxelles, Belgium.ORCID 0000-0003-1335-6105
Yvan VandenplasDepartment of Pediatrics, ZNA Queen Paola Children's Hospital, Faculty of Medicine UA, 2020 Antwerp, Belgium.ORCID 0000-0002-1862-8651
On Behalf Of The Groups
KU Leuven · BECentre Hospitalier Chrétien · BEGhent University Hospital · BEJessa Hospital · BEVrije Universiteit Brussel · BEAZ Groeninge · BEAZ Sint-Jan · BEErasmus MC · NLFlemish Government · BELa Cambre · BEUniversité Libre de Bruxelles · BEZiekenhuisnetwerk Antwerpen Stuivenberg · BEZiekenhuis Oost-Limburg · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neonatal vitamin K prophylaxis is essential to prevent vitamin K deficiency bleeding (VKDB) with a clear benefit compared to placebo. Various routes (intramuscular (IM), oral, intravenous (IV)) and dosing regimens were explored. A literature review was conducted to compare vitamin K regimens on VKDB incidence. Simultaneously, information on practices was collected from Belgian pediatric and neonatal departments. Based on the review and these practices, a consensus was developed and voted on by all co-authors and heads of pediatric departments. Today, practices vary. In line with literature, the advised prophylactic regimen is 1 or 2 mg IM vitamin K once at birth. In the case of parental refusal, healthcare providers should inform parents of the slightly inferior alternative (2 mg oral vitamin K at birth, followed by 1 or 2 mg oral weekly for 3 months when breastfed). We recommend 1 mg IM in preterm <32 weeks, and the same alternative in the case of parental refusal. When IM is perceived impossible in preterm <32 weeks, 0.5 mg IV once is recommended, with a single additional IM 1 mg dose when IV lipids are discontinued. This recommendation is a step towards harmonizing vitamin K prophylaxis in all newborns.

Indexed as

BelgiumFemaleHumansIncidenceInfant, NewbornInfant, Newborn, DiseasesInfant, PrematureMaleNeonatologyTerm BirthVitamin KVitamin K Deficiency BleedingVitaminsVitamin KVitaminspretermprophylaxistermvitamin Kvitamin K deficiency bleeding

Identifiers

PMID34836364
PMCPMC8621883
OpenAlexW3212323509

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.