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Table 2 Characteristics of included observational studies

From: The effect of donor human milk on the length of hospital stay in very low birthweight infants: a systematic review and meta-analysis

Authors

Year

n of Infants

Design

Inclusion criteria

Gestational age, wk

Primary outcome(s)

Groups

Duration of intervention/observation

Length of hospital stay, days (mean ± SD)

Fortification

Comments

Madore et al. [45]

2017

81

Retrospective case-control

BW < 1000 g

27.1 ± 1.9/

27.3 ± 2.1

Growth; neuro-development; incidence of NEC

Group MOM; Group DHM; Group PF

First month of life

65.5 ± 35.5/86.5 ± 46.6

Bovine fortifier added to MOM and DHM.

According to established criteria, DHM and PF groups were included. Gestational week refers to the two groups included.

Hair et al. [41]

2016

1587

Retrospective cohort

BW < 1250 g

26.5 ± 2.5/

26.4 ± 2.3

Incidence of NEC; mortality

MOM+ DHM + DHM-based fortifier;

MOM+ PF + bovine fortifier

32–34 corrected GA, or 60 days of life.

92.4 ± 54.5/94.7 ± 62.1

DHM-based fortifier added to DHM group. Bovine fortifier added to PF group.

 

Ginovart et al. [40]

2016

186

Retrospective cohort

BW < 1500 g

29.1 ± 2.9/

29.6 ± 2.9

Retinopathy of prematurity; incidence of NEC

MOM+ DHM; MOM + PF

Four weeks

65.0 ± 34.0/58.5 ± 32.0

Bovine fortifier added to MOM and DHM.

 

Lee et al. [44]

2016

46

Retrospective cohort

BW < 1500 g

27.8 ± 1.4/

28.0 ± 1.7

Morbidity, duration of parenteral nutrition

MOM + DHM; MOM + PF

Not specified.

61.1 ± 17.8/74.3 ± 21.5

Not specified.

 

Kreissl et al. [43]

2017

283

Prospective study

BW < 1500 g; GW < 32 w

27.6 (23.3–31.9)/

27.3 (23.3–21.3) [Median (range)]

Full enteral feeding; weight at discharge; incidence of NEC

Group DHM; Group PF

Not specified.

60.0 ± 38.2/94.0 ± 37.5

Bovine fortifier added to

MOM and DHM

 

Kim et al. [42]

2017

90

Retrospective cohort

BW < 1500 g;

GW < 32w

32.3 ± 4.3/

31.0 ± 3.9

In-hospital mortality; broncho-pulmonary dysplasia; early-onset morbidity; growth parameters; incidence of NEC

Group DHM; Group PF

Not specified.

60.5 ± 19.9/75.5 ± 28.3

HM fortifier added to DHM group

 

Colaizy et al. [39]

2012

171

Retrospective cohort

BW ≤ 1250 g;

GA < 27 w

27 (25.6, 28.8)/ 28.43 (25.4, 29.6) [median (IQR)]

Growth; morbidity; incidence of NEC

< 25%HM + formula;

25–50%HM + formula;

51–75% HM + formula;

> 75% HM + formula

Not specified

77.3 ± 24.8/83.7 ± 54.9

Bovine-based fortifier added to > 75% DHM group, which is a subgroup of human milk

< 25% HM + formula and > 75% DHM groups were included. Gestational week refers to the two groups included.

Chowning et al. [38]

2016

550

Retrospective cohort

BW ⩽1500 g

29.1 ± 2.4/

29.3 ± 2.8

Mortality rate; incidence of NEC surgical; NEC rate

0% HM;

< 50% DHM;

⩾ 50% DHM;

⩾90D HM

Not specified.

56.5 ± 22.0/65.9 ± 60.2

Bovine-based fortifier added to ⩾90 HM group

According to established criteria, 0% HM and ⩾90 DHM groups were included. Gestational week refers to the two groups included.

  1. MOM mother’s own milk, PF preterm formula, DHM donor human milk, HM human milk, GA gestational age, BW birth weight, NEC necrotizing enterocolitis