Neonatal Asphyxia Clinical Trial
— RCPNEOPERUOfficial title:
Continuous Training and Certification in Neonatal Resuscitation in Remote Areas Using a Multi-platform Information and Communication Technology Intervention Compared to Standard Training: A Randomized Cluster Trial
NCT number | NCT03210194 |
Other study ID # | 100651 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | April 1, 2017 |
Est. completion date | September 7, 2018 |
Verified date | May 2019 |
Source | Universidad Peruana Cayetano Heredia |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Background: About 10% of all newborns may have difficulty breathing and require support by
trained personnel. In Peru, 90% of deliveries occur in health facilities; however there is
not a national neonatal resuscitation and certification program for the public health sector.
In addition, the Andes and the Amazon regions concentrate large rural remote areas, which
further limit the implementation of training programs and the accomplishment of continuous
certification. Neonatal resuscitation training through the use of information, communication
and technology (ICT) tools running on a computer, tablet or mobile phone may overcome such
limitations. This strategy allows online and offline access to educational resources, paving
the way to more frequent and efficient training and certification processes.
Objective: To evaluate the effects of a neonatal resuscitation training and certification
program that uses a multi-platform ICT (MP-ICT) strategy on neonatal health care in remote
areas.
Methods: The investigators propose to conduct the study through a cluster-randomized trial,
where the study and analysis units are the health care facility. Eligible facilities will
include primary and secondary health care level facilities that are located in provinces with
neonatal mortality rates higher than 15 per 1,000 live births. The investigators will compare
the proportion of newborns with a heart rate ≥100 beats per minute at 2 minutes after birth
in health care facilities that receive MP-ICT training and certification implementation, with
those that receive conventional training and certification.
Discussion: The investigators expect that the intervention show to be more effective than the
current standard of care. The investigators are prepared to include it within a national
neonatal resuscitation training and certification program to be implemented at national scale
together with policymakers and other key stakeholders.
Status | Completed |
Enrollment | 12 |
Est. completion date | September 7, 2018 |
Est. primary completion date | August 31, 2018 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: - Primary and secondary level facilities located in Ayacucho and Cusco that have a neonatal mortality rate higher than 15 per 1,000 livebirths will be eligible Exclusion Criteria: - Health facilities whose authorities refuse participation of their health professionals, facilities with less than 290 births a year, facilities located at more than 210 kilometres from the department capital and those located in high risk areas due to social unrest will be excluded |
Country | Name | City | State |
---|---|---|---|
Peru | Instituto Nacional de Salud del Niño | Lima |
Lead Sponsor | Collaborator |
---|---|
Universidad Peruana Cayetano Heredia | Grand Challenges Canada, Instituto Nacional de Salud del Niño. Lima, Peru |
Peru,
Ávila J, Tavera M, Carrasco M. [Epidemiological characteristics of neonatal mortality in Peru, 2011-2012]. Rev Peru Med Exp Salud Publica. 2015 Jul-Sep;32(3):423-30. Spanish. — View Citation
Elsensohn AN, Ricks DJ, Ota A, Nevers SW, Channell N, Liaqat M, Ricks JH, Villanueva AM. The success of Peru's Neonatal Resuscitation Initiative. Arch Dis Child Fetal Neonatal Ed. 2013 Jul;98(4):F375-6. doi: 10.1136/archdischild-2013-303864. Epub 2013 May 18. — View Citation
Huicho L, Canseco FD, Lema C, Miranda JJ, Lescano AG. [Incentives to attract and retain the health workforce in rural areas of Peru: a qualitative study]. Cad Saude Publica. 2012 Apr;28(4):729-39. Spanish. — View Citation
Huicho L, Huayanay-Espinoza CA, Herrera-Perez E, Niño de Guzman J, Rivera-Ch M, Restrepo-Méndez MC, Barros AJ. Examining national and district-level trends in neonatal health in Peru through an equity lens: a success story driven by political will and societal advocacy. BMC Public Health. 2016 Sep 12;16 Suppl 2:796. doi: 10.1186/s12889-016-3405-2. — View Citation
