Risk Factors and Outcomes of Hepatitis A in Children

September 28, 2026 updated by: Nada Ashraf Fouad, Assiut University

Risk Factors, Clinical Course and Predictors of Outcome in Children With Hepatitis A Infection Admitted in Assiut University Children Hospital

This prospective observational study aims to evaluate the risk factors, clinical course, and outcomes among children with acute hepatitis A infection admitted to Assiut University Children Hospital.

Study Overview

Status

Not yet recruiting

Conditions

Detailed Description

Hepatitis A virus infection is a common cause of acute hepatitis in children in Egypt. While most cases recover completely, some children may develop complications such as prolonged cholestasis, acute liver failure, or hepatic encephalopathy.

This observational study will include children aged 1 month to 18 years with confirmed acute hepatitis A infection (positive Anti-HAV IgM). Patients will be followed during their hospital stay to assess clinical course and outcomes.

Study Type

Observational

Enrollment (Estimated)

190

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

1 month to 18 years (Child, Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Children with confirmed acute hepatitis A infection admitted to or presenting at Assiut University Children Hospital.

Description

Inclusion Criteria:

  • Age 1 month to 18 years
  • Confirmed acute hepatitis A infection by positive Anti-HAV IgM
  • Written informed consent from parents or legal guardians

Exclusion Criteria:

  • - Co-infection with hepatitis B, hepatitis C, or hepatitis E
  • Chronic liver diseases (autoimmune hepatitis, Wilson disease, metabolic liver diseases)

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: COHORT
  • Time Perspectives: PROSPECTIVE

Cohorts and Interventions

Group / Cohort
Single cohort: Children with acute hepatitis A

Children aged 1 month to 18 years with confirmed acute hepatitis A infection who will be followed during hospital stay to assess clinical course and outcomes.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Proportion of children with unfavorable outcome
Time Frame: Baseline

Proportion of children who develop one or more of the following during hospital stay: acute liver failure, hepatic encephalopathy, acute kidney injury, ICU admission, prolonged hospital stay (>7 days), or death.

Baseline

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Proportion of children with acute liver failure
Time Frame: Baseline

Proportion of children who develop acute liver failure during hospital stay.

Baseline
Proportion of children with hepatic encephalopathy
Time Frame: Baseline

Proportion of children who develop hepatic encephalopathy (any West Haven grade) during hospital stay.

Baseline
Mean duration of hospital stay
Time Frame: Baseline

Mean number of days of hospitalization.

Baseline
Proportion of children requiring ICU admission
Time Frame: Baseline

Proportion of children who require intensive care unit admission.

Baseline
Mortality rate
Time Frame: Baseline

Proportion of children who die during hospital stay.

Baseline

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Study Chair: Ahlam B Ali, prof, Pediatrics Department, Assiut University Hospitals

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

September 26, 2026

Primary Completion (Estimated)

September 26, 2027

Study Completion (Estimated)

March 25, 2028

Study Registration Dates

First Submitted

September 23, 2026

First Submitted That Met QC Criteria

September 28, 2026

First Posted (Actual)

September 30, 2026

Study Record Updates

Last Update Posted (Actual)

September 30, 2026

Last Update Submitted That Met QC Criteria

September 28, 2026

Last Verified

September 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • HAV-Children-Assiut-2026

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.