Micronutrient Status in Pediatric Palliative Care

Palliative Care Clinical Trial

Official title:

Evaluation of Micronutrient Levels in Patients Hospitalized in the Pediatric Palliative Care Service.

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT06146452
• Other study ID #: PPC Micronutrient
• Status: Active, not recruiting
• Start date: October 1, 2023
• Est. completion date: October 1, 2024

Study information

• Verified date: April 2024
• Source: Dr. Behcet Uz Children's Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The goal of this observational study is to determine the micronutrient levels in patients in the Pediatric Palliative Care Clinic. The main question it aims to answer are: • What is the frequency of micronutrient deficiencies in pediatric palliative care patients?

Description:

Palliative care is an important health service provided with a multidisciplinary approach to improve the quality of life of children with progressive and life-threatening diseases and to manage symptoms effectively. This service aims to provide children with a good life experience by meeting the physical, psychological, social and spiritual needs of patients and their families. Micronutrients contain important nutritional components such as vitamins, minerals and other nutrients that are essential for maintaining normal functions of the body. Micronutrient deficiencies affect at least half of children under five years of age. In a study conducted in pediatric oncology patients, micronutrient deficiency was shown to have a frequency of 74%, and selenium deficiency in particular negatively affected clinical outcomes. Contrary to recommended nutrient intakes (RNI) and expert opinion for healthy children, evidence-based recommendations for micronutrient requirements in critically ill children are not available. However, in pediatric palliative care, if the nutritional history indicates inadequate nutritional intake and/or growth indicates malnutrition, nutritional deficiencies that may have systemic effects, such as iron and vitamin B12 deficiency, need to be investigated. This article aims to fill the gap in the literature by determining the micronutrient levels of pediatric palliative care patients hospitalized in the Pediatric Palliative Care Clinic. The research aims to contribute to a better understanding of the nutritional needs of patients in pediatric palliative care and to direct treatment approaches more effectively.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 249
• Est. completion date: October 1, 2024
• Est. primary completion date: September 1, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 1 Month to 18 Years

Eligibility

Inclusion Criteria:

• Hospitalized in a pediatric palliative care service

Exclusion Criteria:

• Patients who are hospitalized without having chronic, complex, progressive or life-threatening diseases (for off-label reasons)

Related Conditions & MeSH terms

• Micronutrients
• Palliative Care
• Pediatric

Intervention

Other:
• Not
Not

Locations

Country	Name	City	State
Turkey	Dr. Behcet Uz Children's Hospital	Izmir

Sponsors (1)

Lead Sponsor	Collaborator
Dr. Behcet Uz Children's Hospital

Country where clinical trial is conducted

Turkey, 

References & Publications (3)

Marino LV, Valla FV, Beattie RM, Verbruggen SCAT. Micronutrient status during paediatric critical illness: A scoping review. Clin Nutr. 2020 Dec;39(12):3571-3593. doi: 10.1016/j.clnu.2020.04.015. Epub 2020 Apr 22. — View Citation

Revuelta Iniesta R, Gerasimidis K, Paciarotti I, McKenzie JM, Brougham MF, Wilson DC. Micronutrient status influences clinical outcomes of paediatric cancer patients during treatment: A prospective cohort study. Clin Nutr. 2021 May;40(5):2923-2935. doi: 1 — View Citation

Verbov J. More consultant dermatologists are needed. J R Coll Physicians Lond. 1990 Jul;24(3):249. No abstract available. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	the presence of micronutrient deficiency	Presence of micronutrient deficiency in patients hospitalized in pediatric palliative care clinic	12/01/2023-01/01/2024