Follow-up of Children With Gastrointestinal Malformations and Postnatal Surgery (FraMal)
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Purpose
The aim of this single center study is to measure the impact of standardized neonatal pediatric surgeries due to gastrointestinal malformations on the children's motor and cognitive development and psycho-emotional competence.
To measure the neurodevelopment, the children will be tested with the Bayley Scales of Infant Development II Assessment.
| Condition |
|---|
|
Digestive System Abnormalities |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Cross-Sectional |
| Official Title: | Follow-up Study of Children Aged 2 Years With Gastrointestinal Malformations and Postnatal Surgery |
- Score of Bayley Scales of Infant Development II Assessment [ Time Frame: 18 Months to 36 Months ] [ Designated as safety issue: No ]Score consisting of cognitive, verbal, nonverbal and motor development levels
- Anthropometric and psychological changes [ Time Frame: 18 Months to 36 Months ] [ Designated as safety issue: No ]
- Growth of patients compared to a healthy control group
- Post-traumatic stress situations in families
- Psycho-emotional competence of the children
| Estimated Enrollment: | 80 |
| Study Start Date: | September 2011 |
| Estimated Study Completion Date: | January 2014 |
| Estimated Primary Completion Date: | July 2013 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
Gastrointestinal malformations
Children who underwent standardized neonatal pediatric surgery due to gastrointestinal malformations
|
|
No gastrointestinal malformations
Control group of healthy children matched concerning gestational age, weight class and gender
|
Detailed Description:
Objectives:
The primary objective of this study is to compare differences in the score of Bayley Scales of Infant Development II Assessment (consisting of cognitive, verbal, nonverbal, motor development levels) between children with gastrointestinal malformations and early postnatal surgery at the age of 2 years and a control group.
The secondary objective is to measure the growth of the patients compared to healthy children in the control group, to capture post-traumatic stress situations in families, and to capture the children's psycho-emotional competence.
Study design:
The study is designed as a cross-sectional single center study. The study patients are children of 2 years of age who underwent neonatal surgery in our clinic since June 2008 due to a gastrointestinal malformation.
The control group consists of matched pairs concerning gestational age, weight and gender.
The study consists of five parts:
- Introductory interview including the medical history
- Bayley Scales of Infant Development II Assessment
- Pediatric examination with anthropometry
- Questionnaire survey of post-traumatic stress situation
- Final conversation with the parents about the results
The neurodevelopmental testing is performed by the child psychologist and the pediatric examination by the pediatrician.
Study population:
The study is purely exploratory and based on the number of patients born in our hospital with the malformations mentioned above (approximately 40).
Each patient is compared against a healthy child of the same gestational age, weight class and gender (control group).
Eligibility| Ages Eligible for Study: | 18 Months to 36 Months |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
The study is purely exploratory and based on the number of patients born in our hospital with the malformations mentioned above (approximately 40).
Each patient is compared against a healthy child of the same gestational age, weight class and gender (control group).
Inclusion Criteria:
Patients:
- At follow-up between 18 and 36 months of age
- At birth a gastrointestinal malformation
- Postnatal surgery
- No other serious malformations
- No serious complications of birth (e.g. asphyxia)
- > = 33. week of gestation at birth
- Follow-up appointment when not acutely ill
- Parental Consent
Healthy individuals:
- At follow-up between 18 and 36 months of age
- Uncomplicated postnatal period
- No malformations
- No surgery until follow-up appointment
- > = 33. week of gestation at birth
- Follow-up appointment when not acutely ill
- Parental consent
Exclusion Criteria (both groups):
- Absence of parental consent
Contacts and Locations| Contact: Antje Allendorf-Hofstetter, MD | +49696301 ext 5809 | antje.allendorf@kgu.de |
| Contact: Rolf L. Schlößer, MD | +49696301 ext 5120 | rolf.schloesser@kgu.de |
| Germany | |
| Johann Wolfgang Goethe University Hospital, Department of Neonatology | Recruiting |
| Frankfurt/M, Hessen, Germany, 60590 | |
| Principal Investigator: Antje Allendorf-Hofstetter, MD | |
| Principal Investigator: | Antje Allendorf-Hofstetter, MD | Johann Wolfgang Goethe University Hospital Frankfurt/M, Department of Neonatology |
More Information
Publications:
| Responsible Party: | Antje Allendorf-Hofstetter, Principal Investigator, Goethe University |
| ClinicalTrials.gov Identifier: | NCT01451307 History of Changes |
| Other Study ID Numbers: | 01072011FraMal |
| Study First Received: | August 4, 2011 |
| Last Updated: | October 11, 2011 |
| Health Authority: | Germany: Ethics Commission of the university of Frankfurt/M |
Keywords provided by Goethe University:
|
Congenital abnormalities Digestive system abnormalities Neonatal surgery Neonatal anesthesia Bayley Scales of Infant Development II |
Additional relevant MeSH terms:
|
Duodenal Diseases Congenital Abnormalities Hirschsprung Disease Duodenal Obstruction Hernia, Umbilical Digestive System Abnormalities Digestive System Diseases Megacolon Colonic Diseases |
Intestinal Diseases Gastrointestinal Diseases Intestinal Obstruction Infant, Newborn, Diseases Hernia, Ventral Hernia, Abdominal Hernia Pathological Conditions, Anatomical |
ClinicalTrials.gov processed this record on May 19, 2013