Evidence map›Paper›PMID 39130870›Full record

ArticleCureus2024

Effects of Total Parenteral Nutrition on Serum Osmolality and Patent Ductus Arteriosus.

Yukiko Toya, Kotaro Oyama, Shigekuni Tsuchiya, Atsushi Matsumoto, Nao Takashimizu, Fumiaki Takahashi, Manami Akasaka

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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.

Yukiko ToyaDepartment of Pediatrics, School of Medicine, Iwate Medical University, Shiwa, JPN.
Kotaro OyamaDepartment of Pediatrics, School of Medicine, Iwate Medical University, Shiwa, JPN.
Shigekuni TsuchiyaDepartment of Pediatrics, School of Medicine, Iwate Medical University, Shiwa, JPN.
Atsushi MatsumotoDepartment of Pediatrics, School of Medicine, Iwate Medical University, Shiwa, JPN.
Nao TakashimizuDepartment of Pediatrics, School of Medicine, Iwate Medical University, Shiwa, JPN.
Fumiaki TakahashiDepartment of Information Science, School of Medicine, Iwate Medical University, Shiwa, JPN.
Manami AkasakaDepartment of Pediatrics, School of Medicine, Iwate Medical University, Shiwa, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe persistence of high serum osmolality in the early postnatal period is a risk for developing patent ductus arteriosus (PDA). Early aggressive nutrition (EAN), involving total parenteral nutrition (TPN), by which enough concentrations of glucose and amino acids are administered intravenously, is recommended postnatally to improve the neurological prognosis in preterm infants. However, the effects of EAN involving TPN on serum osmolality and the development of a PDA have not been adequately studied.

objectivesThus, in this study, we aimed to investigate the impact of TPN on serum osmolality and determine whether increased serum osmolality could be associated with a higher incidence of PDA in preterm infants.

methodsIn this single-center retrospective observational study, preterm infants born at <28 weeks of gestation who had been admitted to our neonatal intensive care unit (NICU) before (pre-TPN period) and after the introduction of TPN (post-TPN) were included. We reviewed the medical records of these patients, compared the changes in serum osmolality from birth to five days after birth, the clinical background, and the incidence of PDA between these two periods, and analyzed the risk factors. Additionally, the factors affecting the serum osmolality in very preterm infants were examined. The patients who met the intervention criteria of our NICU and received a cyclooxygenase (COX) inhibitor, Indacin

resultsThe postnatal day and serum sodium (Na

conclusionsIn this study, the serum Na

Indexed as

early aggressive nutritionpatent ductus arteriosusserum osmolalitytotal parenteral nutritionvery preterm infants

Identifiers

PMID39130870
PMCPMC11310489

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