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Trial registered on ANZCTR
Registration number
ACTRN12621000290897
Ethics application status
Approved
Date submitted
11/02/2021
Date registered
16/03/2021
Date last updated
23/02/2024
Date data sharing statement initially provided
16/03/2021
Date results provided
23/02/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
ePICUre - Nutrition in paediatric critical care: a bi-national multi-centre prospective observational study
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Scientific title
ePICUre - Nutrition in paediatric critical care: a bi-national multi-centre prospective observational study
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Secondary ID [1]
303427
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Nil
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Universal Trial Number (UTN)
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Trial acronym
ePICUre
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Nutrition in paediatric critical illness
320726
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Nutrition
320727
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Condition category
Condition code
Diet and Nutrition
318569
318569
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0
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Other diet and nutrition disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
This prospective observational study will investigate the nutritional status and nutrition management of critically ill children until discharge from hospital.
There will be no involvement required with participants. Only routinely recorded data will be collected from the medical records.
The observational period will include from Day 1 of PICU admission to Study Day 28 or discharge from hospital, whichever comes first.
Pending further funding and stakeholder approval, a second study period may be held in 2023.
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Intervention code [1]
319731
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Not applicable
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Comparator / control treatment
Comparison groups include:
- Malnourished versus nourished (as determined by anthropometry)
- Early enteral nutrition versus late enteral nutrition
- Primary diagnosis groups
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Control group
Active
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Outcomes
Primary outcome [1]
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Difference in length of hospital stay
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Assessment method [1]
326523
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Timepoint [1]
326523
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Data will be collected from medical records from day 1 of PICU admission for those eligible until discharge from hospital (or after study day 28, whichever occurs first) and reported separately for groups according to nutritional status and nutrition management.
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Secondary outcome [1]
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Difference in mortality
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Assessment method [1]
391776
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Timepoint [1]
391776
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Data will be collected from medical records from day 1 of PICU admission for those eligible until discharge from hospital (or after study day 28, whichever occurs first) and reported separately for groups according to nutritional status and nutrition management.
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Secondary outcome [2]
392799
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Difference in PICU length of stay
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Assessment method [2]
392799
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Timepoint [2]
392799
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Data will be collected from medical records from day 1 of PICU admission for those eligible until discharge from hospital (or after study day 28, whichever occurs first) and reported separately for groups according to nutritional status and nutrition management.
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Secondary outcome [3]
392800
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Difference in PICU re-admissions during hospital admission
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Assessment method [3]
392800
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Timepoint [3]
392800
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Data will be collected from medical records from day 1 of PICU admission for those eligible until discharge from hospital (or after study day 28, whichever occurs first) and reported separately for groups according to nutritional status and nutrition management.
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Secondary outcome [4]
392801
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Difference in duration of invasive ventilation
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Assessment method [4]
392801
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Timepoint [4]
392801
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Data will be collected from medical records from day 1 of PICU admission for those eligible until discharge from hospital (or after study day 28, whichever occurs first) and reported separately for groups according to nutritional status and nutrition management.
