Evidence map›Paper›PMID 41214458›Full record

Trial reportJPEN. Journal of parenteral and enteral nutrition2026

Developmental outcomes after soybean oil vs mixed-oil intravenous lipid emulsions in neonates: A secondary analysis of a clinical trial.

Katie A Huff, Charles Vanderpool

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in JPEN. Journal of parenteral and enteral nutrition, 2026. 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. Trial
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

2 authors.

Katie A HuffDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA.ORCID https://orcid.org/0000-0001-8646-8402
Charles VanderpoolDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA.ORCID https://orcid.org/0009-0007-8897-3569

Funding

Indiana Clinical and Translational Sciences InstituteUL1TR001108 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI DENNE, SCOTT C., SHEKHAR, ANANTHA · 2013 to 2017
$23.3M
NCATS NIH HHS UL1 TR001108This publication was made possible with support from the Indiana Clinical and Translational Sciences Institute funded in part by grant no. UL1TR001108 from the National Institutes of Health, National Center for Advancing Translational Sciences, Clinical and Translational Sciences Award. Funding was also provided by the Riley Children's Foundation. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health
6 · The paper itself

Abstract

backgroundFatty acids make up a significant portion of brain mass. The choice of lipid injectable emulsion alters a patient's fatty acid profile. In neonates with intestinal failure dependent on parenteral nutrition, this is particularly concerning given their rapid brain development.

methodsWe randomly assigned 24 infants to receive soy oil lipid emulsion at 1 g/kg/day or mixed-oil lipid emulsion containing soy, medium-chain triglyceride, olive, and fish oils at 3 g/kg/day. We have previously reported data on intestinal failure-associated liver disease incidence with a 39-day median follow-up. We now report 3-year follow-up, nonprespecified neurodevelopmental screening outcomes using the Ages & Stages Questionnaires-3, a test composed of five domains.

resultsFor this follow-up analysis, 20 patients were included, 10 in each group. There was no difference in patient parameters between the groups at birth or screening. The mean ± SD peak direct bilirubin was not different between the two groups (soy 1.8 ± 1.4 mg/dl and mixed 1.2 ± 0.8 mg/dl; P = 0.265). There was also no difference when comparing the mean scores or rate of developmental delay for all five Ages & Stages Questionnaire-3 domains between treatment groups. There was no correlation between peak direct bilirubin, gestational age, or days of lipid and domain scores.

conclusionIn this follow-up study of children who had previously received soy oil lipid reduction or a mixed lipid, there was no difference in development at 3 years. Given that this is a secondary outcome from a pilot trial, additional studies powered for developmental differences are warranted.

Indexed as

Child DevelopmentFat Emulsions, IntravenousIntestinal FailureParenteral NutritionSoybean OilBilirubinBrainFemaleFish OilsFollow-Up StudiesHumansInfantInfant, NewbornMaleOlive OilTreatment OutcomeBilirubinFat Emulsions, IntravenousFish OilsOlive OilSoybean OilTriglyceridesfat emulsionsinfantintestinal failureintravenousneurodevelopmental disordersnewborn

Identifiers

PMID41214458
PMCPMC12865744

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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.