- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03626480
Peri-operative Nutrition in Infants With Congenital Heart Disease
A Multi-center Longitudinal Cohort Study on Peri-operative Nutrition in Infants With Congenital Heart Disease
Study Overview
Detailed Description
Children with congenital heart disease need surgery. However, extracorporeal circulation surgery can lead to systemic inflammatory reaction and ischemia, while reperfusion injury leads to metabolic disorders, with increased metabolism, hyperbolism and reduced anabolism. The redistribution of systemic blood and the ischemic and microcirculatory disorder state of gastrointestinal tract cause damage to the gastrointestinal mucosa and indigestion. Excessive fluid limitation after surgery and positive application of positive inotropic drugs were positively correlated with energy metabolism rate. Additionally, the lack of scientific feeding knowledge and poor eating habits of parents can increase the risk of malnutrition in children. Surgery is the most effective way of treating congenital heart disease. Although the cardiac malformation has been corrected and the heart function has been returned to normal, there are still some children cannot quickly get rid of malnutrition. To our knowledge, postoperative malnutrition affects wound healing in the short term. Long-term malnutrition and lack of calories and protein intake lead to the lack of trace elements, low immune function, easy secondary infection, and affect children's heart, organ function and intellectual development. In conclusion, this group of children with congenital heart disease should draw more extensive attention. And the scientific and reasonable feeding knowledge of infants should be widely carried out, which has far-reaching significance. Therefore, this multi-center cohort study is proposed.
We purposed to carry out a multi-center cohort study, and all infants under 1 year old with congenital heart disease undergone surgery in these hospitals were included. We aimed to follow up a long-term, tracking the nutrition status and motor development. The eligible patients in Guangzhou Women and Children's Medical Center, Shenzhen Children's Hospital, Gansu Provincial Maternity and Child-care Hospital, Zhengzhou Cardiovascular hospital, The Children's Hospital Zhejiang University school of medicine will be included. The baseline data will be collected before surgery, and physical, laboratory and imaging examination will be follow at pre and 1, 3, 6, 12 months post surgery to tracking the change of nutrition status (measured as WAZ, WHZ and HAZ). Questionnaires including emotional and social scales will be assigned pre and post surgery for causal inference and life quality evaluation.
The benefits of our follow up were:
- patients will be asked to come back to the clinic for periodic review at certain time;
- specialized people conduct follow up the cohort study;
- A website system had been established to collect the information of patients:
1) professional CRF forms were unified; 2) the website has quality control features. 3) specialized people are responsible for maintaining the website. 4) the website guarantee the long-distance multi-center communication. 5) the website has a reminder of follow-up.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Lijuan Li, MD
- Phone Number: 8620-38076234
- Email: 397413149@qq.com
Study Contact Backup
- Name: Yanqin Cui, MPh
- Phone Number: 8620-38076234
- Email: cuiyanqin@gwcmc.org
Study Locations
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Zhejiang
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Hangzhou, Zhejiang, China
- Recruiting
- The Children's Hospital of Zhejiang University School of Medicine
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Contact:
- Jiajie Fan, PhD
- Phone Number: 13634105687
- Email: jiajiefan@163.com
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Contact:
- Xiujing Wu
- Phone Number: 13868171697
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Principal Investigator:
- Xiujing Wu
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
All children in the multi-center who met the following criteria:
- under 1 years old (including 1 years old);
- diagnosed as congenital heart disease and planed to surgery;
- parents have basic literacy skills, communication and accessibility
- parents are informed consent and volunteered to participate with the approval of the hospital ethics committee,
Exclusion Criteria:
- (1) suspected as chromosomal disease; (2) diagnosis of genetic metabolic diseases; (3) anyway affecting oral feeding (eg. Cleft palate) (4) previous gastrointestinal surgery (eg. Postoperative gastrointestinal fistula)
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in infants' height and weight
Time Frame: baseline, 1, 3, 6 and 12 months
|
Measured as : WAZ (weight-for-age z-score), WHZ (weight-for-height z-score), HAZ (height-for-age z-score).
Children's height and weight will be measured pre and 1, 3, 6, 12 months post surgery.
|
baseline, 1, 3, 6 and 12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change of Biomedical index level
Time Frame: baseline, 1, 3, 6 and 12 months
|
Infants' Albumin, prealbumin, retinol binding protein (RBP), transferrin (FER) and Amino terminal brain natriuretic peptide precursor (NT-proBNP) will be tested pre and 1, 6 months post surgery. Infants' Hemoglobin, microelement, cholesterol, triglyceride and 25-hydroxy vitamin D3 will be tested pre and 3, 12 months post surgery. |
baseline, 1, 3, 6 and 12 months
|
Change in ROSS score
Time Frame: baseline, 1, 3, 6 and 12 months
|
ROSS score will be evaluated at pre and 1, 3, 6, 12 months post surgery.
According to Ross RD, Bollinger RO, Pinsky WW (1992) Grading the severity of congestive heart failure in infants.
Pediatr Cardiol 13:72-75.
Ross scoring system for heart failure in infants grades the presence and severity of congestive heart failure based on the following variables: amount of formula consumed per feeding, feeding time, history of diaphoresis or tachypnea, growth parameters, respiratory and heart rates, respiratory pattern, perfusion, presence of edema, diastolic filling sounds, and hepatomegaly.
|
baseline, 1, 3, 6 and 12 months
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Change in Alberta Infant Motor Scale (AIMS)
Time Frame: baseline, 1, 3, 6 and 12 months
|
AIMS score will be evaluated at pre and 1, 3, 6, 12 months post surgery.
The AIMS consists of 58 items at 4 different positions: prone (21 items), supine (9 items), sitting (12 items), and standing (16 items).
The components tested for each item are based on 3 elements of movement: weight bearing, posture, and antigravity movements.
For any item observed by the examiner, 1 point is given, whereas 0 points are given when the item is not observed.
The sum of all items observed gives the total raw score, ranging from 0 to 58.
The total raw score also can be converted into a percentile rank.
High percentile ranks indicate maturity of the infant's gross motor skills.
|
baseline, 1, 3, 6 and 12 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Yanqin Cui, MPh, Guangzhou Women And Children's Medical Center
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2018080101
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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