|- candidate number||3211|
|- NTR Number||NTR1291|
|- ISRCTN||ISRCTN wordt niet meer aangevraagd|
|- Date ISRCTN created|
|- date ISRCTN requested|
|- Date Registered NTR||20-apr-2008|
|- Secondary IDs||08/067 METC|
|- Public Title||Development of a quick and easy malnutrition screening tool for hospitalized children: the short nutritional assessment questionnaire (SNAQkids)|
|- Scientific Title||Development of a quick and easy malnutrition screening tool for hospitalized children: the short nutritional assessment questionnaire (SNAQkids)|
|- hypothesis||The recognition of malnourished children will improve by using the short nutritional assessment questionnaire. |
|- Healt Condition(s) or Problem(s) studied||Malnutrition|
|- Inclusion criteria||1. Children between 1-18 years.|
|- Exclusion criteria||1. Children aged younger than one year, with an implanted defibrillator |
2. Children and/or parents who did not give informed consent
3. Children and/or parents who do not speak or understand the Dutch language
|- mec approval received||yes|
|- multicenter trial||no|
|- Type||Single arm|
|- planned startdate ||9-mei-2008|
|- planned closingdate||1-nov-2008|
|- Target number of participants||230|
|- Interventions||All parents are asked to answer a list of 23 questions. It contains medical conditions like ability to eat, swallow and retain food, food intake, weight loss, feeding interventions and pain. |
Nutritional status is measured using height, weight, mid-upperarmcircumference and bioelectrical impedance.
|- Primary outcome||The questions that best predict the nutritional status of a child at hospital-admission. |
|- Secondary outcome||Body compostion|
|- Timepoints||All children will be studied within twenty-four hours after admission to the hospital. |
|- Trial web site||N/A|
|- CONTACT FOR PUBLIC QUERIES|| M.E.J. Beelen, van|
|- CONTACT for SCIENTIFIC QUERIES|| M.E.J. Beelen, van|
|- Sponsor/Initiator ||VU University Medical Center|
(Source(s) of Monetary or Material Support)
|Nutricia Nederland B.V.|
|- Brief summary||Undernutrition is characterized by inadequate intake of protein, energy and micronutrients and associated with frequent infections or disease. Earlier studies estimated that undernutrition occurs in 26% of children admitted to a hospital. |
Factors that may increase the risk of developing undernutrition are prolonged periods of fasting prior to tests and surgery, failure to recognize the increased energy requirements because of infection, unknown food intake, increased losses of energy and nutrients due to malabsorption, unknown weight and height and inadequate nutritional therapy/ no or a late start of nutritional therapy.
In children, undernutrition has serious consequences, such as reduction in growth, increased mortality and morbidity, higher risk to various infections and wound-healing problems. Undernutrition is also associated with a longer time of recovery, increased risk of adverse clinical events and a longer hospital stay with increased health care costs.
Screening children on undernutrition at hospital admission and monitoring the nutritional status during medical treatment makes it possible to effectively intervene, for example with extra meals, enteral tube feeding or, when the intestines do not function properly, parenteral nutrition.
Therefore an important task for nurses and doctors is to recognize undernutrition of children, when admitted to a hospital. In the ideal situation nurses will obtain information on weight, height and growth of every child at hospital admission. If the results are abnormal the doctor and dietician can do further diagnostics and proper interventions can be taken. In daily practice these measurements are not routinely performed because they are too time-consuming and are not the nurses priority.
Screening of nutritional status at admission has been hindered by the lack of a simple, short nutritional assessment tool for children, that can be integrated at nursesí intake and will take less than five minutes of time. The hospital screening tool for undernutrition used in adults cannot be used because other criteria for undernutrition apply to children.
This study was designed to determine which questions best predict the nutritional status of a child at hospital-admission.
|- Main changes (audit trail)|
|- RECORD||20-apr-2008 - 16-jun-2008|