Huicho L, Segura ER, Huayanay-Espinoza CA, de Guzman JN, Restrepo-Méndez MC, Tam Y, Barros AJ, Victora CG; Peru Countdown Country Case Study Working Group. Child health and nutrition in Peru within an antipoverty political agenda: a Countdown to 2015 country case study. Lancet Glob Health. 2016 Jun;4(6):e414-26. doi: 10.1016/S2214-109X(16)00085-1. — View Citation
Huicho L, Trelles M, Gonzales F, Mendoza W, Miranda J. Mortality profiles in a country facing epidemiological transition: an analysis of registered data. BMC Public Health. 2009 Feb 2;9:47. doi: 10.1186/1471-2458-9-47. — View Citation
Lawn JE, Kerber K, Enweronu-Laryea C, Cousens S. 3.6 million neonatal deaths--what is progressing and what is not? Semin Perinatol. 2010 Dec;34(6):371-86. doi: 10.1053/j.semperi.2010.09.011. Review. — View Citation
Niermeyer S. From the Neonatal Resuscitation Program to Helping Babies Breathe: Global impact of educational programs in neonatal resuscitation. Semin Fetal Neonatal Med. 2015 Oct;20(5):300-8. doi: 10.1016/j.siny.2015.06.005. Epub 2015 Aug 8. Review. — View Citation
Perlman J, Kattwinkel J, Wyllie J, Guinsburg R, Velaphi S; Nalini Singhal for the Neonatal ILCOR Task Force Group. Neonatal resuscitation: in pursuit of evidence gaps in knowledge. Resuscitation. 2012 May;83(5):545-50. doi: 10.1016/j.resuscitation.2012.01.003. Epub 2012 Jan 13. — View Citation
Wyckoff MH, Aziz K, Escobedo MB, Kapadia VS, Kattwinkel J, Perlman JM, Simon WM, Weiner GM, Zaichkin JG. Part 13: Neonatal Resuscitation: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015 Nov 3;132(18 Suppl 2):S543-60. doi: 10.1161/CIR.0000000000000267. Review. — View Citation
Wyllie J, Bruinenberg J, Roehr CC, Rüdiger M, Trevisanuto D, Urlesberger B. European Resuscitation Council Guidelines for Resuscitation 2015: Section 7. Resuscitation and support of transition of babies at birth. Resuscitation. 2015 Oct;95:249-63. doi: 10.1016/j.resuscitation.2015.07.029. Epub 2015 Oct 15. — View Citation
* Note: There are 11 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Heart rate at two minutes of life | Percentage of infants with heart rate equal or greater than 100 per minute at 2 minutes of life. | Up to six months | |
Secondary | Starting positive pressure ventilation | Time to start positive pressure ventilation after birth | Up to six months | |
Secondary | Heart rate >= 100 bpm | Time to achieve heart rate greater or equal than 100 per minute | Up to six months | |
Secondary | Apgar | Apgar at 1 minute and at 5 minutes | Up to six months | |
Secondary | Oxygen requirement at 10 minutes | Use of supplemental oxygen after 10 minutes of life | Up to six months | |
Secondary | Oxygen requirement at 30 minutes | Inspiratory oxygen fraction needed at 30 minutes after birth | Up to six months | |
Secondary | Early neonatal mortality | Mortality rate during the first 7 days of life | Up to six months | |
Secondary | Early neonatal referral | Number of referrals to health facilities with greater resolution capacity during the first 7 days of life | Up to six months | |
Secondary | Certified NRP providers | Number of certified health professionals as providers | Up to six months | |
Secondary | Certified NRP instructors | Number of certified health professionals as instructors | Up to six months |
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT05514340 -
Assess Safety and Efficacy of Sovateltide in Hypoxic-ischemic Encephalopathy
|
Phase 2 | |
Not yet recruiting |
NCT06377098 -
Intrapartum Sildenafil in Laboring Mothers
|
Phase 2 | |
Recruiting |
NCT04369313 -
Effect of DCC on Neonatal Jaundice and Blood Gas Analysis in Infants Born to GDM Mothers
|
N/A | |
Completed |
NCT03254628 -
Saving Lives at Birth in Uganda: Building and Sustaining Capacity of Frontline Health Workers - A Program Evaluation
|
N/A | |
Completed |
NCT06429111 -
Effectiveness and Safety in Maternal and Neonatal Outcomes in Water Birth.
|
||
Completed |
NCT03227536 -
Asphyxia at Birth : Causes and Neonatal Outcome
|
N/A | |
Completed |
NCT02347241 -
Infant Special Program for In Hospital Resuscitation Education in the Delivery Room
|
N/A |