An Open-Label Clinical Study to Evaluate the Safety and Gastrointestinal Tolerance (Product Compliance) of Groviva® Advance in Hospitalized Children Requiring Isocaloric Formula for Enteral Tube Feeding

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Authors

  • Dept of Paediatric, Krishna institute if medical Science, Hyderabad ,IN
  • Dept of Paediatric, Krishna institute if medical Science, Hyderabad ,IN

DOI:

https://doi.org/10.21048/IJND.2024.61.1.35015

Keywords:

Groviva® Advance, enteral tube feed, isocaloric formula, paediatric, critically ill, intensive care unit.

Abstract

The aim of this study is to evaluate the safety and gastrointestinal tolerance of Groviva® Advance in pediatric patients hospitalized to Pediatric Intensive Care Units (PICUs) and requiring an isocaloric formula for enteral tube feeding. This was a prospective five-day single centre, open label clinical study. The safety and tolerance of Groviva® Advance (45 gram in 170 millilitres of water) was evaluated every day from Day 1 to the end of hospitalization or Day 5, whichever was earlier. The reconstituted amount was 210 millilitres (equivalent to 200 kcal [1 kcal in 1 ml]) and dosed three hourly (or at the discretion of the pediatrician). The majority of participants received the Groviva® Advance tube feed three hourly on all five days of the study. The average range of total feeds varied from 295.16 ± 275.19 to 1074.737 ± 347.94 feeds per day. The most common side effects were loose stools or vomiting; if present, majority of participants had only one episode per day. There was minimal or no total daily aspiration or GRV (>500 ml/day). There was no statistically significant change in weight (P=0.7163) and abdominal girth (0.6381) of study participants. There were no issues encountered during the preparation and administration of Groviva® Advance. Groviva® Advance was found to be safe and well tolerated by critically ill children admitted to PICUs.

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Published

2024-03-01

How to Cite

dekate, P., & Reddy, A. (2024). An Open-Label Clinical Study to Evaluate the Safety and Gastrointestinal Tolerance (Product Compliance) of Groviva® Advance in Hospitalized Children Requiring Isocaloric Formula for Enteral Tube Feeding. The Indian Journal of Nutrition and Dietetics, 61(1), 73–83. https://doi.org/10.21048/IJND.2024.61.1.35015
Received 2023-09-12
Accepted 2024-03-05
Published 2024-03-01

 

References

Brown, A.M., Carpenter, D., Keller, G., Morgan, S. and Irving, S.Y. Enteral nutrition in the PICU: Current status and ongoing challenges. J. Pediatr. Intensive Care., 2015, 4, 111-120.

Kyle, U.G., Jaimon, N. and Coss-Bu, J.A. Nutrition support in critically ill children: Underdelivery of energy and protein compared with current recommendations. J. Acad. Nutr. Diet., 2012, 112, 1987-1992.

Bagri, N.K., Jose, B., Shah, S.K., Bhutia, T.D., Kabra, S.K. and Lodha, R. Impact of malnutrition on the outcome of critically ill children. Ind. J. Pediatr., 2015, 82, 601-605.

Teka, S.G., Kebede, R.A. and Sherman, C. The prevalence of malnutrition during admission to the pediatric intensive care unit, a retrospective cross-sectional study at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Pan. Afr. Med. J., 2022, 27, 77.

Moreno, Y.M.F., Ventura, J.C., Oliveira, L.D. de, A., Silveira, T.T. and Hauschild, D.B. Undernutrition in critically ill children. Pediatr. Med., 2020, 30, 3. https://pm.amegroups.com/article/view/5783

Mehta, N.M., Skillman, H.E., Irving, S.Y., Coss-Bu, J.A., Vermilyea, S., Farrington, E.A., Mckveer, L., Hall, A.M., Goday, P.S. and Braunschweig, c. Guidelines for the provision and assessment of nutrition support therapy in the pediatric critically ill patient: Society of critical care medicine and American society for parenteral and enteral nutrition. J. Parenter. Enteral. Nutr., 2017, 41, 706-742.

Albadi, M.S. and Bookari, K. Is undernutrition associated with deterioration of outcomes in the Pediatric Intensive Care Unit (PICU): Systematic and meta-analysis review. Front. Pediatr., 2022, 10. https://www.frontiersin.org/articles/10.3389/fped.2022.769401

Kratochvíl, M., Klučka, J., Klabusayová, E., Musilová, T., Vafek, V., Skříšovská, T., Dajkow, J., Harvrankova, P., Osinova, D. and Stourac, P. Nutrition in pediatric intensive care: A narrative review. Children, 2022, 9, 1031.

Irving, S.Y., Albert, B.D., Mehta, N.M. and Srinivasan, V. Strategies to optimize enteral feeding and nutrition in the critically ill child: A narrative review. Pediatr. Med., 2022, 5. https://pm.amegroups.com/article/view/6115

Jamieson, N.C. and Tadi, P. Feeding tube. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 [cited 2023 Mar 29]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK559044/

Tume, L.N., Valla, F.V., Joosten, K., Jotterand Chaparro, C., Latten, L., Marino, L.V., Macbod, I., Moullet, C., Pathan, N., Rooze, S., Rosmalen, J.V. and Verbruggen, S.C.A.T. Nutritional support for children during critical illness: European Society of Pediatric and Neonatal Intensive Care (ESPNIC) metabolism, endocrine and nutrition section position statement and clinical recommendations. Intensive Care Med., 2020, 46, 411-425.

Wanden-Berghe, C., Patino-Alonso, M.C., Galindo-Villardón, P. and Sanz-Valero, J. Complications associated with enteral nutrition: CAFANE study. Nutr., 2019, 11, 2041.