Evidence map›Paper›PMID 38735834›Full record

Trial reportBMJ paediatrics open2024

Early versus late parenteral nutrition in term and late preterm infants: a randomised controlled trial.

Kwi Moon, Elizabeth McKinnon, Kevin Croft, Trevor A Mori, Karen Simmer, Sanjay Patole, Shripada Rao

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ paediatrics open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

7 authors.

Kwi MoonPharmacy Department, Perth Children's Hospital, Nedlands, Western Australia, Australia kwi.moon@health.wa.gov.au.ORCID http://orcid.org/0000-0002-2773-0949
Elizabeth McKinnonTelethon Institute for Child Health Research, Nedlands, Western Australia, Australia.
Kevin CroftThe University of Western Australia School of Biomedical Sciences, Nedlands, Western Australia, Australia.
Trevor A MoriMedical School, The University of Western Australia, Perth, Western Australia, Australia.
Karen SimmerMedical School, The University of Western Australia, Perth, Western Australia, Australia.
Sanjay PatoleMedical School, The University of Western Australia, Perth, Western Australia, Australia.
Shripada RaoMedical School, The University of Western Australia, Perth, Western Australia, Australia.ORCID http://orcid.org/0000-0001-8481-5925

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is limited evidence regarding the optimal time to commence parenteral nutrition (PN) in term and late preterm infants.

designSingle-centre, non-blinded, exploratory randomised controlled trial.

settingA level-3 neonatal unit in a stand-alone paediatric hospital. PATIENTS: Infants born ≥34 weeks of gestation and ≤28 days, who needed PN. Eligible infants were randomised on day 1 or day 2 of admission.

interventionsEarly (day 1 or day 2 of admission, N=30) or late (day 6 of admission, N=30) PN.

main outcome measuresPlasma phenylalanine and F

resultsThe postnatal age at randomisation was similar between the groups (2.3 (SD 0.8) vs 2.3 (0.7) days, p=0.90). On day 4, phenylalanine levels in early-PN infants were higher than in late-PN (mean (SD) 62.9 (26.7) vs 45.5 (15.3) µmol/L; baseline-adjusted percentage difference 25.8% (95% CI 11.6% to 39.9%), p<0.001). There was no significant difference in phenylalanine levels between the two groups on day 8. There was no significant difference between the groups for F

conclusionsThe timing of the commencement of PN did not seem to affect the degree of oxidative stress in critically ill term and late preterm infants. The effect of transiently high plasma phenylalanine with early PN on clinical outcomes requires further investigation. TRIAL REGISTRATION NUMBER: ACTRN12620000324910.

Indexed as

Infant, PrematureParenteral NutritionPhenylalanineF2-IsoprostanesFemaleGestational AgeHumansInfant, NewbornMaleTime FactorsF2-IsoprostanesPhenylalanineNeonatology

Identifiers

PMID38735834
PMCPMC11097870

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Registered trials

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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.