Evaluation of Short Enteral Nutrition in the Emergency Room for Bronchiolitis With Main Nutritional Impairment

NCT06304727 | Unknown

• 2 other identifiers: 23-5064Easydore
• Study Type: observational
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

The winter epidemic of bronchiolitis in infants poses insurmountable difficulties for the hospital system for the 2022-2023 season globally. These difficulties are linked to the combination of an unusual epidemic intensity and the loss of medical and paramedical caregivers in the hospital leading to the closure of beds since the Covid-19 pandemic. Bronchiolitis in youngest and most vulnerable infants can lead to severe clinical pictures requiring hospitalization. Among them, some infants present exclusively with inability to eat and only require continuous enteral nutrition during their hospitalization. A service protocol has been put in place in the pediatric emergency room of the Hôpital Femme Mère Enfant for the 2022-2023 season to carry out short enteral nutrition and monitoring before returning home. This outpatient care would aim to reduce the effect of hospital saturation during the winter epidemic of bronchiolitis, increase the comfort and satisfaction of families by allowing less disruption of family life and prevent nosocomial infections. A retrospective evaluation of the feasibility and effectiveness of this protocol is necessary to rely on this first experience of outpatient management.

Conditions

Bronchiolitis

Keywords

infant; bronchiolitis; enteral feeding

Outcome Measures

Primary Outcomes (1)

• Feasibility of the short enteral feeding protocol

  yes/no Protocol outcome (return home or hospitalization, new short-term consultation)

  From day1 of protocol inclusion

Study Arms (1)

enteral feeding group

Infants \< 1 year old with bronchiolitis and exclusive nutritional impairment who underwent short-term enteral feeding and monitoring in the emergency room according to the 2022-2024 seasons protocol

Other: clinical data review

Interventions

clinical data review OTHER

Medical records review to gather and analyze demographic, clinical, care and virological data

enteral feeding group

Eligibility Criteria

• Age: 8 Weeks - 1 Year
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Inclusion of all infants under one year old presenting a bronchiolitis with exclusive nutritional impairment and treated in the emergency room of the Hôpital Femme Mère Enfant according to the Protocole de prise en charge de la bronchiolite avec forme digestive prédominante à l'accueil des urgences de l'HFME (Protocol for the management of bronchiolitis with a predominantly digestive form at the HFME emergency department)- ZSBCD. This population will constitute a restrospective cohort in a pediatric tertiary care hospital during the 2022-2023 bronchiolitis season.

You may qualify if:

• Children being treated according to our Short-Term Enteral Nutrition Protocol

You may not qualify if:

• Parents refusal

Sponsors & Collaborators

• Hospices Civils de Lyon: lead

Study Sites (1)

Hopital Femme Mere Enfant

Bron, France

RECRUITING

MeSH Terms

Conditions

Bronchiolitis

Condition Hierarchy (Ancestors)

Bronchitis; Respiratory Tract Infections; Infections; Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases

Central Study Contacts

Dominique PLOIN, MD

CONTACT

0427855642; dominique.ploin@chu-lyon.fr

Côme HORVAT, MD

CONTACT

047855634; come.horvat@chu-lyon.fr

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 18, 2024
• First Posted: March 12, 2024
• Study Start: November 21, 2022
• Primary Completion: June 1, 2024
• Study Completion: June 30, 2024
• Last Updated: March 12, 2024

Record last verified: 2024-01

Locations

FR (1)