Fecal Calprotectin in Breastfed vs Formula-Fed Preterm Infants and NEC
Fecal Calprotectin Level in Breastfed Versus Formula-Fed Preterm Infants as an Early Indicator of Developing Necrotizing Enterocolitis: A One-Year Study
調査の概要
詳細な説明
Necrotizing enterocolitis (NEC) is a serious gastrointestinal disease in preterm neonates associated with high morbidity and mortality. Early diagnosis remains challenging. Fecal calprotectin is a non-invasive marker of intestinal inflammation that has shown potential as an early indicator of NEC.
This prospective study will include preterm neonates less than 36 weeks gestational age or with birth weight less than 1500 grams. Fecal calprotectin levels will be measured and compared between exclusively breastfed and formula-fed infants. The association of fecal calprotectin levels with the development of necrotizing enterocolitis will be assessed.
研究の種類
入学 (推定)
連絡先と場所
研究連絡先
- 名前:Amany M Hussien, Resident
- 電話番号:+20 10 01286248
- メール:Amani.18313375@med.aun.edu.eg
参加基準
適格基準
就学可能な年齢
- 子
健康ボランティアの受け入れ
サンプリング方法
調査対象母集団
説明
Inclusion Criteria:
- - Preterm neonates less than 36 weeks gestational age
- Or low birth weight less than 1500 grams
- Or both
- Written informed consent from parents or legal guardians
Exclusion Criteria:
- - Full-term neonates
- Neonates with average birth weight
- Preterm neonates with major congenital gastrointestinal anomalies or chromosomal abnormalities
研究計画
研究はどのように設計されていますか?
デザインの詳細
コホートと介入
グループ/コホート |
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Exclusively breastfed preterm infants
Preterm infants will be categorized according to feeding type and followed for fecal calprotectin levels and development of necrotizing enterocolitis.
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Exclusively formula-fed preterm infants
Preterm infants will be categorized according to feeding type and followed for fecal calprotectin levels and development of necrotizing enterocolitis.
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
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Fecal calprotectin level in relation to necrotizing enterocolitis
時間枠:Within the first 30 days of life
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Comparison of fecal calprotectin concentrations (µg/g) between preterm infants who develop necrotizing enterocolitis and those who do not.
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Within the first 30 days of life
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Comparison of fecal calprotectin between feeding groups
時間枠:Within the first 30 days of life
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Difference in fecal calprotectin levels (µg/g) between exclusively breastfed and exclusively formula-fed preterm infants.
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Within the first 30 days of life
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Diagnostic performance of fecal calprotectin for NEC
時間枠:Within the first 30 days of life
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Sensitivity, specificity, and optimal cutoff value of fecal calprotectin for predicting necrotizing enterocolitis using ROC curve analysis.
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Within the first 30 days of life
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Correlation of feeding type with necrotizing enterocolitis
時間枠:Within the first 30 days of life
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Odds ratio for the occurrence of necrotizing enterocolitis according to type of feeding (exclusively breastfed versus exclusively formula-fed), using logistic regression analysis.
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Within the first 30 days of life
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協力者と研究者
スポンサー
捜査官
- スタディチェア:Nafisa H Refat, prof、pediatrics Department, Assiut University Hospitals
出版物と役立つリンク
一般刊行物
- Stoll BJ, Hansen NI, Bell EF, Walsh MC, Carlo WA, Shankaran S, Laptook AR, Sanchez PJ, Van Meurs KP, Wyckoff M, Das A, Hale EC, Ball MB, Newman NS, Schibler K, Poindexter BB, Kennedy KA, Cotten CM, Watterberg KL, D'Angio CT, DeMauro SB, Truog WE, Devaskar U, Higgins RD; Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network. Trends in Care Practices, Morbidity, and Mortality of Extremely Preterm Neonates, 1993-2012. JAMA. 2015 Sep 8;314(10):1039-51. doi: 10.1001/jama.2015.10244.
- Neu J, Walker WA. Necrotizing enterocolitis. N Engl J Med. 2011 Jan 20;364(3):255-64. doi: 10.1056/NEJMra1005408. No abstract available.
- Yee WH, Soraisham AS, Shah VS, Aziz K, Yoon W, Lee SK; Canadian Neonatal Network. Incidence and timing of presentation of necrotizing enterocolitis in preterm infants. Pediatrics. 2012 Feb;129(2):e298-304. doi: 10.1542/peds.2011-2022. Epub 2012 Jan 23.
- Fentz HN, Trillingsgaard T. Checking up on Couples-A Meta-Analysis of the Effect of Assessment and Feedback on Marital Functioning and Individual Mental Health in Couples. J Marital Fam Ther. 2017 Jan;43(1):31-50. doi: 10.1111/jmft.12185. Epub 2016 Aug 12.
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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