Role of Nutritional Intervention in Critically Ill Child

NCT04862728 | Unknown

• 1 other identifier: malnutrition in critically ill
• Study Type: observational
• Target: 100
• Locations: 0 countries
• Sites: N/A

Brief Summary

• Assess the nutritional status of critically ill children using different nutritional assessment tools in management.
• Assess accuracy and validity of screening tools in diagnosis of malnutrition by the following:
• Strong kids
• Stamp
• PYMS
• Assess the effect of early versus late enteral nutrition on the outcome and predict the complication associated with enteral feeding.

Conditions

Nutrition Disorder, Child

Outcome Measures

Primary Outcomes (3)

• Identifying high risk group of malnutrition among patient in PICU by nutritional assesement by Screening Tool for the Assessment of Malnutrition in Pediatrics.

  Screening Tool for the Assessment of Malnutrition in Pediatrics evaluates patient's clinical diagnosis nutritional intake during hospitalization and anthropometric measurements malnutrition risk. the measured value of the child's height and weight will recorded and compared to reference values by age. and gender

  baseline

• Identifying high risk group of malnutrition among patient in PICU by nutritional assesement by Screening Tool for Impaired Nutritional Status and Growth in kids.

  Screening Tool for Impaired Nutritional Status and Growth (STRONG kids) consists of subjective clinical assessment high risk diseases nutritional intake and losses. weight, poor weight gain Patients classified at high nutritional risk have a longer hospitalization and a negative standard deviation score for weight for height which indicated a state of acute malnutrition,this tool appeared rapid and easy to use, additionally it may predict long of hospital stay and identifies a need for nutritional interventions during the hospitalization.

  baseline

• Identifying high risk group of malnutrition among patient in PICU by nutritional assesement by The Pediatric Yorkhill Malnutrition Score.

  The Pediatric Yorkhill Malnutrition Score (PYMS) is adopted among patients between 1 and 16 years of age. It assesses BMI history of recent weight loss changes in nutritional intake and the expected effect of current medical condition on patient's nutritional status

  baseline

Secondary Outcomes (1)

• the importance of early versus late enteral nutrition for patient in PICU.

  baseline

Interventions

- Strong kids screening tool - Stamp screening tool - PYMS screening tool OTHER

Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP) evaluates patient's clinical diagnosis, nutritional intake during hospitalization and anthropometric measurements, developing a care plan based on the child's overall malnutrition risk (low, medium or high).Screening Tool for Impaired Nutritional Status and Growth (STRONG kids). It consists of four items: subjective clinical assessment, high-risk diseases, nutritional intake and losses, weight loss or poor weight gain. Patients classified at high nutritional risk have a longer hospitalization and a negative standard deviation score (SDS) for weight-for-height (WFH), which indicated a state of acute malnutrition.The Pediatric Yorkhill Malnutrition Score (PYMS) is adopted among medical and surgical patients between 1 and 16 years of age. The PYMS assesses four items: BMI, history of recent weight loss,

Also known as: early versus late enteral nutrition on the outcome and predict complication.

Eligibility Criteria

• Age: 1 Year - 5 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Study population will be taken from pediatric intensive care unit (PICU) at Assiut university Children Hospital.

You may qualify if:

• Critically ill children aged 1-5 years admitted to PICU.

You may not qualify if:

• Infants before the age of one year and children after the age of five years.
• Any child with chronic illness.
• Patients with multiorgans failure.
• Children with congenital anomalies.
• Children on renal dialysis.

Sponsors & Collaborators

• Assiut University: lead

Related Publications (5)

• Hulst JM, Zwart H, Hop WC, Joosten KF. Dutch national survey to test the STRONGkids nutritional risk screening tool in hospitalized children. Clin Nutr. 2010 Feb;29(1):106-11. doi: 10.1016/j.clnu.2009.07.006. Epub 2009 Aug 13.

  PMID: 19682776 RESULT

• Gerasimidis K, Keane O, Macleod I, Flynn DM, Wright CM. A four-stage evaluation of the Paediatric Yorkhill Malnutrition Score in a tertiary paediatric hospital and a district general hospital. Br J Nutr. 2010 Sep;104(5):751-6. doi: 10.1017/S0007114510001121. Epub 2010 Apr 19.

  PMID: 20398432 RESULT

• McCarthy H, Dixon M, Crabtree I, Eaton-Evans MJ, McNulty H. The development and evaluation of the Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP(c)) for use by healthcare staff. J Hum Nutr Diet. 2012 Aug;25(4):311-8. doi: 10.1111/j.1365-277X.2012.01234.x. Epub 2012 May 9.

  PMID: 22568534 RESULT

• Joosten KF, Hulst JM. Nutritional screening tools for hospitalized children: methodological considerations. Clin Nutr. 2014 Feb;33(1):1-5. doi: 10.1016/j.clnu.2013.08.002. Epub 2013 Aug 31.

  PMID: 24050847 RESULT

• Skillman HE, Wischmeyer PE. Nutrition therapy in critically ill infants and children. JPEN J Parenter Enteral Nutr. 2008 Sep-Oct;32(5):520-34. doi: 10.1177/0148607108322398.

  PMID: 18753390 RESULT

MeSH Terms

Conditions

Child Nutrition Disorders

Condition Hierarchy (Ancestors)

Nutrition Disorders; Nutritional and Metabolic Diseases

Study Officials

• zenab Mohie EL Deen, professor

  professor at pediatric departement, faculty of medecine, assiut university

  STUDY CHAIR

• Osama Al Asheer, professor

  professor at pediatric departement, faculty of medecine, assiut university

  STUDY DIRECTOR

• Amira Shalaby, lecturer

  lecturer at pediatric departement, fsculty of medicine, assiut university

  STUDY DIRECTOR

Central Study Contacts

Hanan Hamdallah

CONTACT

00201011540871; drsmart8989@gmail.com

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Year
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator

Study Record Dates

• First Submitted: April 17, 2021
• First Posted: April 28, 2021
• Study Start: June 1, 2021
• Primary Completion: June 1, 2022
• Study Completion: September 1, 2022
• Last Updated: April 28, 2021

Record last verified: 2021-04