Evidence map›Paper›PMID 38135494›Full record

Trial reportArchives of disease in childhood. Fetal and neonatal edition2024

Early and exclusive enteral nutrition in infants born very preterm.

Jacqueline Razzaghy, Vivek V Shukla, Emily Gunawan, Audrey Reeves, Kelly Nguyen, Ariel A Salas

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of disease in childhood. Fetal and neonatal edition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04337710 (Exclusive Enteral Nutrition in Preterm Neonates- A Randomized Controlled Trial), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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.

NCT04337710 nacompletednot on this map

Exclusive Enteral Nutrition in Preterm Neonates- A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2021 to 2025Enrolled102ConditionsPremature, Infant, Light-for-dates, Enteral Feeding IntoleranceArmsExclusive Enteral Nutrition, Progressive Enteral Nutrition
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  7. Bedside ultrasound imaging to measure muscle cross-sectional area in preterm and term infants: a feasibility study.Journal of perinatology : official journal of the California Perinatal Association · 2026
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  9. Review
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  18. Does early high-volume enteral feeding initiation increase the total days on full feeds in very preterm infants?Journal of perinatology : official journal of the California Perinatal Association · 2025
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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

6 authors at 1 institution in 1 country.

Jacqueline Razzaghy *Department of Pediatrics, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
Vivek V Shukla *Department of Pediatrics, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
Emily GunawanDepartment of Pediatrics, The University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID http://orcid.org/0000-0003-3666-3714
Audrey ReevesDepartment of Pediatrics, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
Kelly NguyenDepartment of Pediatrics, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
Ariel A SalasDepartment of Pediatrics, The University of Alabama at Birmingham, Birmingham, Alabama, USA asalas@peds.uab.edu.ORCID http://orcid.org/0000-0002-4676-7747
University of Alabama at Birmingham · US

Funding

Why is the prevalence of obesity so high in U.S. Southern States? Regional predictors of BMI and obesity treatment response.P30DK056336 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BARBARA A GOWER · 2000 to 2026
$31.9M
Early life protein-enriched human milk diets to increase lean body mass accretion and diversity of the gut microbiome in extremely preterm infants: a randomized trialK23HD102554 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SALAS, ARIEL · 2020 to 2024
$774k
NICHD NIH HHS K23 HD102554NIDDK NIH HHS P30 DK056336
6 · The paper itself

Abstract

objectiveTo characterise the effects of early and exclusive enteral nutrition with either maternal or donor milk in infants born very preterm (28

designParallel-group, unmasked randomised controlled trial.

settingRegional, tertiary neonatal intensive care unit.

participants102 infants born very preterm between 2021 and 2022 (51 in each group).

interventionInfants randomised to the intervention group received 60-80 mL/kg/day within the first 36 hours after birth. Infants randomised to the control group received 20-30 mL/kg/day (standard trophic feeding volumes).

main outcome measuresThe primary outcome was the number of full enteral feeding days (>150 mL/kg/day) in the first 28 days after birth. Secondary outcomes included growth and body composition at the end of the first two postnatal weeks, and length of hospitalisation.

resultsThe mean birth weight was 1477 g (SD: 334). Half of the infants were male, and 44% were black. Early and exclusive enteral nutrition increased the number of full enteral feeding days (+2; 0-2 days; p=0.004), the fat-free mass-for-age z-scores at postnatal day 14 (+0.5; 0.1-1.0; p=0.02) and the length-for-age z-scores at the time of hospital discharge (+0.6; 0.2-1.0; p=0.002). Hospitalisation costs differed between groups (mean difference favouring the intervention group: -$28 754; -$647 to -$56 861; p=0.04).

conclusionsIn infants born very preterm, early and exclusive enteral nutrition increases the number of full enteral feeding days. This feeding practice may also improve fat-free mass accretion, increase length and reduce hospitalisation costs. TRIAL REGISTRATION NUMBER: NCT04337710.

Indexed as

Enteral NutritionInfant, Extremely PrematureMilk, HumanBody CompositionFemaleGestational AgeHumansInfant, NewbornInfant Nutritional Physiological PhenomenaIntensive Care Units, NeonatalLength of StayMaleGrowthIntensive Care Units, NeonatalNeonatology

Identifiers

PMID38135494
PMCPMC11186726
OpenAlexW4390100937

What OpenQuestion holds

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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.