- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00962754
Fluid Balance Study in Sick Neonates
April 8, 2014 updated by: Jolita Bekhof, Princess Amalia Children's Clinic
Reliability and Utility of Fluid Balance Charting in Neonates Admitted to the Pediatric Ward.
The purpose of this study is to determine if routinely recording fluid balance in sick neonates admitted to the pediatric ward is reliable and useful.
The investigators' hypothesis is that it is not useful and reliable.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Fluid balance charts are commonly used, in the Netherlands, to assess patient fluid volume status.
Some disadvantages of recording fluid intake and output are that it is time-consuming and complex.
If it would give reliable and accurate information about the fluid volume status there would be a good reason for all this effort.
In the few researches that have investigated this subject a low correlation has been found between the fluid balance and the weight changes of an adult patient.
Own experience gives reasons to doubt about the reliability of the fluid balance in children, not rarely there is a discrepancy between the fluid balance and the weight measurement.
We are interested in the relevance of recording fluid balance in neonates.
Study Type
Interventional
Enrollment (Actual)
170
Phase
- Phase 4
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Overijssel
-
Zwolle, Overijssel, Netherlands, 8000GK
- Princess Amalia Children's Clinic
-
-
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
No older than 4 weeks (CHILD)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Sick neonates admitted to the neonatal ward
Exclusion Criteria:
- Admitted elsewhere before admission to the neonatal ward
- Indication for recording fluid balance
- Impossibility to measure the weight every day
- No consent parents
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
- Primary Purpose: DIAGNOSTIC
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
NO_INTERVENTION: physician insight fluid balance
physician has insight in fluid balance chart, this is standard practice
|
|
EXPERIMENTAL: fluid balance data masked to physician
physician no insight in the fluid balance chart
|
physician had no insight in the fluid balance chart during the first 3 days of admission of the patient when the balance is recorded
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Duration of Admission at the Ward in Days
Time Frame: 1-8 months
|
Duration of hospital stay in days or duration of admission at the pediatric ward in days
|
1-8 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Use of Diuretics
Time Frame: during days of admission
|
prescription of diuretic therapy
|
during days of admission
|
Complications
Time Frame: duration of admission
|
notifications of complications
|
duration of admission
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Study Director: J Bekhof, pediatrician, Princess Amalia Children's Clinic
- Principal Investigator: Y v Asperen, MD, University of Groningen
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Daffurn K, Hillman KM, Bauman A, Lum M, Crispin C, Ince L. Fluid balance charts: do they measure up? Br J Nurs. 1994 Sep 8-21;3(16):816-20. doi: 10.12968/bjon.1994.3.16.816.
- Chung LH, Chong S, French P. The efficiency of fluid balance charting: an evidence-based management project. J Nurs Manag. 2002 Mar;10(2):103-13. doi: 10.1046/j.0966-0429.2001.00296.x.
- Wise LC, Mersch J, Racioppi J, Crosier J, Thompson C. Evaluating the reliability and utility of cumulative intake and output. J Nurs Care Qual. 2000 Apr;14(3):37-42. doi: 10.1097/00001786-200004000-00005.
- Eastwood GM. Evaluating the reliability of recorded fluid balance to approximate body weight change in patients undergoing cardiac surgery. Heart Lung. 2006 Jan-Feb;35(1):27-33. doi: 10.1016/j.hrtlng.2005.06.001.
- Mank A, Semin-Goossens A, Lelie Jv, Bakker P, Vos R. Monitoring hyperhydration during high-dose chemotherapy: body weight or fluid balance? Acta Haematol. 2003;109(4):163-8. doi: 10.1159/000070964.
- Pflaum SS. Investigation of intake-output as a means of assessing body fluid balance. Heart Lung. 1979 May-Jun;8(3):495-8.
- Scales K, Pilsworth J. The importance of fluid balance in clinical practice. Nurs Stand. 2008 Jul 30-Aug 5;22(47):50-7; quiz 58, 60. doi: 10.7748/ns2008.07.22.47.50.c6634.
- Bekhof J, van Asperen Y, Brand PL. Usefulness of the fluid balance: a randomised controlled trial in neonates. J Paediatr Child Health. 2013 Jun;49(6):486-92. doi: 10.1111/jpc.12214. Epub 2013 May 2.
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
June 1, 2009
Primary Completion (ACTUAL)
March 1, 2010
Study Completion (ACTUAL)
March 1, 2010
Study Registration Dates
First Submitted
August 18, 2009
First Submitted That Met QC Criteria
August 19, 2009
First Posted (ESTIMATE)
August 20, 2009
Study Record Updates
Last Update Posted (ESTIMATE)
May 7, 2014
Last Update Submitted That Met QC Criteria
April 8, 2014
Last Verified
April 1, 2014
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- NL26894.075.09
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.
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