About this trial
This prospective cohort study aims to assess the nutritional status of critically ill children aged 1 month to 5 years admitted to the pediatric intensive care unit using a comprehensive ABCD approach including anthropometric, biochemical, clinical, and dietary assessment within 48 hours of admission, and to evaluate its association with clinical outcomes including duration of mechanical ventilation, length of PICU stay, and mortality.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age from 1 month to 5 years
Admitted to PICU with expected length of stay greater than 48 hours
Written informed consent from parents or legal guardians
Disqualifiers
Chronic renal or hepatic disease known to affect serum protein levels
Incomplete medical records or discharged or transferred before first laboratory sample could be obtained
Receiving nutritional support enteral or parenteral prior to PICU admission for condition unrelated to current critical illness
Trial population
Critically ill children aged 1 month to 5 years admitted to PICU at Assiut University Children Hospital
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Nutritional status at PICU admission assessed by ABCD approach
Number of children classified as malnourished based on comprehensive ABCD assessment including anthropometric measurements body mass index z-score mid-upper arm circumference skinfold thickness, biochemical markers albumin prealbumin total protein, clinical signs of muscle and fat loss, and dietary intake, obtained within 48 hours of PICU admission
Secondary outcomes
Duration of mechanical ventilation
Length of mechanical ventilation in days
Length of PICU stay
Length of stay in the pediatric intensive care unit in days
PICU mortality
Number of children who die during PICU stay
Feeding intolerance and refeeding syndrome
Number of children who develop feeding intolerance or refeeding syndrome during PICU stay
Locations
Sponsors and contacts
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