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
研究概览
详细说明
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.
研究类型
注册 (估计的)
联系人和位置
学习联系方式
- 姓名:Amany M Hussien, Resident
- 电话号码:+20 10 01286248
- 邮箱:Amani.18313375@med.aun.edu.eg
参与标准
资格标准
适合学习的年龄
- 孩子
接受健康志愿者
取样方法
研究人群
描述
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
学习计划
研究是如何设计的?
设计细节
队列和干预
团体/队列 |
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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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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Fecal calprotectin level in relation to necrotizing enterocolitis
大体时间: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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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Comparison of fecal calprotectin between feeding groups
大体时间: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
大体时间: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
大体时间: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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合作者和调查者
调查人员
- 学习椅:Nafisa H Refat, prof、pediatrics Department, Assiut University Hospitals
出版物和有用的链接
一般刊物
- 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.
研究记录日期
研究主要日期
学习开始 (估计的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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