1. Safety of Cow's Milk-Derived Fortifiers used with an All Human Milk Base Diet in Very Low Birthweight Preterm Infants: Part II.
- Author
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Lucas, Alan, Assad, Maushumi, Sherman, Jan, Boscardin, John, and Abrams, Steven
- Subjects
PREMATURE infants ,BREAST milk ,BIRTH weight ,BRONCHOPULMONARY dysplasia ,COWS ,GOAT milk ,BABY foods ,DISEASE risk factors ,CATTLE ,CONFIDENCE intervals ,ENRICHED foods ,MILK ,LOW birth weight ,RISK assessment ,DESCRIPTIVE statistics ,INFANT mortality ,ODDS ratio ,PATIENT safety ,SECONDARY analysis ,CHILDREN - Abstract
Recently we published a meta-analyses of morbidity seen with the use of cow's milk derived fortifier (CMDF) rather than human milk derived fortifier (HMDF) in very low birthweight (VLBW) infants. Here, we further analyse these data to estimate the annual population risk of CMDF-related major morbidity in the United States and Canada. The outcome used was a mortality/morbidity index which was positive if the infants had one or more of death, necrotising enterocolitis, sepsis retinopathy of prematurity or bronchopulmonary dysplasia. Using the risk difference (RD) between the CMDF and HMDF groups we estimated, provisionally, that 4150 additional VLBW infants in the United States and Canada each year, or an additional infant approximately every 2 hours, may be expected to develop a positive mortality/morbidity index in relation to being fed CMDF - over and above the number of infants with a positive index if fed HMDF. We provide an in-depth discussion of the limitations of our estimate. This analysis provides preliminary evidence of the magnitude of population risk of major neonatal morbidity with use of CMDF versus HMDF in VLBW infants in current practice. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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