Usefulness of the nutrition based mobile application among children post cardiac surgery; A Randomized Controlled Trial (Preprint)

2021 ◽  
Author(s):  
Maryam Zahid ◽  
Ume Sughra ◽  
Sehrish Mumtaz ◽  
Mawara Hassan
Keyword(s):  
Randomized Controlled Trial ◽  
Cardiac Surgery ◽  
Nutritional Status ◽  
Mobile Application ◽  
Controlled Trial ◽  
Tertiary Care ◽  
Care Hospital ◽  
Randomized Controlled ◽  
Income Status ◽  
Post Cardiac Surgery

BACKGROUND Malnutrition is the most common problem in congenital heart diseases patients. Nutrition based mobile applications play an important role in planning and tracking of diet for better nutritional status. OBJECTIVE To assess usefulness of the nutrition based mobile application among children post cardiac surgery. METHODS This was a single-center, double-blinded, randomized controlled trial that was conducted at a Tertiary Care Hospital, Rawalpindi. The study duration was 6 months from February 2021 till July 2021. Sample size was calculated to be 88. Intervention group caregivers were provided with a nutrition based mobile application by a dietitian, primary objective of the mobile application was to improve /maintain nutritional status of children. Caregiver’s of children were able to choose their nutritional goals. Nutritional intake was tracked, daily and monthly insight regarding nutrients intake was provided to the user. Usual care group was handed a pamphlet with diet instructions on discharge by a dietitian. RESULTS At the end of intervention preferred diet planning tool for 79% of the participant’s caregiver was mobile application. At 8th week 93% of the caregivers considered visual cues useful, 80% thought that the mobile application language was understandable, 79% thought nutritional goal setting was a useful feature in mobile application and 55% thought the recipes in the application were useful. CONCLUSIONS The study showed strength for the future of scalable modern technology for self-nutrition monitoring. The average income status and education level of the participant’s caregivers in our study was low to average. It represented a population that has been slow to adopt new technology but our participants showed interest in mobile application and used the technology after a brief training session. CLINICALTRIAL Study was registered on clinicaltrial.gov with trial identity number NCT04782635.

Effect of Artificial Intelligence on Nutritional Status of children post cardiac surgery; A Randomized Controlled Trial (Preprint)

2022 ◽  
Author(s):  
Maryam Zahid ◽  
Ume Sughra
Keyword(s):  
Nutritional Status ◽  
Usual Care ◽  
Usual Care Group ◽  
Mobile Application ◽  
Controlled Trial ◽  
Intervention Group ◽  
Care Group ◽  
Randomized Controlled ◽  
Nutritional Status Of Children ◽  
Post Cardiac Surgery

BACKGROUND Malnutrition is the most common problem in congenital heart diseases patients. Health based mobile applications play an important role in planning and tracking of diet for better nutritional status OBJECTIVE To assess the effect of artificial intelligence on nutritional status of children post cardiac surgery in comparison to usual care group. To assess usefulness of diet related mobile application in comparison to usual care group. METHODS This is a two arm randomized controlled trial that was conducted at a Tertiary Care Hospital, Rawalpindi. The study duration was 6 months from February 2021 till July 2021. Sample size was calculated to be 88. Intervention group was given a diet related mobile application and usual care group was handed a pamphlet with diet instructions on discharge. RESULTS Mean weight of all participants was 15 ± 5.7 kg at the time of discharge whereas at the end of 8th week mean weight of the participants in usual care group was 16.5 ± 7.2 kg and intervention group was 17.1 ± 5 kg. Average calories consumed by usual care group was 972 ± 252 kcal and 1000.75 ± 210 kcal by intervention group after 8 weeks of discharge. Average proteins consumed by the usual care group was 34.3 ± 12.5 grams and 39± 6.4 grams by intervention group after 8 weeks of discharge. At the end of intervention preferred diet planning tool for 79% of the participants was mobile application. At 8th week 93% of the participants considered the visual cues useful, 80% think that the mobile application language was understandable, 79% of the participants think nutritional goal setting is a useful feature in mobile application and 55% of the participants think the recipes in the application were useful. CONCLUSIONS The study showed strength for the future of scalable modern technology for self-nutrition monitoring. There was slight increase in the weight and nutritional intake of both groups as interventions period was limited. CLINICALTRIAL Study was registered on clinicaltrial.gov website with trial identity number NCT04782635.

Rationale and Design of the Randomized Controlled Trial of New Oral Anticoagulants vs. Warfarin for post Cardiac Surgery Atrial Fibrillation

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Asishana A. Osho ◽  
Philicia Moonsamy ◽  
Breanna R. Ethridge ◽  
Gregory A. Leya ◽  
David A. D’Alessandro ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Randomized Controlled Trial ◽  
Cardiac Surgery ◽  
Controlled Trial ◽  
Oral Anticoagulants ◽  
New Oral Anticoagulants ◽  
Randomized Controlled ◽  
Post Cardiac Surgery

Virtual Reality Reduces Pain in Laboring Women: A Randomized Controlled Trial

2020 ◽  
Author(s):  
Melissa S. Wong ◽  
Brennan M.R. Spiegel ◽  
Kimberly D. Gregory
Keyword(s):  
Randomized Controlled Trial ◽  
Virtual Reality ◽  
Pain Score ◽  
Primary Outcome ◽  
Controlled Trial ◽  
Tertiary Care ◽  
Obstetric Outcomes ◽  
Care Hospital ◽  
Randomized Controlled ◽  
Secondary Outcomes

Objective Virtual reality (VR) represents a potential method for easing labor pain and in nonpregnant patients has been shown to achieve similar or greater analgesia than hydromorphone. Few studies of VR have been performed in pregnant women. The aim of this randomized controlled trial (RCT) is to evaluate whether VR is effective in reducing pain in laboring women. Study Design An open-label, RCT of nulliparous, term women in labor in a tertiary care hospital. We included women with a pain score level of 4 to 7 having regular contractions at least every 5 minutes. We excluded women who had received any pharmacologic pain relief including neuraxial analgesia and those with contraindications to VR. Participants were randomized to up to 30 minutes of either VR or the control arm (no additional intervention). Our primary outcome was the difference in differences from pre- to postintervention pain score. Prespecified secondary outcomes included postintervention pain scores, duration of intervention use, pharmacologic analgesia use, maternal vitals, and obstetric outcomes. Results From March 2018 to February 2019, 40 subjects were enrolled, randomized, and completed the study; 19 were randomized to control and 21 to the VR arm. Most baseline characteristics were similar between groups. For the primary outcome, those assigned to the control arm had a statistically significant increase in pain of +0.58, while the VR arm had a significant reduction in pain of −0.52 (p = 0.03). There was also a difference in the proportion who had a minimum clinically important difference in pain (0% control and 23.8% VR; p = 0.049). Postintervention maternal heart rate was higher in the control arm (86.8 vs. 76.3, p = 0.01). Most other secondary outcomes did not differ. Conclusion In our study, we found that VR was effective for reducing pain in women in labor as compared with those receiving no intervention. Key Points

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