Nutritional Status on Admission to Pediatric Intensive Care

NCT ID: NCT02293434

Last Updated: 2015-11-20

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

600 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-02-28

Study Completion Date

2014-12-31

Brief Summary

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Study rationale: Children admitted to intensive care are often chronically ill and the intensive care setting may upset the balance between nutritional intakes and needs.

As malnutrition is a key factor in the morbidity/mortality on pediatric intensive care units (PICUs), screening for malnutrition and the individualized adaptation of nutritional support are important elements of patient care. Yet no recent study has evaluated the nutritional status of children admitted to PICUs in France.

Primary Objective: Determine the prevalence of malnutrition in the population of children admitted to intensive care.

Secondary objectives:

* Determine the children's nutritional status on admission.
* Characterize the profile of malnourished patients compared with those not malnourished (sex, age, history, chronic disease, usual dietary habits, reason for admission, scheduled/unscheduled admission, surgery/medication, seriousness, seasonality).
* Describe the practices regarding nutritional care in each center.

Population: All children (1 month to 18 years) admitted to all PICUs in France during three one-week periods (February, June, October) in the course of a year.

Detailed Description

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Study rationale: Children admitted to intensive care are often chronically ill and the intensive care setting may upset the balance between nutritional intakes and needs.

As malnutrition is a key factor in the morbidity/mortality on pediatric intensive care units (PICUs), screening for malnutrition and the individualized adaptation of nutritional support are important elements of patient care. Yet no recent study has evaluated the nutritional status of children admitted to PICUs in France.

Primary Objective: Determine the prevalence of malnutrition in the population of children admitted to intensive care.

Secondary objectives:

* Determine the children's nutritional status on admission.
* Characterize the profile of malnourished patients compared with those not malnourished (sex, age, history, chronic disease, usual dietary habits, reason for admission, scheduled/unscheduled admission, surgery/medication, seriousness, seasonality).
* Describe the practices regarding nutritional care in each center.

Study design:

* Type of study: Observational, descriptive, transversal, and multicentric.
* Population: All children (1 month to 18 years) admitted to all PICUs in France during three one-week periods (February, June, October) in the course of a year.
* Primary assessment parameter: Malnutrition, as defined by the body mass index (BMI) value \<-2 SD, according to the WHO Child Growth Standards.
* Factors studied:

* Nutritional status on admission based on the measurement of simple anthropometric parameters: weight (W), height (H), head circumference (HC) and mid-upper arm circumference (MUAC), which are then used to calculate malnutrition indices.
* Profile of malnourished patients in relation to hospitalization parameters (age, sex, reason for admission, history, dietary habits).
* Nutritional practices in PICUs assessed with two questionnaires (medical and nursing) sent to all participating hospitals.
* Sample size: Number of subjects needed to estimate the prevalence of malnutrition, based on the data in the literature with a confidence interval of 95%±3.2%: 600.

Conditions

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Malnutrition Dwarf - Nutritional

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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All Children (1 month to 18 years)

All children (1 month to 18 years) admitted to all PICUs in France during three one-week periods (February, June, October) in the course of a year

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* All children (1 month to 18 years) admitted to all PICUs in France during three one-week periods (February, June, October) in the course of a year.
Minimum Eligible Age

1 Month

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Montpellier

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Aurélien JACQUOT, MD

Role: PRINCIPAL_INVESTIGATOR

Montpellier University Hospital

Locations

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Montpellier University Hospital

Montpellier, , France

Site Status

Countries

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France

Other Identifiers

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9251

Identifier Type: -

Identifier Source: org_study_id