Evidence map›Paper›PMID 38321167›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2024

Metabolic bone disease of prematurity screening and individualized enteral mineral supplementation in high-risk neonates: a quality improvement initiative.

Priya V Creed, Katie A Huff, Kate Beard, Linda A DiMeglio, Beatrice M Stefanescu

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Article in Journal of perinatology : official journal of the California Perinatal Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

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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

5 authors.

Priya V CreedDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.ORCID 0000-0001-6830-6020
Katie A HuffDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.ORCID 0000-0001-8646-8402
Kate BeardRiley Hospital for Children at Indiana University Health, Indianapolis, IN, USA.ORCID 0009-0004-2117-1383
Linda A DiMeglioDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.ORCID 0000-0002-8033-6078
Beatrice M StefanescuDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA. bstefane@iu.edu.ORCID 0000-0002-5488-6930

Funding

Quality Assurance and Quality Control Project Management: Improving Submissions and Study Conduct in the Human Subjects Research Prior Approval ProcessUL1TR002529 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI MOE, SHARON M, WIEHE, SARAH ELIZABETH · 2018 to 2022
$27.2M
Indiana Clinical and Translational Sciences Institute (CTSI) UL1TR002529NCATS NIH HHS UL1 TR002529
6 · The paper itself

Abstract

objectivePrompted by an alarmingly low screening rate for metabolic bone disease of prematurity (MBDP), we aimed to increase MBDP screening with serum calcium, phosphorous, and alkaline phosphatase at four to six weeks of life in infants born at <1500 g and <32 gestational weeks from a baseline of 27.37% to 90% within one year. STUDY

designWe used the Institute for Healthcare Improvement's Model for Improvement as a framework. A key driver diagram informed the interventions which were carried out through four Plan-Do-Study-Act cycles.

resultsThere were 129 and 130 neonates in the pre-intervention baseline group and post-intervention MBDP bundle group, respectively. MBDP bundled primary screening rates increased from 27.37% to 95.56% (p < 0.001). Furthermore, 20% of infants had an individualized change in their enteral mineral supplementation after the initiative.

conclusionsAn interdisciplinary team-based quality improvement approach was effective in altering clinical practice to improve screening and subsequent treatment for MBDP.

Indexed as

Bone Diseases, MetabolicCalciumInfant, PrematureInfant, Premature, DiseasesNeonatal ScreeningQuality ImprovementAlkaline PhosphataseDietary SupplementsEnteral NutritionFemaleHumansInfant, NewbornInfant, Very Low Birth WeightMalePhosphorusAlkaline PhosphataseCalciumPhosphorus

Identifiers

What OpenQuestion holds

Textmetadata
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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.