Hypothermia Neonatal Clinical Trial
Official title:
Electricity-free Infant Warmer for Newborn Thermoregulation in Rwanda
NCT number | NCT03031431 |
Other study ID # | IRB-P00016205 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | July 2016 |
Est. completion date | July 2019 |
Verified date | January 2020 |
Source | Boston Children’s Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Hypothermia contributes to a significant portion of neonatal deaths. Kangaroo mother care (KMC) is a safe and effective method of warming; however, it is not always feasible, and not possible in settings such as resuscitation or clinical instability. Electric warmers are the standard of care in developed countries, but are extremely costly, complicated with risk of causing both hypo and hyperthermia with misuse, and often not feasible in settings without stable electricity. Through a multi-institutional collaboration, the investigators have developed an electricity-free infant warmer. After laboratory based prototype testing for safety and efficacy, the investigators aim to study the supervised use of the warmer under routine implementation conditions in a resource-limited setting.
Status | Completed |
Enrollment | 130 |
Est. completion date | July 2019 |
Est. primary completion date | December 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A to 3 Months |
Eligibility |
Inclusion Criteria: - Any infant with the following criteria for whom caregiver is not available for Kangaroo Mother Care, or Kangaroo Mother Care is not adequate (less than ½ degree Celsius per hour rise in temperature). 1. axillary temperature < 36 degrees C and =35 degrees C 1a) If an electric warmer is available and the infant's temperature is < 35 degrees C, then the infant would start by being warmed on the electric warmer until the infant's temperature reaches 36 degrees C, then can start non-electric infant warmer use 2. Infants at-risk for hypothermia (criteria: estimated post-menstrual age of < 35 weeks or current body weight of < 2.5 kg) Exclusion Criteria: 1. Any infant whose family is unwilling to consent to study. 2. Mothers who are critically ill at the time of infant eligibility or deemed not medically stable by nursing staff to be approached for consent. 3. Any infant with a contraindication to Kangaroo Mother Care (medical instability) and electrical heating source available. 4. Any infant with initial temperature < 35 degrees C and electrical heating source available. 5. Infants within the first hour of admission to neonatal unit or first hour of life in maternity. 6. Infants requiring phototherapy 7. Infants with significant skin condition 8. Infants with Hypoxic Ischemic Encephalopathy (HIE) Stopping Criteria: If an electric heating source is available, the infant will be taken off the study and warmed with an appropriate source of electric heat if the infant: 1. Is hypothermic and temperature decreases on any measurement 2. Is hypothermic and temperature does not begin to rise within 30 minutes 3. Is hypothermic and not heating at a rate of > ½ degree C per hour until temperature is >36.5 degrees C 4. Has a temperature that falls below 36 degrees C despite maximum exposure to the heat source 5. Is ever considered to be too severely ill by the medical team to be safely cared for in the non-electric infant warmer. 6. The warmer will be removed once its temperature drops below 36 degrees, and/or the phase change material begins to harden. |
Country | Name | City | State |
---|---|---|---|
Rwanda | Dr Evrard Nahimana | Rwinkwavu |
Lead Sponsor | Collaborator |
---|---|
Boston Children’s Hospital | Brigham and Women's Hospital, Harvard Medical School, Institute for Transformative Technologies (ITT), Ministry of Health, Rwanda, Partners in Health, Rwandan Biomedical Counsel (RBC) |
Rwanda,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Temperature/Effectiveness | The infant warmer will be evaluated on the number of time is able to successfully achieve and maintain a normal body temperature for patients who are hypothermic and those patients at risk of hypothermia because of a < 2.5 kg birth weight or < 35 week gestational age. | Up to 6 months | |
Secondary | Usability | The investigators will use observation to evaluate the usability of the warmer by assessing whether or not the infant warmer was used in a way that deviated from its recommended use. | Up to 6 months | |
Secondary | Functionality | The functionality will be assessed by whether or not there appeared to be wear and tear on the infant warmer based on repeated use. | Up to 6 months | |
Secondary | Qualitative Survey | The same as primary outcome and secondary outcome as described above with the setting being clinic and transport based rather than in a hospital, and with the addition of qualitative questions for mother and nurse regarding infant warmer use. | Up to 1 year |
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