Micronutrient Levels and Supplement Use in the Pediatric Palliative Care Patients

Study Overview
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Brief Summary
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The goal of this observational study is to determine the micronutrient levels and frequency of use of micronutrient supplements in patients in the Pediatric Palliative Care Clinic. The main questions it aims to answer are: What is the frequency of micronutrient deficiencies in pediatric palliative care patients? What is the frequency of micronutrient supplement use in pediatric palliative care patients?

Detailed Description
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Palliative care is an important health service provided with a multidisciplinary approach to improve the quality of life of children with progressive and life-threatening diseases and to manage symptoms effectively. This service aims to provide children with a good life experience by meeting the physical, psychological, social and spiritual needs of patients and their families. Micronutrients contain important nutritional components such as vitamins, minerals and other nutrients that are essential for maintaining normal functions of the body. Micronutrient deficiencies affect at least half of children under five years of age. In a study conducted in pediatric oncology patients, micronutrient deficiency was shown to have a frequency of 74%, and selenium deficiency in particular negatively affected clinical outcomes. Contrary to recommended nutrient intakes (RNI) and expert opinion for healthy children, evidence-based recommendations for micronutrient requirements in critically ill children are not available. However, in pediatric palliative care, if the nutritional history indicates inadequate nutritional intake and/or growth indicates malnutrition, nutritional deficiencies that may have systemic effects, such as iron and vitamin B12 deficiency, need to be investigated. The frequency of food supplement use in the pediatric age group is 20-75%, and micronutrient supplements are more commonly used in chronic disease conditions such as attention deficit hyperactivity disorder (ADHD), asthma, atopic dermatitis, allergic rhinitis, cancer, inflammatory bowel disease, headache and cystic fibrosis. can be seen. In addition to medical treatment, the use of nutritional support and micronutrient supplements for children monitored in the Pediatric Palliative Clinic can be considered as an important therapeutic approach to improve the quality of life of these children. The effects of serious diseases experienced by children on their metabolism and nutritional status can play an important role in their course of the disease, reducing hospital admissions and hospitalizations, and quality of life. This article aims to fill the gap in the literature by determining the micronutrient levels of pediatric palliative care patients hospitalized in the Pediatric Palliative Care Clinic, and to evaluate the frequency of use of micronutrient supplements and their effects on micronutrient deficiency. The research aims to contribute to a better understanding of the nutritional needs of patients in pediatric palliative care and to direct treatment approaches more effectively.

Official Title
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Evaluation of Micronutrient Levels and Micronutrient Supplement Use in Patients Hospitalized in the Pediatric Palliative Care Service.

Conditions
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Palliative Care, Micronutrients, Pediatric

Intervention / Treatment
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* Other: Not


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Hospitalized in a pediatric palliative care service Exclusion Criteria: Patients who are hospitalized without having chronic, complex, progressive or life-threatening diseases (for off-label reasons)

Ages Eligible for Study
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Minimum Age: 1 Month
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Pediatric palliative care<br>pediatric palliative care patients hospitalized in the Pediatric Palliative Care Clinic | Other: Not<br>* Not<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the presence of micronutrient deficiency | Presence of micronutrient deficiency in patients hospitalized in pediatric palliative care clinic | 12/01/2023-01/01/2024 | 
| use of micronutrient supplements | Micronutrient supplement use by patients hospitalized in pediatric palliative care clinic | 12/01/2023-01/01/2024 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pediatric, Palliative Care, micronutriens