Body Temperature Clinical Trial
Official title:
Temperature Monitoring With InnerSense Esophageal Temperature Sensor/Feeding Tube After Birth Through Stabilization in VLBW Infants
Verified date | April 2016 |
Source | Duke University |
Contact | n/a |
Is FDA regulated | No |
Health authority | United States: Institutional Review Board |
Study type | Interventional |
Very low birth weight (VLBW) infants (<1500 grams at birth) and other low birth weight
infants experience hypothermia after birth and through stabilization (first 24 hours of
life) due to an inability to keep warm through metabolic heat production while experiencing
heat loss during care.
The investigator hypothesizes that inserting an InnerSense oral gastric tube (Philips
Healthcare) with its imbedded thermistor and attaching the tube to a temperature monitor
with a digital temperature display will enable care-providers to monitor continuous body
temperature and prompt them to provide warmth and prevent heat loss, thus preventing
hypothermia in these infants for the first 24 hours of life. The investigator predicts
infants in the intervention group will have warmer axillary temperatures upon admission to
the NICU and at 1, 4, and 8 hours of age. Mothers in non-active labor will be sought for
consent to enroll their VLBW infant into this study after the infant's birth. 160 VLBW
infants and other low birth weight infants 1000-2000 grams will be randomized to the
intervention group (placement of InnerSense oral gastric tube with thermistor to a Squirrel
monitor for continuous digital temperature display, immediately after birth through 24 hours
of life) or the control group (standard delivery room care and stabilization care). The
study staff plans to enroll 180 infants (90 per group) to allow for screen failures.
Axillary temperatures of all infants will be recorded at NICU admission, 1, 4, 8 and 24
hours of age. Further, the study staff intends to enroll approximately 300 Intensive Care
Nursery providers who care for an InnerSense study infant and wish to complete a provider
satisfaction survey. These providers will be asked to provide consent prior to completing
the survey and their names will be recorded on a separate study enrollment log.
Infant demographic data will be compared to make sure groups are not significantly
different. Temperatures from the intervention group will be compared to the control group
using a student t test at each time point. Satisfaction questionnaires will be summarized
and described. The InnerSense oral gastric tube with temperature monitoring is FDA approved
for use and is being marketed commercially by Philips Healthcare. VLBW infants have oral
gastric tubes placed as standard of care for feeding, and intermittently in the delivery
room when positive pressure ventilation is necessary for respiratory stabilization. There
are no additional safety risks to the intervention of this study; however, a safety/data
monitoring committee will be formed and meet quarterly to monitor the trial.
Status | Completed |
Enrollment | 20 |
Est. completion date | June 2016 |
Est. primary completion date | April 2016 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | N/A to 24 Hours |
Eligibility |
Inclusion Criteria: - Parents of eligible infants must be enrolled prior to, or shortly after delivery as the InnerSense esophageal temperature sensor/feeding tube will be inserted post delivery resuscitation Exclusion Criteria: - Infants are excluded if parents were not consented prior to, or shortly after delivery - Infants are not eligible if they have major congenital anomalies including gastrointestinal or facial abnormalities - Infants with major cardiac anomalies are also excluded |
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
Country | Name | City | State |
---|---|---|---|
United States | Duke University Medical Center | Durham | North Carolina |
Lead Sponsor | Collaborator |
---|---|
Duke University | Philips Healthcare |
United States,
Almeida PG, Chandley J, Davis J, Harrigan RC. Use of the heated gel mattress and its impact on admission temperature of very low birth-weight infants. Adv Neonatal Care. 2009 Feb;9(1):34-9. doi: 10.1097/01.ANC.0000346094.28110.11. — View Citation
Basu S, Rathore P, Bhatia BD. Predictors of mortality in very low birth weight neonates in India. Singapore Med J. 2008 Jul;49(7):556-60. — View Citation
Bhatt DR, White R, Martin G, Van Marter LJ, Finer N, Goldsmith JP, Ramos C, Kukreja S, Ramanathan R. Transitional hypothermia in preterm newborns. J Perinatol. 2007 Dec;27 Suppl 2:S45-7. Review. — View Citation
Knobel RB, Wimmer JE Jr, Holbert D. Heat loss prevention for preterm infants in the delivery room. J Perinatol. 2005 May;25(5):304-8. — View Citation
Laptook AR, Salhab W, Bhaskar B; Neonatal Research Network. Admission temperature of low birth weight infants: predictors and associated morbidities. Pediatrics. 2007 Mar;119(3):e643-9. Epub 2007 Feb 12. — View Citation
Martin JA, Hamilton BE, Ventura SJ, Osterman MJ, Mathews TJ. Births: final data for 2011. Natl Vital Stat Rep. 2013 Jun 28;62(1):1-69, 72. — View Citation
te Pas AB, Lopriore E, Dito I, Morley CJ, Walther FJ. Humidified and heated air during stabilization at birth improves temperature in preterm infants. Pediatrics. 2010 Jun;125(6):e1427-32. doi: 10.1542/peds.2009-2656. Epub 2010 May 10. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | exploratory outcome: caregiver satisfaction and ease of use | Describe the caregiver satisfaction and ease of use for the InnerSense by using a provider questionnaire. Caregivers will rate the InnerSense feeding tube with traditional feeding tubes used in the Intensive Care Nursery. | First 24 hours of infant life. | No |
Primary | mean axillary admission temperature | Mean axillary temperatures from infants in the InnerSense group and the standard of care group will be compared to determine if a significant difference is seen over the first 24 hours of life. | Admission through first 24 hours of infant life. | No |
Primary | mean axillary temperature | The mean axillary temperature at 4 hours of age will be compared for infants in the InnerSense group and the standard of care group to determine if a significant difference is seen at 4 hours of life. | First 4 hours of infant life. | No |
Secondary | percentage of infants with hypothermic temperatures (<36.5° C) | Axillary temperatures for infants in the InnerSense group and infants in the standard of care group will be compared on admission to determine the percentage of hypothermia in both groups. | Admission | No |
Secondary | percentage of infants with hypothermic temperatures (<36.5° C) | Axillary temperatures for infants in the InnerSense group and infants in the standard of care group will be compared at 1 hour to determine the percentage of hypothermia in both groups. | 1 Hour | No |
Secondary | percentage of infants with hypothermic temperatures (<36.5° C) | Axillary temperatures for infants in the InnerSense group and infants in the standard of care group will be compared at 4 hours to determine the percentage of hypothermia in both groups. | 4 Hours | No |
Secondary | percentage of infants with hypothermic temperatures (<36.5° C) | Axillary temperatures for infants in the InnerSense group and infants in the standard of care group will be compared at 8 hours to determine the percentage of hypothermia in both groups. | 8 Hours | No |
Secondary | relationship of minute to minute temperatures, as measured by correlation coefficient | Measuring temperatures from abdomen thermistor with esophageal temperatures in each infant, in intervention group only. | First 24 hours of infant life. | No |
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