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    A prospective randomised trial comparing nasogastric with intravenous hydration in children with bronchiolitis (protocol) The comparative rehydration in bronchiolitis study (CRIB)

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    Author
    Oakley, E; Babl, FE; Acworth, J; Borland, M; Kreiser, D; Neutze, J; Theophilos, T; Donath, S; South, M; Davidson, A
    Date
    2010-06-01
    Source Title
    BMC Pediatrics
    Publisher
    BMC
    University of Melbourne Author/s
    Babl, Franz; Donath, Susan; South, Michael; Davidson, Andrew; Oakley, Edward; Oakley, Edward
    Affiliation
    Paediatrics (RCH)
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Oakley, E., Babl, F. E., Acworth, J., Borland, M., Kreiser, D., Neutze, J., Theophilos, T., Donath, S., South, M. & Davidson, A. (2010). A prospective randomised trial comparing nasogastric with intravenous hydration in children with bronchiolitis (protocol) The comparative rehydration in bronchiolitis study (CRIB). BMC PEDIATRICS, 10 (1), https://doi.org/10.1186/1471-2431-10-37.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/260463
    DOI
    10.1186/1471-2431-10-37
    Abstract
    BACKGROUND: Bronchiolitis is the most common reason for admission of infants to hospital in developed countries. Fluid replacement therapy is required in about 30% of children admitted with bronchiolitis. There are currently two techniques of fluid replacement therapy that are used with the same frequency-intravenous (IV) or nasogastric (NG).The evidence to determine the optimum route of hydration therapy for infants with bronchiolitis is inadequate. This randomised trial will be the first to provide good quality evidence of whether nasogastric rehydration (NGR) offers benefits over intravenous rehydration (IVR) using the clinically relevant continuous outcome measure of duration of hospital admission. METHODS/DESIGN: A prospective randomised multi-centre trial in Australia and New Zealand where children between 2 and 12 months of age with bronchiolitis, needing non oral fluid replacement, are randomised to receive either intravenous (IV) or nasogastric (NG) rehydration.750 patients admitted to participating hospitals will be recruited, and will be followed daily during the admission and by telephone 1 week after discharge. Patients with chronic respiratory, cardiac, or neurological disease; choanal atresia; needing IV fluid resuscitation; needing an IV for other reasons, and those requiring CPAP or ventilation are excluded.The primary endpoint is duration of hospital admission. Secondary outcomes are complications, need for ICU admission, parental satisfaction, and an economic evaluation. Results will be analysed using t-test for continuous data, and chi squared for categorical data. Non parametric data will be log transformed. DISCUSSION: This trial will define the role of NGR and IVR in bronchiolitis TRIAL REGISTRATION: The trial is registered with the Australian and New Zealand Clinical Trials Registry--ACTRN12605000033640.

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