Clinical trial NCT04482218: Comparison Between the Old Diagnostic Tools for Paediatric Undernutrition and the HAS Recommendations
Official title: Comparison Between the Old Diagnostic Tools for Paediatric Undernutrition and the New HAS 2019 Recommendations
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Undernutrition
Keywords: Nutrition
Antromopemtric data
Pediatry
Lead sponsor: University Hospital, Montpellier
Sponsor class: OTHER
First posted: 2020-07-22
Enrollment: 100
Sex: ALL
Minimum age (years): 0
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Children under 18 admitted for hospitalization in the pediatric deparment of the Montpellier University Hospital

Brief summary: Undernutrition is a widely under-diagnosed public health problem, including in pediatrics department. Undernutrition prevalence in pediatrics departments is about 15 to 20%.

Until now, there has been no national consensus on the criteria to be used to diagnose paediatric undernutrition. Until now, assessment focused on a range of non-consensus arguments that allowed the health care team to make its diagnosis. So, in the absence of well-defined criteria, diagnosis was based in part on experience and assesment team.

Since November 2019, the French High Authority of Health (Haute Authorité de Santé - HAS) has suggested recommendations to standardize pediatric undernutrition diagnosis.

The investigators offer to evaluate undernutrition prevalence differences diagnosed according to new HAS criteria compared to the previous diagnostic methodology.

The investigator's secondary aim is to identify profiles of children who do match between the two diagnostics methods.

Detailed description: The investigators will conduct a prospective cohort without change in care.

Following classic patient admission in involved departments, the investigating team moves to the department to collect data.

The measurements and informations collected are no different from those taken in the context of normal care.

All anthropometric measurements correspond to recommendations of good practice. Anthropometric measurements will be carried out by the healthcare team.

With collected data the investigators will evaluate undernutrition for each child, according to the 2 diagnostics methods.

For any diagnosis of undernutrition, the department dietician will be alerted so that the patient can be taken care of so it is done normally.

Data collected are as follows:

Simple demographic characteristics: Age, sex, departmentsand principal diagnosis Anthropometry: weight, height, brachial perimeter, head circumference Birth weight and date of term of pregnancy. Clinical history: all pathologies or clinical events that may be related to a weight variation.

Assessment of ingesta. A non-opposition will be asked

Eligibility criteria: Inclusion criteria:

* Patient under 18 years old (HAS 2019)
* Patient admitted to short and long-stay pediatric services at Montpellier University Hospital, other than maternity, neonatal, palliative care or resuscitation and rehabilitation department.

Exclusion criteria:

* Parental or child opposition
* Legal guardian unable to express consent

Primary outcomes:
measure: Comparison between HAS 2019 undernutrition criteria and previous diagnostic methodology
timeFrame: 2 month
Secondary outcomes:
measure: Identified profiles of children who do match between the two diagnostics methods
timeFrame: 2 month
Other outcomes:
Locations:
city: Montpellier
country: France
facility: Uhmontpellier
Study officials:
affiliation: University Hospital, Montpellier
name: Antoine AVIGNON, PR
role: STUDY_DIRECTOR
References: