Evidence map›Paper›PMID 39736580›Full record

ArticleBMC pediatrics2024

Brain development using a multicomponent intravenous lipid emulsion in preterm infants.

Katherine M Ottolini, Julius Ngwa, Sudeepta K Basu, Kushal Kapse, Melissa Liggett, Jonathan Murnick, Catherine Limperopoulos, Nickie Andescavage

Abstract read
In one paragraph

Article in BMC pediatrics, 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

8 authors.

Katherine M OttoliniDeveloping Brain Institute, Children's National Hospital, 111 Michigan Avenue, NW, Washington, DC, USA.
Julius NgwaDeveloping Brain Institute, Children's National Hospital, 111 Michigan Avenue, NW, Washington, DC, USA.
Sudeepta K BasuDeveloping Brain Institute, Children's National Hospital, 111 Michigan Avenue, NW, Washington, DC, USA.
Kushal KapseDeveloping Brain Institute, Children's National Hospital, 111 Michigan Avenue, NW, Washington, DC, USA.
Melissa LiggettDeveloping Brain Institute, Children's National Hospital, 111 Michigan Avenue, NW, Washington, DC, USA.
Jonathan MurnickDivision of Diagnostic Imaging and Radiology, Children's National Hospital, Washington, DC, USA.
Catherine LimperopoulosDeveloping Brain Institute, Children's National Hospital, 111 Michigan Avenue, NW, Washington, DC, USA.
Nickie AndescavageDeveloping Brain Institute, Children's National Hospital, 111 Michigan Avenue, NW, Washington, DC, USA. nniforat@childrensnational.org.

Funding

Child Health Research Career Development Award (CHRCDA) Program at Children's NationalK12HD001399 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI NATHAN KUPPERMANN · 2001 to 2026
$9.1M
Impaired Brain Development in a Premature Ex-utero EnvironmentR01HD099393 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI DU PLESSIS, ADRE JACQUES, LIMPEROPOULOS, CATHERINE · 2020 to 2024
$3.4M
NICHD NIH HHS K12 HD001399NICHD NIH HHS R01 HD099393
6 · The paper itself

Abstract

backgroundIntravenous lipid emulsions are an essential component of nutritional support for very preterm infants. Many neonatal intensive care units have transitioned from traditional soybean oil-only to fish oil-containing multicomponent lipid emulsions, but the neurodevelopmental implications have not been well-explored. The primary aim of this study was to assess extrauterine third trimester brain growth in very preterm infants supported with soybean oil-only compared to fish-oil containing multicomponent lipid emulsions; white matter development and neurobehavioral regulation at term were also investigated.

methodsHuman milk-fed very preterm infants (born less than or equal to 32 weeks' gestation) receiving either soybean oil-only (before 2019) or multicomponent (after 2019) lipid emulsions underwent quantitative brain MRI (volumetric growth and white matter development) and neurodevelopmental assessment (Neonatal Intensive Care Unit Network Neurobehavioral Scale) at term-equivalent age. Analyses were adjusted for age at birth and term assessments, as well as clinically significant covariates.

results92 infants (61 soybean, 31 multicomponent) were included (mean [SD] birth gestational age: 27.3 [2.3] weeks). Soybean oil-only infants demonstrated smaller brainstem volumes (β [95% CI] = -0.5 [-0.8,-0.1], p = .007); additionally less mature white matter development (mean diffusivity [MD, mm

conclusionsVery preterm infants supported with a fish-oil containing multicomponent compared to soybean oil-only lipid emulsion demonstrated improved regional brain growth, as well as evidence of enhanced white matter microstructural organization and neurobehavioral regulation, at term corrected age.

trial registrationClinical trial number: Not applicable.

Indexed as

BrainFat Emulsions, IntravenousFish OilsSoybean OilChild DevelopmentFemaleHumansInfant, NewbornInfant, PrematureMagnetic Resonance ImagingMaleWhite MatterFat Emulsions, IntravenousFish OilsSoybean OilLipidsMRINeurodevelopmentNutritionPreterm

Identifiers

PMID39736580
PMCPMC11687010

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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.