Calciuric Effect and Cyclic Parenteral Nutrition in Preterm Infants
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Purpose
The aim of our work is to study the effect of total parenteral nutrition (TPN) cycling in preterm infants on hypercalcuria (excessive calcium excretion in urine). TPN cycling refers to administering the TPN over a portion of the day rather than the whole day. Our hypothesis is that cyclic TPN includes more hypercalcuria in preterm infants as compared to continuous TPN.
Objectives:
Measure Urinary Calcium(Ca) during the periods of continuous and cyclic TPN.
Compare the amount of Ca losses in the urine continuous vs. cyclic TPN
| Condition |
|---|
|
Preterm Infants Metabolic Bone Disease |
| Study Type: | Observational |
| Study Design: | Time Perspective: Prospective |
| Official Title: | Calciuric Effect and Cyclic Parenteral Nutrition in Preterm Infants |
| Estimated Enrollment: | 1 |
| Study Start Date: | July 2008 |
| Estimated Study Completion Date: | September 2011 |
| Primary Completion Date: | April 2011 (Final data collection date for primary outcome measure) |
Randomized cross over design, in which babies will receive TPN either continuously or on a cyclic basis for 3 days. The patients will then be crossed over to receive the other way of administration over the following 3 days, thus each patient will serve as his or her own control. Continuous TPN will be administered over 24 hours for 3 days, while the cyclic TPN will be given for 18 hours then followed by a Dextrose only solution at the same concentration and rate as the TPN for 6 hours. Trophic feeds up to 20 ml/kg/day will be allowed throughout the study period at the discretion of the attending neonatologist.
Eligibility| Ages Eligible for Study: | up to 9 Months |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Probability Sample |
Patients will be recruited from the NICU at (LSUHSC) after obtaining parental consent.
Inclusion Criteria:
- Preterm babies with birth weights of 1500 gm or less.
- Expected to be restricted from oral feeding or on trophic feeds
- On TPN for at least 6 days
Exclusion Criteria:
- Infants who at the time of enrollment are on any diuretics (Lasix, hydrochlorothiazide, Aldactone, etc.) or caffeine
- those who are hemodynamically unstable
- Or have renal or hepatic insufficiency
- Infants with major congenital anomalies
Contacts and Locations| United States, Louisiana | |
| Louisiana State University Health Science Center-Shreveport | |
| Shreveport, Louisiana, United States, 71130 | |
| Principal Investigator: | Sameh Hussein, M.D. | Louisiana State University Health Science Center-Shreveport |
More Information
Publications:
| Responsible Party: | Sameh Hussein, M.D., Assistant Professor of Pediatrics/Neonatology, Louisiana State University Health Science Center-Shreveport |
| ClinicalTrials.gov Identifier: | NCT00711763 History of Changes |
| Other Study ID Numbers: | H08-048 |
| Study First Received: | July 3, 2008 |
| Last Updated: | May 4, 2011 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Louisiana State University Health Sciences Center Shreveport:
|
Preterm Infant Parenteral nutrition cycling TPN cycling Hypercalcuria |
Additional relevant MeSH terms:
|
Bone Diseases Bone Diseases, Metabolic Musculoskeletal Diseases |
ClinicalTrials.gov processed this record on May 16, 2013