Diarrhea Clinical Trial
Official title:
Randomized Trial of the Oral Disintegrating Ondansetron Tablet to Reduce Vomiting From Acute Gastroenteritis in a Pediatric Emergency Department
The objectives of the study were to determine whether ondansetron treatment would reduce:
- the amount of vomiting in the emergency department;
- the need for intravenous rehydration; and
- the need for hospitalization.
Background:
Vomiting may limit the success of oral rehydration in children with gastroenteritis and
dehydration. Limited data suggest that while oral ondansetron may reduce vomiting from
gastroenteritis, emergency department revisits may increase.
Methods:
The investigators conducted a prospective, double-blind randomized trial at a pediatric
emergency department in 214 dehydrated children, aged 6 months to 10 years with
gastroenteritis and mild to moderate dehydration as assessed by a dehydration score. They
were randomly assigned to receive treatment with an ondansetron oral disintegrating tablet or
placebo. Oral rehydration was administered according to a standard protocol. The primary
outcome was the proportion of children who vomited during oral rehydration therapy. The
secondary outcomes were the mean number of episodes of vomiting, and the proportion of
children treated with intravenous rehydration or hospitalized.
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