Comparison Between the Old Diagnostic Tools for Paediatric Undernutrition and the HAS Recommendations

Completed

• Conditions: Undernutrition

• Registration Number: NCT04482218
• Lead Sponsor: University Hospital, Montpellier

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

Study Timeline

• Study Start: 2020-07-17
• Study First Submitted: 2020-07-17
• Study First Submitted QC: 2020-07-21
• Study First Posted: 2020-07-22
• Primary Completion: 2020-09-01
• Study Completion: 2020-09-30
• Status Verified: 2020-12
• Last Update Submitted: 2020-12-28
• Last Update Posted: 2020-12-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Comparison between HAS 2019 undernutrition criteria and previous diagnostic methodology	2 month	Comparison between HAS 2019 undernutrition criteria and previous diagnostic methodology

Secondary Outcome Measures

Name	Time	Method
Identified profiles of children who do match between the two diagnostics methods	2 month	Identified profiles of children who do match between the two diagnostics methods

Trial Locations

Locations (1)

Uhmontpellier; 🇫🇷 Montpellier, France