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Eligibility
Key inclusion criteria
Age 18 years and under
Admitted to the PICU for >48 hours
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Minimum age
No limit
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Maximum age
18
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Previously enrolled during the study period
For comfort measures only
Admitted for organ donation
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Study design
Purpose
Natural history
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Duration
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Selection
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Timing
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
3/05/2021
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Actual
7/06/2021
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Date of last participant enrolment
Anticipated
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Actual
20/06/2021
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Date of last data collection
Anticipated
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Actual
1/12/2021
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Sample size
Target
100
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Accrual to date
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Final
141
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,WA,VIC
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Recruitment outside Australia
Country [1]
23460
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New Zealand
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State/province [1]
23460
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Funding & Sponsors
Funding source category [1]
307848
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University
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Name [1]
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Monash University
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Address [1]
307848
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The Australian and New Zealand Intensive Care Research Centre
School of Public Health and Preventive Medicine
Monash University Level 3
553 St Kilda Road Melbourne
Victoria 3004
AUSTRALIA
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Country [1]
307848
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Australia
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Primary sponsor type
University
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Name
Monash University - SPHPM
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Address
The Australian and New Zealand Intensive Care Research Centre
School of Public Health and Preventive Medicine
Monash University Level 3
553 St Kilda Road Melbourne
Victoria 3004
AUSTRALIA
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Country
Australia
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Secondary sponsor category [1]
308555
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None
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Name [1]
308555
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Address [1]
308555
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Country [1]
308555
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
307852
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Monash Health HREC
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Ethics committee address [1]
307852
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Research Support Services Level 2, i Block, Monash Medical Centre 246 Clayton Road CLAYTON VIC 3168
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Ethics committee country [1]
307852
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Australia
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Date submitted for ethics approval [1]
307852
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16/09/2020
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Approval date [1]
307852
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18/03/2021
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Ethics approval number [1]
307852
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RES-20-0000-705A
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Summary
Brief summary
ePICUre is a multi-centre, observational study of nutrition in critically ill children across Australia and New Zealand. The study will review nutrition practices and resources in participating tertiary PICUs, and the nutritional status, management and associated outcomes for children aged 18 years and under admitted to the PICUs for >48 hours. Primary Aim: To develop a platform to study nutrition in critically ill children in Australia and New Zealand that will inform paediatric nutrition care and research. Objectives: Primary 1. To profile paediatric critical care nutrition management resources and practice in ANZ 2. To describe the nutritional status of children in ANZ PICUs 3. To better understand nutrition prescription and delivery in ANZ PICUs 4. To provide a benchmarking opportunity for nutrition practice in ANZ PICUs and provide participating sites with data to support quality improvement 5. To provide basic information to inform future paediatric critical care nutrition research questions and priorities Secondary 6. To identify associations between nutrition and patient outcomes in ANZ PICUs 7. To compare change in nutrition practice between the two proposed study time points Rationale: Further research is required to better understand the role of nutrition in paediatric critical care. Undernutrition has been found to be associated with poor clinical outcomes due to detrimental effects including impaired immune function, increased gut permeability and bacterial translocation, and impaired respiratory muscle function. The associated consequences of undernutrition include increased duration of mechanical ventilation, length of stay and mortality. In order to best determine future research directions, the nutritional status and nutrition management of this cohort must be described. Three large international studies of nutrition in paediatric critical care have been undertaken since 2009 however Australian and New Zealand Paediatric Intensive Care Units have not been widely represented.
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Trial website
https://www.monash.edu/medicine/sphpm/anzicrc/research/anzic-rc-nutrition-program/epicure
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Trial related presentations / publications
https://www.sciencedirect.com/science/article/pii/S0899900723002897 https://www.sciencedirect.com/science/article/pii/S1036731423000371
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Public notes
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Contacts
Principal investigator
Name
108706
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Ms Jacinta Winderlich
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Address
108706
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Australian and New Zealand Intensive Care Research Centre,
Public Health and Preventive Medicine
Monash University
Level 3, 553 St Kilda Rd
Melbourne VIC 3004
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Country
108706
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Australia
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Phone
108706
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+61 3 9905 6643
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Fax
108706
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Email
108706
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[email protected]
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Contact person for public queries
Name
108707
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Jacinta Winderlich
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Address
108707
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Australian and New Zealand Intensive Care Research Centre,
Public Health and Preventive Medicine
Monash University
Level 3, 553 St Kilda Rd
Melbourne VIC 3004
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Country
108707
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Australia
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Phone
108707
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+61 3 9905 6643
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Fax
108707
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Email
108707
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[email protected]
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Contact person for scientific queries
Name
108708
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Jacinta Winderlich
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Address
108708
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Australian and New Zealand Intensive Care Research Centre,
Public Health and Preventive Medicine
Monash University
Level 3, 553 St Kilda Rd
Melbourne VIC 3004
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Country
108708
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Australia
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Phone
108708
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+61 3 9905 6643
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Fax
108708
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Email
108708
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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