Evidence map›Paper›PMID 39369301›Full record

ArticleJPEN. Journal of parenteral and enteral nutrition2024

Association between consensus-based nutrition pathway and growth faltering in infants with gastroschisis: A retrospective cohort study.

Katie M Strobel, Katelin Kramer, Catherine Rottkamp, Cherry Uy, Erika Fernandez, Laurel Moyer, David Elashoff, Animesh Sabnis, Daniel A DeUgarte, Kara L Calkins

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In one paragraph

Article in JPEN. Journal of parenteral and enteral nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

10 authors.

Katie M StrobelDepartment of Pediatrics, University of California Los Angeles, Los Angeles, California, USA.ORCID http://orcid.org/0000-0002-7717-0425
Katelin KramerDepartment of Pediatrics, University of California San Francisco, San Francisco, California, USA.
Catherine RottkampDepartment of Pediatrics, University of California Davis, Davis, California, USA.
Cherry UyDepartment of Pediatrics, University of California Irvine, Irvine, California, USA.
Erika FernandezDepartment of Pediatrics, University of California San Diego, San Diego, California, USA.
Laurel MoyerDepartment of Pediatrics, University of California San Diego, San Diego, California, USA.
David ElashoffDepartment of Biostatistics, University of California Los Angeles, Los Angeles, California, USA.
Animesh SabnisDepartment of Pediatrics, University of California Los Angeles, Los Angeles, California, USA.
Daniel A DeUgarteDepartment of Pediatrics, University of California Los Angeles, Los Angeles, California, USA.ORCID http://orcid.org/0000-0002-6088-902X
Kara L CalkinsDepartment of Pediatrics, University of California Los Angeles, Los Angeles, California, USA.ORCID http://orcid.org/0000-0001-6658-7981

Funding

GASTROENTEROLOGYT32DK007180 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI JENSEN, DENNIS MICHAEL · 1986 to 2025
$10.0M
NIDDK NIH HHS T32 DK007180This research was supported by National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health T32DK007180 (to Katie M. Strobel). The funder/sponsor did not participate in the work.
6 · The paper itself

Abstract

backgroundThe University of California Fetal Consortium published that 55% of infants with gastroschisis develop growth faltering by hospital discharge. To address this problem, we developed a nutrition pathway emphasizing (1) early provision of parenteral macronutrients, (2) use of human milk, and (3) growth faltering treatment. This study's goals were to assess adherence to and efficacy of this pathway in infants with gastroschisis across six California hospitals.

methodsIn 2015, the consortium standardized the care for infants with gastroschisis. To decrease growth faltering rates, between 2019 and 2020, nutrition guidelines were proposed, discussed, revised, and initiated. This study's primary outcome was weight or linear growth faltering (z score decline ≥0.8 in weight or length) at hospital discharge. Adherence measures were assessed.

resultsOne hundred twenty-six infants with gastroschisis were born prepathway; 52 were born postpathway. Median gestational age was similar between cohorts. Adherence to components of the pathway ranged from 58% to 95%. The proportion of infants with weight or linear growth faltering at discharge was lower after pathway initiation (59.4% vs 36.2%, P = 0.0068). Adjusting for gestational age and fetal growth restriction, the pathway was associated with decreased weight or linear growth faltering (odds ratio [OR] 0.35 [0.16-0.75], P = 0.0060) and decreased linear growth faltering (OR 0.24 [0.096-0.56], P = 0.0062) at discharge. Hypertriglyceridemia, cholestasis, and days to full feeds were similar to published cohorts.

conclusionFewer infants with gastroschisis experienced weight or length growth faltering at hospital discharge following the implementation of a multicenter nutrition pathway.

Indexed as

GastroschisisGrowth DisordersCaliforniaCohort StudiesConsensusCritical PathwaysFemaleGestational AgeGuideline AdherenceHumansInfantInfant, NewbornInfant Nutritional Physiological PhenomenaMaleMilk, HumanNutrition Policygastroschisisgrowthnutrition

Identifiers

PMID39369301
PMCPMC11581685

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