Evidence map›Paper›PMID 36087073›Full record

Observational studyJournal of thrombosis and haemostasis : JTH2022

Exclusively breastmilk-fed preterm infants are at high risk of developing subclinical vitamin K deficiency despite intramuscular prophylaxis at birth.

Paul Clarke, Martin J Shearer, David J Card, Amy Nichols, Vennila Ponnusamy, Ajit Mahaveer, Kieran Voong, Karen Dockery, Nicky Holland, Shaveta Mulla and 5 more

Registry-linked trialOpen access · bronzeAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Journal of thrombosis and haemostasis : JTH, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07620236 (Oral Vitamin K2), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.8field-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.

NCT07620236 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Oral Vitamin K2 (Menaquinone-7; MK-7) Supplementation and Effect on Vitamin K Status of Breastfed Term Infants in Early Infancy; a Four-cohort Prospective, Part-randomised, Part-blinded Study.

TypeinterventionalSponsorNorfolk and Norwich University Hospitals NHS Foundation TrustRan2026 to 2028Enrolled134ConditionsInfant Vitamin K Status, Vitamin K Deficiency BleedingArmsCombined MK-7 + vitamin D3 drops, Vitamin D3 Drops, MK-7 capsules
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
  2. Nutritional Status and Nutrient Intake of Children With Feeding Disorders in Early Childhood.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  3. Review
  4. Review
  5. Observational
  6. Article
  7. Review
  8. Review
  9. Observational
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 7 institutions in 3 countries.

Paul ClarkeNeonatal Intensive Care Unit, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK.ORCID 0000-0001-6203-7632
Martin J ShearerCentre for Haemostasis and Thrombosis, Guy's and St Thomas's NHS Foundation Trust, London, UK.ORCID 0000-0003-2509-0818
David J CardNutristasis Unit, Viapath, Guy's and St Thomas's NHS Foundation Trust, London, UK.ORCID 0000-0002-4967-4343
Amy NicholsNeonatal Intensive Care Unit, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK.ORCID 0000-0002-7657-2588
Vennila PonnusamyNeonatal Intensive Care Unit, Ashford and St Peter's Hospitals NHS Foundation Trust, Chertsey, UK.ORCID 0000-0002-1987-5531
Ajit MahaveerNeonatal Intensive Care Unit, St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.ORCID 0000-0001-9786-6860
Kieran VoongCentre for Haemostasis and Thrombosis, Guy's and St Thomas's NHS Foundation Trust, London, UK.ORCID 0000-0002-2082-0781
Karen DockeryNeonatal Intensive Care Unit, St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.ORCID 0000-0002-9781-3176
Nicky HollandNeonatal Intensive Care Unit, Ashford and St Peter's Hospitals NHS Foundation Trust, Chertsey, UK.ORCID 0000-0001-5553-1958
Shaveta MullaNeonatal Intensive Care Unit, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK.ORCID 0000-0002-1008-0767
Lindsay J HallGut Microbes & Health, Quadram Institute Bioscience, Norwich, UK.ORCID 0000-0001-8938-5709
Cecile MaassenDepartment of Biochemistry, Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0002-7071-4231
Petra LuxDepartment of Biochemistry, Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0001-7269-4011
Leon J SchurgersDepartment of Biochemistry, Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0001-7867-6957
Dominic J HarringtonNutristasis Unit, Viapath, Guy's and St Thomas's NHS Foundation Trust, London, UK.ORCID 0000-0003-4786-9240
Guy's and St Thomas' NHS Foundation Trust · GBMaastricht University · NLAshford and St Peter's Hospitals NHS Foundation Trust · GBNorfolk and Norwich University Hospitals NHS Foundation Trust · GBSt Mary's Hospital · GBQuadram Institute · GBUniversity of East Anglia · GB

Funding

Biotechnology and Biological Sciences Research Council BBS/E/F/00044409Biotechnology and Biological Sciences Research Council BBS/E/F/000PR10353Biotechnology and Biological Sciences Research Council BBS/E/F/000PR10356Department of Health
6 · The paper itself

Abstract

backgroundThere is near-global consensus that all newborns be given parenteral vitamin K

objectivesTo assess the prevalence of functional VK insufficiency in preterm infants based on elevated under-γ-carboxylated (Glu) species of Gla proteins, factor II (PIVKA-II), and osteocalcin (GluOC), synthesized by liver and bone, respectively. PATIENTS/

methodsProspective, multicenter, observational study in preterm infants born <33 weeks' gestation. Blood samples and dietary history were collected before hospital discharge, and after discharge at 2-3 months' corrected age. Outcome measures were serum VK

resultsAfter discharge, breastmilk-fed babies had significantly lower serum VK

conclusionsPreterm infants who remain exclusively or predominantly human breastmilk-fed after neonatal unit discharge are at high risk of developing subclinical VK deficiency in early infancy. Routine postdischarge VK

Indexed as

Milk, HumanVitamin K DeficiencyAftercareHemorrhageHumansInfantInfant, NewbornInfant, PrematurePatient DischargeProspective StudiesVitamin KVitamin K 1Vitamin KVitamin K 1hemorrhageinfantnutritionvitamin K1vitamin K deficiency

Identifiers

PMID36087073
PMCPMC9828794
OpenAlexW4295683146

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.