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Different types of fluids used in children with complication of diabetes

Not Applicable
Conditions
Health Condition 1: null- Children with diabetic ketoacidosis
Registration Number
CTRI/2018/02/011929
Lead Sponsor
The Director
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Children aged <15-year with diabetic ketoacidosis admitted to pediatric critical care unit. (DKA will be defined as per ISPAD guideline)

Exclusion Criteria

1. Children with diabetic ketoacidosis who have already received intravenous fluid for more than four-hrs.

2. Children with a septic shock (requiring >= 60 ml/kg fluid bolus(s) and vasoactive therapy to maintain vitals parameters during initial resuscitation).

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To compare the time taken for resolution of acidosis and frequency of acute kidney injury in children with diabetic ketoacidosis treated with balanced salt solution as compared to those treated with normal saline and Ringerâ??s lactate.Timepoint: During PICU and Hospital discharge (First 7 days usually).
Secondary Outcome Measures
NameTimeMethod
1. To compare the frequency and course of acute kidney injury including an effect on acute kidney injury biomarker [Neutrophil gelatinase-associated lipocalin (NGAL) in blood and urine.Timepoint: During PICU and Hospital discharge (First 7 days usually).;2. To compare the time taken to reach the blood glucose level â?¤ 250 mg/dl.Timepoint: During PICU and Hospital discharge (First 7 days usually).;3. To compare the frequency of hyperchloremia.Timepoint: During PICU and Hospital discharge. (First 7 days usually));4. To compare the length of pediatric intensive care unit and hospital stay.Timepoint: During PICU and Hospital discharge.(First 7 days usually);5. To compare the frequency of cerebral edema and / or worsening of cerebral edema.Timepoint: During PICU and Hospital discharge.(First 7 days usually);6. To compare the cost involved Cost-effectiveness analysis among the three groups.Timepoint: During PICU and Hospital discharge.(First 7 days usually)
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