Follow-up of Children With Gastrointestinal Malformations and Postnatal Surgery

NCT ID: NCT01451307

Last Updated: 2013-09-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

80 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-09-30

Study Completion Date

2013-08-31

Brief Summary

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The aim of this single center study is to measure the impact of standardized neonatal pediatric surgeries due to gastrointestinal malformations on the children's motor and cognitive development and psycho-emotional competence.

To measure the neurodevelopment, the children will be tested with the Bayley Scales of Infant Development II Assessment.

Detailed Description

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Objectives:

The primary objective of this study is to compare differences in the score of Bayley Scales of Infant Development II Assessment (consisting of cognitive, verbal, nonverbal, motor development levels) between children with gastrointestinal malformations and early postnatal surgery at the age of 2 years and a control group.

The secondary objective is to measure the growth of the patients compared to healthy children in the control group, to capture post-traumatic stress situations in families, and to capture the children's psycho-emotional competence.

Study design:

The study is designed as a cross-sectional single center study. The study patients are children of 2 years of age who underwent neonatal surgery in our clinic since June 2008 due to a gastrointestinal malformation.

The control group consists of matched pairs concerning gestational age, weight and gender.

The study consists of five parts:

* Introductory interview including the medical history
* Bayley Scales of Infant Development II Assessment
* Pediatric examination with anthropometry
* Questionnaire survey of post-traumatic stress situation
* Final conversation with the parents about the results

The neurodevelopmental testing is performed by the child psychologist and the pediatric examination by the pediatrician.

Study population:

The study is purely exploratory and based on the number of patients born in our hospital with the malformations mentioned above (approximately 40).

Each patient is compared against a healthy child of the same gestational age, weight class and gender (control group).

Conditions

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Digestive System Abnormalities

Keywords

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Congenital abnormalities Digestive system abnormalities Neonatal surgery Neonatal anesthesia Bayley Scales of Infant Development II

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Gastrointestinal malformations

Children who underwent standardized neonatal pediatric surgery due to gastrointestinal malformations

No interventions assigned to this group

No gastrointestinal malformations

Control group of healthy children matched concerning gestational age, weight class and gender

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

Patients:

* At follow-up between 18 and 36 months of age
* At birth a gastrointestinal malformation
* Postnatal surgery
* No other serious malformations
* No serious complications of birth (e.g. asphyxia)
* \> = 33. week of gestation at birth
* Follow-up appointment when not acutely ill
* Parental Consent

Healthy individuals:

* At follow-up between 18 and 36 months of age
* Uncomplicated postnatal period
* No malformations
* No surgery until follow-up appointment
* \> = 33. week of gestation at birth
* Follow-up appointment when not acutely ill
* Parental consent

Exclusion Criteria

* Absence of parental consent
Minimum Eligible Age

18 Months

Maximum Eligible Age

36 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Goethe University

OTHER

Sponsor Role lead

Responsible Party

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Antje Allendorf-Hofstetter

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Antje Allendorf-Hofstetter, MD

Role: PRINCIPAL_INVESTIGATOR

Johann Wolfgang Goethe University Hospital Frankfurt/M, Department of Neonatology

Locations

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Johann Wolfgang Goethe University Hospital, Department of Neonatology

Frankfurt/M, Hesse, Germany

Site Status

Countries

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Germany

References

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Walker K, Halliday R, Holland AJ, Karskens C, Badawi N. Early developmental outcome of infants with infantile hypertrophic pyloric stenosis. J Pediatr Surg. 2010 Dec;45(12):2369-72. doi: 10.1016/j.jpedsurg.2010.08.035.

Reference Type BACKGROUND
PMID: 21129547 (View on PubMed)

Other Identifiers

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01072011FraMal

Identifier Type: -

Identifier Source: org_study_id