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Comparison of oral and nasogastric (n/g) rehydration in childhood gastroenteritis
ISRCTN ISRCTN47796385
ClinicalTrials.gov identifier
Public title Comparison of oral and nasogastric (n/g) rehydration in childhood gastroenteritis
Scientific title
Acronym N/A
Serial number at source N0515122182
Study hypothesis Hypothesis: The World Health Organisation has published guidelines for use of oral rehydration solution (ORS) in childhood gastroenteritis. The solution can be administered by mouth or via nasogastric (n/g) tube. We hypothesise that oral administration, which is successful in the developing world, will not be effective in the UK. The comparison of the two methods has not been tested in a developed world setting.
Value: Determine the most effective and best tolerated method of rehydration which may reduce hospital admissions.
Lay summary Not provided at time of registration
Ethics approval Not provided at time of registration
Study design Randomised open controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Digestive System: Gastroenteritis
Participants - inclusion criteria Patients aged 3 months to 5 years.
Participants - exclusion criteria Not provided at time of registration
Anticipated start date 01/12/2002
Anticipated end date 31/03/2007
Status of trial Completed
Patient information material
Target number of participants 88 patients in total, 44 in each group
Interventions Following an initial 30 min assessment all children who had not successfully taken and tolerated 10 ml/kg oral rehydration solution (ORS) would be approached for trial entry. Parents will be consented by research nurse/PACU registrar. Children would have a baseline set of observations, and clinical assessment of dehydration (according to American Academy of Paediatrics protocol). Standard history taking and examination will be carried out.

Randomisation to oral or n/g group done by pre-prepared packs with sealed, opaque envelopes.
Primary outcome measure(s) The main outcome measure is percentage weight gain at 4 h from the onset of rehydration
Secondary outcome measure(s) 1. Failure of rehydration, defined as follows:
1.1 n/g group: failure to pass n/g after three attempts or vomiting of n/g tube on more than one occasion OR
1.2 Oral group: patient failed to take 80% of expected volume at 2 h or >three vomits from hour
2. Parental satisfaction questionnaires
Sources of funding North West London Hospitals NHS Trust (UK)
Trial website
Publications
Contact name Dr  Kiran  Nistala
  Address Paediatric Ambulatory Care Unit
North West London Hospitals NHS Trust
Northwick Park Hospital
Watford Road
  City/town Harrow
  Zip/Postcode HA1 3UJ
  Country United Kingdom
Sponsor Record provided by the NHS Trusts Clinical Trials Register - Department of Health (UK)
  Address The Department of Health
Richmond House
79 Whitehall
  City/town London
  Zip/Postcode SW1A 2NL
  Country United Kingdom
  Tel +44 (0)207 307 2622
  Fax +44 (0)207 307 2623
  Email dhmail@doh.gsi.org.uk
  Sponsor website: http://www.doh.gov.uk
Date applied 12/09/2003
Last edited 08/11/2011
Date ISRCTN assigned 12/09/2003
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