Clinical trial NCT06716229: Relationship of Nutritional Support for Critically Ill Children With Clinical Outcomes in a Pediatric Hospital in Bolivia (NutPeBol)
Official title: Relationship of Nutritional Support for Critically Ill Children With Clinical Outcomes in a Pediatric Hospital in Bolivia in 2025 (NutPeBol)
Study type: OBSERVATIONAL
Overall status: NOT_YET_RECRUITING
Conditions: Critically Ill Children
Nutritional Support
Keywords: Critically Ill children
Nutritional support
Lead sponsor: Hospital del Nino Manuel Ascencio Villarroel
Sponsor class: OTHER
Collaborators: name: Universidad Mayor de San Simón
name: Hospital del Nino Manuel Ascencio Villarroel
First posted: 2024-12-04
Enrollment: 56
Sex: ALL
Minimum age (years): 1
Maximum age (years): 15
Standard ages: CHILD
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Critically ill children with acute conditions who are admitted to the PICU, intermediate care or wards of a pediatric referral hospital

Brief summary: The aim of this observational study is to learn about the characteristics of nutritional support in critically ill children. The primary question to be answered is Is there an association between nutritional support of the critically ill child and clinical and hospital outcomes in children admitted to a pediatric referral center? Patients will be followed throughout their hospitalization, with a step-by-step evaluation of the nutritional support received through standard care and a review of the results obtained in the patients.

Detailed description: The study aims to know the type and characteristics of nutritional support received by critically ill children hospitalized in Bolivian hospitals; to follow them during their hospitalization to verify their weight, nutritional status and the nutritional support they receive; to understand which types of nutritional support offer better clinical and hospital outcomes; finally, to be able to propose some guidelines to physicians, through guidelines or other tools for the dissemination of scientific information, in order to benefit more children.

Eligibility criteria: Inclusion Criteria:

* Admitted to intensive care or intermediate care in hospital wards
* Complete clinical and anthropometric data.

Exclusion Criteria:

* Congenital or acquired chronic disease affecting growth (secondary malnutrition)
* On medication (corticosteroids, immunoglobulins, albumin)
* Burn patients, with prosthetic implants, postoperative of large tumor resections.
* Unknown history of pre-referral hospital management or hospitalized in other health facilities.

Primary outcomes:
measure: Change from baseline in mid-upper arm circumference (MUAC) <11.5 cm (115 mm), weight-for-height z-score (WHZ) <-3, or bilateral pitting edema in critically ill children admitted to a pediatric hospital.
timeFrame: From March 2025 to March 2026
Secondary outcomes:
Other outcomes:
Locations:
city: Cochabamba
country: Bolivia
facility: Hospital del Nino Manuel Ascencio Villarroel
state: Cercado
city: Cochabamba
country: Bolivia
facility: Universidad Mayor de San Simon
state: Cercado
Study officials:
References:
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