Continuous Enteral Rehydration by Nasogastric Tube With ORS in Children With Acute Gastroenteritis

Continuous Enteral Rehydration by Nasogastric Tube With ORS in Children With Acute Gastroenteritis: Evaluation of Professional Practices Before and After Protocol Change

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT04555200

Acronym

GEA

Enrollment

Registered

2020-09-18

Start date

2018-06-01

Completion date

2019-10-02

Last updated

2020-09-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acute Gastroenteritis, Dehydration

Keywords

nasogastric tube, Emergency medicine, Pediatric medicine

Brief summary

When oral rehydration is impossible, enteral rehydration via the nasogastric route has been the recommended method of rehydration since 2008 by ESPGHAN ( European Society for Paediatric Gastroenterology Hepatology and Nutrition ), for children with acute gastroenteritis. However, these recommendations are rarely followed in France. These recommendations were not applied in the Children's Emergency Department of BREST University Hospital. The investigators changed the protocol and shared it with the caregivers of the emergency unit. The investigators studied the impact of this change of protocol

Detailed description

The main purpose was to assess the proportion of children rehydrated by nasogastric tube(NG) after protocol change. Secondary outcomes were to assess hospital length of stay and sides effects. It is a retro and prospective study. The first phase took place from June to September 2018 and the second from June to September 2019. Any child presenting to pediatric emergencies for acute gastroenteritis requiring nonoral rehydration was included.

Interventions

None listed

Study design

Observational model

OTHER

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

1 Days to 15 Years

Inclusion criteria

Any child presenting to pediatric emergencies for acute gastroenteritis requiring nonoral rehydration was included

Exclusion criteria

* acute gastroenteritis on return from tropical countries * child with endocrine system diseases requiring parenteral rehydration * history of chronic pathology requiring enteral feeding

Design outcomes

Primary

Measure	Time frame	Description
Number of nasogastric tube after changing gastroenteritis rehydration protocol	4 months	assessed by the number of NG tube and IV in each group

Secondary

Measure	Time frame	Description
Hospital lenght of stay between each group	4 months	evaluate by administrative data of each case (arrival time and departure time)
Number of Participants With Treatment-Related Adverse Events for each method	4 months	Serious sides effect were death and epilptic seizure. Mild sides effects were multiple (IV or NG ripped out, vomiting, failure...).

Countries

France

Outcome results