Evidence map›Paper›PMID 36316436›Full record

SynthesisScientific reports2022

Amino acids for the prevention of mortality and morbidity in preterm infants: a systematic review and network meta-analysis.

Xiaoqin Wang, Behnam Sadeghirad, Rebecca L Morgan, Dena Zeratkaar, Yaping Chang, Holly N Crandon, Rachel Couban, Farid Foroutan, Ivan D Florez

Open access · goldAbstract readNetwork Meta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Supplementary parenteral arginine corrects hypoargininaemia and rebalances plasma amino acid profiles in very preterm infants receiving parenteral nutrition: A prospective study.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
    Article
  3. Article
  4. Article
  5. 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

9 authors at 3 institutions in 2 countries.

Xiaoqin WangMichael G. DeGroote Institute for Pain Research and Care, McMaster University, Hamilton, Canada.
Behnam SadeghiradMichael G. DeGroote Institute for Pain Research and Care, McMaster University, Hamilton, Canada.
Rebecca L MorganDepartment of Health Research Methods, Evidence, and Impact (HEI), McMaster University, Hamilton, Canada.
Dena ZeratkaarDepartment of Health Research Methods, Evidence, and Impact (HEI), McMaster University, Hamilton, Canada.
Yaping ChangDepartment of Health Research Methods, Evidence, and Impact (HEI), McMaster University, Hamilton, Canada.
Holly N CrandonFaculty of Health Sciences, McMaster University, Hamilton, Canada.
Rachel CoubanMichael G. DeGroote Institute for Pain Research and Care, McMaster University, Hamilton, Canada.
Farid ForoutanDepartment of Health Research Methods, Evidence, and Impact (HEI), McMaster University, Hamilton, Canada.
Ivan D FlorezDepartment of Pediatrics, University of Antioquia, Calle 67 No. 53-108, Medellin, Colombia. ivan.florez@udea.edu.co.
McMaster University · CATed Rogers Centre for Heart Research · CAUniversidad de Antioquia · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To determine the effectiveness and safety of amino acids in preventing the mortality and morbidity among preterm infants. We conducted a systematic review and network meta-analysis. We searched MEDLINE, EMBASE, Web of Science, CINAHL, Scopus, Cochrane, and Google Scholar, and grey literature, from databases inception to January 2021. We included randomized trials that evaluated any amino acids on preterm or low-birth weight infants. We performed frequentist pairwise and network meta-analyses and used the GRADE methodology to assess the certainty of the evidence and provide a summary of the results.We included 18 trials (3702 infants). Low certainty evidence showed that there seems to be no benefit for arginine, glutamine, or N-acetylcysteine in reducing all-cause mortality. Oral arginine likely results in reduction of necrotizin enterocolitis (NEC) stage ≥ II (OR 0.48; 95% CI 0.26-0.90; moderate certainty). Oral glutamine may reduce the likelihood of developing late-onset sepsis (LOS) compared to placebo (OR 0.62; 95% CI 0.47-0.82; low certainty); and likely reduces time to reach full enteral feeding (MD = - 2.63 days; 95% CI - 4.99 to - 0.27; moderate certainty). Amino acids may have no effect on mortality. Oral arginine may reduce severe NEC, and oral glutamine may reduce LOS and the time to reach full feeding.Systematic review registration: PROSPERO registration number: CRD4201603873.

Indexed as

Enterocolitis, NecrotizingSepsisAmino AcidsArginineGlutamineHumansInfantInfant, NewbornInfant, PrematureMorbidityAmino AcidsArginineGlutamine

Identifiers

PMID36316436
PMCPMC9622873
OpenAlexW4307892592

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.