Randomized controlled trial of 4-hour versus 24-hour nasogastric rehydration in children with acute gastroenteritis and moderate dehydratio
- Conditions
- Acute viral gastroenteritis with moderate dehydrationOral and Gastrointestinal - Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
- Registration Number
- ACTRN12610000737033
- Lead Sponsor
- Royal Children's Hospital Melbourne
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 426
Children with acute gastroenteritis and moderate dehydration presenting to the Emergency Department at 2 metropolitan paediatric teaching hospitals
Acute diarrhoea (non-bloody)
Moderate dehydration defined as 3 clinical signs (based on Gorelick study criteria)
1 - Bloody diarrhoea,
2 - Severe dehydration (dehydration score > 7)
3 - Mild dehydration (dehydration score < 3)
4 - Unable to obtain written informed consent,
5 - Patient living outside area covered by hospital-in-the-home (part of follow-up at 24 hrs and 7 days)
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Clinical treatment failure of rehydration schedules defined as >2% body weight from time of admission after randomisation<br>Main outcome measures: body weight[Admission to Emergency Department (enrolment and randomisation)<br><br>Reviews and measurement of body weight at 4-6 hours, 24 hours and 7 days from time of randomisation]
- Secondary Outcome Measures
Name Time Method Secondary treatment failure is defined as:<br>1 - need for hospital admission at any time point after rapid rehydration (4 hrs), or re-admission after discharge from hospital for standard rehydration (24 hrs) <br>2 - need for insertion of intravenous (IV) cannula for IV rehydration for either rehydration schedule at any time point after randomisation[Admission to Emergency Department (enrolment and randomisation)<br><br>Reviews at 4-6 hours, 24 hours and 7 days from time of randomisation]