Status:

COMPLETED

Emergency Department Rapid Intravenous Rehydration (RIVR) for Pediatric Gastroenteritis

Lead Sponsor:

The Hospital for Sick Children

Collaborating Sponsors:

The Physicians' Services Incorporated Foundation

Conditions:

Gastroenteritis

Dehydration

Eligibility:

All Genders

90-18 years

Phase:

PHASE4

Brief Summary

This study will look at children with dehydration secondary to gastroenteritis requiring IV rehydration and determine whether the proportion rehydrated after two hours is greater in the children who r...

Detailed Description

Despite a movement toward increased use of enteral rehydration, many children still receive prolonged IV rehydration in the emergency department (ED). These children commonly receive a single IV bolus...

Eligibility Criteria

Inclusion

  • Acute gastroenteritis as determined by the supervising physician.
  • Age greater than 90 days
  • Dehydrated and unable to consume sufficient oral fluids to overcome their dehydration state

Exclusion

  • Weight less than 5 kg or greater than 33 kg
  • Underlying disease which may limit the amount of IV fluids given,including but not limited to: hypoalbuminemic states, renal insufficiency, heart disease requiring pharmacotherapy or lesions that may predispose to congestive heart failure, hypertension, chronic lung disease (excluding asthma), diabetes mellitus, severe anemia, and chronic inflammatory disease
  • Clinical suspicion by the attending physician of myocarditis or previously undiagnosed cardiac or renal disease.
  • History of abdominal surgery or concern regarding an acute surgical abdomen
  • Significant head, chest or abdominal trauma within the preceding 7 days
  • Bilious or bloody vomitus
  • Evidence of hemodynamic compromise (BP \< 80 + 2 \* age (yrs)) requiring \> 20 mL/kg 0.9% normal saline to be administered in the 1st hour
  • Bedside glucose \< 2.8 mmol/L (see Section 8.3)
  • Unable to provide a telephone number or unavailable for follow-up
  • Previously enrolled in this trial

Key Trial Info

Start Date :

November 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2010

Estimated Enrollment :

226 Patients enrolled

Trial Details

Trial ID

NCT00392145

Start Date

November 1 2006

End Date

May 1 2010

Last Update

April 17 2018

Active Locations (1)

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1

The Hospital for Sick Children

Toronto, Ontario, Canada, M5G 1X8