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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03827252
Other study ID # PI2017_843_0008
Secondary ID
Status Completed
Phase
First received
Last updated
Start date September 7, 2018
Est. completion date September 12, 2020

Study information

Verified date May 2023
Source Centre Hospitalier Universitaire, Amiens
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The main purpose of this study is to identify and to determine the involvement of cardio-respiratory coordination mechanisms during SSC between the preterm infant and his (her) parent.


Description:

The skin to skin care (SSC) is a technique that proceeds by laying the neonate ventrally on the parent's chest. Many positive effects are recognized as due to SSC i.e, maintaining the infant's body temperature, better sleep organization, neurocognitive development and cardio-respiratory stability, more strength in parent-infant affective relations, reduction in neonatal and parental stress, more success in feeding with breast milk. Nowadays, SSC is generalized in modern Neonatal Intensive Care Units as part of developmental care. However, the mechanisms involved in SSC are not totally understood. The hypothesis in this study is that the cardio-respiratory stability results partially from the intervention of the coordination between cardiac and respiratory activities. These suppose the involvement of complex mechanisms of cardio-respiratory coordination including neuro-autonomous loops with chemoreceptors and baroreceptors, bulbar vasomotor and respiratory regulatory centers, ortho-parasympathetic neuronal and chemical pathways and cardiac, vascular and lung effectors. In this study the identification of these characteristics will be performed by processing signals of ECG, SaO2 (arterial oxygen saturation), respiratory movements, perfusion index, cutaneous and ambient temperature extracted from the clinical monitoring systems. Each preterm infant included in the study will be explored twice, 5-10 days apart. The explorations will be carried out on 3 steps: before (at least 30 minutes), during (at least 60 minutes) and after (≥ 60 minutes) the SSC session. Each patient will participate in the study for 10 days at maximum. Inclusions in the study will last for a total period of 18 months and 10 days. The cardio-respiratory coordination will be assessed using coordigram technique, corresponding to the proportion of time with > 0.7 amplitude on spectral density.


Recruitment information / eligibility

Status Completed
Enrollment 44
Est. completion date September 12, 2020
Est. primary completion date December 11, 2019
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 28 Weeks to 36 Weeks
Eligibility Inclusion Criteria: - Premature infant from 28weeks + 0 day to 36 weeks + 6 days gestational corrected age - At least 72 hours postnatal age - Benefiting skin-to-skin care Exclusion Criteria: - Severe congenital malformation and nervous system dysfunction (e.g., Ondine Sd) - Septic shock - Mechanical ventilation support - Severe pulmonary arterial hypertension - Analgesia morphinics at high dosage and curare

Study Design


Related Conditions & MeSH terms


Locations

Country Name City State
France CHU Amiens-Picardie Amiens

Sponsors (1)

Lead Sponsor Collaborator
Centre Hospitalier Universitaire, Amiens

Country where clinical trial is conducted

France, 

Outcome

Type Measure Description Time frame Safety issue
Primary Cardio-respiratory coordination index Percentage of time during the recording that fulfills the criteria of coordination ( > 0.7 amplitude of spectra in coordigram) 10 days
Secondary Cardio-respiratory coordination index by phase analysis technique 10 days
Secondary Correlation between cardio-respiratory coordination index and SaO2 10 days
Secondary Correlation of temperatures (infant, parent) and cardio-respiratory coordination index 10 days
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