Background
Methods
Search strategies
Inclusion criteria
Data extraction
Quality assessment
Statistical analysis
Results
Authors | Year | n of Infants | Design | Inclusion criteria | Gestational age, week | Primary outcome(s) | Intervention | Duration of intervention/observation | Length of hospital stay, days (mean ± SD) | Fortification | Comments |
---|---|---|---|---|---|---|---|---|---|---|---|
Schanler et al. [37] | 2005 | 243 | Single blinded | GA ≤ 29 weeks | 27 ± 2/ 27 ± 2 | Incidence of late-onset; sepsis and NEC | Exclusively MOM MOM + DHM MOM + PF | 90 days or discharge. | 85.0 ± 53.0/ 90.0 ± 56.0 | Bovine fortifier added to DHM group. | According to established criteria, DHM and PF groups were included. |
O’Connor et al. [35] | 2016 | 363 | Double blinded | BW < 1500 g, enteral feeding within 7 day | 27.5 ± 2.4/ 27.8 ± 2.7 | Bayley-III score at 18 month; the incidence of NEC | MOM + DHM MOM + PF | 90 days or discharge. | 77.2 ± 53.0/ 73.2 ± 39.2 | Bovine fortifier added to DHM group. | MOM + DHM group: MOM = 58% MOM + PF group: MOM = 63% |
Cristofalo et al. [36] | 2013 | 53 | Double blinded | BW < 1250 g | 27.7 ± 1.5/ 27.5 ± 2.4 | Duration of parenteral nutrition; the incidence of NEC | Exclusive DHM Exclusive PF | 91 days of age or discharge, or ≥ 50% oral feedings. | 80.0 ± 32.1/ 90.0 ± 50.2 | DHM fortifier added to DHM group. | |
Sullivan et al. [32] | 2010 | 207 | Single blinded | BW 500–1250 g, intention to provide MOM. | 27.2 ± 2.2/ 27.3 ± 2.0 | The incidence of NEC; parenteral nutrition, days; length of stay, days; bronchopulmonary dysplasia; weight gain | MOM+DHM MOM + PF | 91 days or oral feedings or discharge. | 80.1 ± 34.8/ 81.3 ± 24.2 | Donor added to DHM group; bovine fortifier added to PF group. | Group HM100 and group PF received fortifier when enteral intake was 100 mL/kg/d. The gestational week refers to the two groups rincluded. |
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. |
Random sequence generation | Allocation concealment | Blinding of participants and personnel | Blinding of outcome assessment | Incomplete outcome data | Selective reporting | Other bias | Total | |
---|---|---|---|---|---|---|---|---|
O’Connor et al. [35] | A | A | A | A | A | A | A | A |
Sullivan et al. [32] | A | A | C | A | A | A | A | C |
Schanler et al. [37] | A | A | C | C | A | A | A | C |
Cristofalo et al. [36] | A | A | A | A | A | A | A | A |