Pediatric Outcomes and Recovery With Peri-Operative Iron Supplement Evaluation

MI-összefoglaló

A vizsgálat saját részvételi feltételeiből. Gép olvasta ki az oldalon álló regiszterszövegből, ezért tévedhet. Hogy ki vehet részt, azt a lenti regiszterszöveg és a vizsgálat csapata dönti el.

The trial is looking for children and teens scheduled for VDRO and/or pelvic osteotomy hip surgery, with or without a neuromotor condition such as cerebral palsy. Children who had this surgery between February 2022 and December 2024 can also join as a comparison group.

Életkor

0 to 18 years

Nem

All sexes

A betegség stádiuma

Scheduled for VDRO (a thigh bone surgery for hip displacement) and/or pelvic osteotomy surgery, or had it between February 2022 and December 2024.

Korábbi kezelés

No major surgery in the last 3 months. No nutrition program with iron testing and treatment in the last 3 months. Not taking erythropoietin.

Biomarker vagy leletérték

Blood tests check iron levels. Low iron leads to the iron supplement group; normal iron leads to the group without iron.

A részvétel fő kizáró okai

• Major surgery in the last 3 months
• Nutrition program with iron testing and treatment in the last 3 months
• Iron taken by mouth or feeding tube is not allowed for medical reasons
• A bleeding disorder or taking erythropoietin
• Patient and family cannot read and understand English

A regiszter feltételei, szó szerint

Nézd meg, megfelelhetsz-e

Magadról válaszolj. Ez nem döntés: hogy részt vehetsz-e, azt csak a vizsgálat csapata mondhatja meg.

• 0 és 18 év között vagy?IgenNem

Mit akar kideríteni a vizsgálat

Varus-derotation osteotomy (VDRO) is a surgery to prevent or address hip displacement in children. Many children having this surgery have cerebral palsy or other neuromotor disorders, who have a higher rate of malnutrition, including low iron or anemia. This can affect their surgical outcomes, such as increasing their need for blood transfusions. This project aims to develop a preoperative nutritional program for VDRO patients, to improve their surgical outcomes and decrease their need for transfusions. This may include taking iron supplementation for patient with low iron or anemia. Participants will undergo a nutrition program before their surgery.

A vizsgálat 3 csoportja

• Prospective (Iron Supplementation)A vizsgált kezelés

  Patients scheduled for VDRO and/or pelvic osteotomy surgery who are aged 0 to 18 years old (n = 50-60). Note that the investigators will include patients who do or do not have a diagnosis of a neuromotor condition. All patients will be evaluated by the dietitian and have screening lab work to evaluate for iron deficiency at initial consultation. If lab results show that iron supplementation is required, patients will be allocated to the iron supplementation arm and will receive a prescription for iron supplementation, education on non-pharmacological methods to enhance iron intake and comprehensive nutrition management.

  Kezelés: Iron Supplement és Comprehensive Nutrition Management

• HistoricalNincs vizsgálati kezelés, összehasonlításként

  All patients who had VDRO and/or pelvic osteotomy surgery between February 2022 and December 2024 who are aged 0 to 18 years old (n = 100-120). These participants will be enrolled as comparators and receive no intervention, as their surgery has passed.

• Prospective (No Iron Supplementation)A vizsgált kezelés

  Patients scheduled for VDRO and/or pelvic osteotomy surgery who are aged 0 to 18 years old (n = 50-60). Note that the investigators will include patients who do or do not have a diagnosis of a neuromotor condition. All patients will be evaluated by the dietitian and have screening lab work to evaluate for iron deficiency at initial consultation. If lab results show adequate iron levels, patients will be allocated to the "no iron supplementation" arm and will only receive comprehensive nutrition management, without an iron supplementation prescription.

  Kezelés: Comprehensive Nutrition Management