Errors in emergency feeds in inherited metabolic disorders: a randomised controlled trial of three preparation methods

H Gokmen-Ozel, A Daly, Peter Davies, S Chahal, Anita MacDonald

Research output: Contribution to journalArticle

Abstract

Objective Glucose polymer-based emergency feeds (EF), used during illness to prevent metabolic decompensation and encephalopathy in inherited metabolic disorders, should be produced accurately and safely. Design In a randomised, prospective, controlled study, the aim was to investigate if when preparing age-appropriate EF, a pre-measured sachet of glucose polymer, compared with scoops and weighing (using digital scales), decreased carer errors. Subjects 47 carers (3 men, 44 women) of 52 inherited metabolic disorders patients were recruited. Setting and intervention The carers made EF using all three techniques (weighing, scoops and pre-measured sachets) under supervision in controlled and home conditions. A 100-ml aliquot of each EF was analysed for carbohydrate concentration. Results Under controlled preparation conditions, with 1 litre EFs, the % median glucose polymer concentration closest to target amounts was (1) pre-measured sachets (105%), (2) weighing (107%) and (3) scoops (118%; p
Original languageEnglish
Pages (from-to)776-780
Number of pages5
JournalArchives of Disease in Childhood
Volume95
Issue number10
DOIs
Publication statusPublished - 1 Oct 2010

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