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When oral rehydration is impossible, enteral rehydration via the nasogastric route has been the recommended method of rehydration since 2008 by ESPGHAN ( European Society for Paediatric Gastroenterology Hepatology and Nutrition ), for children with acute gastroenteritis. However, these recommendations are rarely followed in France. These recommendations were not applied in the Children's Emergency Department of BREST University Hospital. The investigators changed the protocol and shared it with the caregivers of the emergency unit. The investigators studied the impact of this change of protocol
The main purpose was to assess the proportion of children rehydrated by nasogastric tube(NG) after protocol change. Secondary outcomes were to assess hospital length of stay and sides effects.
It is a retro and prospective study. The first phase took place from June to September 2018 and the second from June to September 2019. Any child presenting to pediatric emergencies for acute gastroenteritis requiring nonoral rehydration was included.
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| Measure | Description | Time Frame |
|---|---|---|
| Number of nasogastric tube after changing gastroenteritis rehydration protocol | assessed by the number of NG tube and IV in each group | 4 months |
| Measure | Description | Time Frame |
|---|---|---|
| Hospital lenght of stay between each group | evaluate by administrative data of each case (arrival time and departure time) | 4 months |
| Number of Participants With Treatment-Related Adverse Events for each method |
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Inclusion Criteria:
Any child presenting to pediatric emergencies for acute gastroenteritis requiring nonoral rehydration was included
Exclusion Criteria:
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Any child from 0 to 15 years presenting to pediatric emergencies for acute gastroenteritis requiring nonoral rehydration was included
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| Name | Affiliation | Role |
|---|---|---|
| Nadege Delaperriere, Doctor | CHRU BREST | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHRU de Brest (urgences pédiatriques) | Brest | France |
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| ID | Term |
|---|---|
| D003681 | Dehydration |
| ID | Term |
|---|---|
| D014883 | Water-Electrolyte Imbalance |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D010335 | Pathologic Processes |
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Serious sides effect were death and epilptic seizure. Mild sides effects were multiple (IV or NG ripped out, vomiting, failure...).
| 4 months |
| D013568 | Pathological Conditions, Signs and Symptoms |