Preterm Infants Clinical Trial
Official title:
A Randomized Trial of Weaning Preterm Infants at 1500g From Incubators: Effect on Failure to Wean, Weight Gain and Energy Expenditure
Verified date | August 2012 |
Source | Tel-Aviv Sourasky Medical Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | Israel: Ethics Commission |
Study type | Interventional |
Background: The weight at which infants are weaned from incubators varies among neonatal
units.
Objective: To determine the effect on weight gain, temperature stability and resting energy
expenditure (REE) of weaning infants at body weight of 1500 g versus 1600 g.
Design/Methods: infants will be randomized to incubator weaning at the weight of 1500 g or
1600 g. Preterm infants 1500 g birth weight, fully enterally fed, and without supplemental
oxygen, at the postnatal age of 2 weeks will be included. Infants will be weaned to a
warming bassinet (Babytherm 8000, Dräger) set to keep a mattress temperature of 37°C while
decreasing it gradually to room temperature. Failure to wean is defined as core body
temperature of < 36.1°C. Data collection included skin and rectal temperature obtained
before weaning, and at 1/2, 1, 2, 6, 24, and 48 hours after weaning, weekly weight gain
(g/kg/d). REE (kcal/kg/24h) will be measured by indirect calorimetry (Deltatrac II, Finland)
before and 24 hours after weaning.
Status | Completed |
Enrollment | 21 |
Est. completion date | May 2009 |
Est. primary completion date | May 2009 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: - stable preterm infants weighing =1500 g - fully enterally fed, and without supplemental oxygen - steroid or antibiotics treatment - at the postnatal age of = 2 weeks were included - infants < than 2 weeks of age Exclusion Criteria: - ventilated infants or those requiring oxygen supplementation - parenteral nutrition - antibiotic treatment or steroids treatment were excluded |
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Factorial Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Israel | Neonatology department Tel Aviv Medical Center | Tel Aviv |
Lead Sponsor | Collaborator |
---|---|
Tel-Aviv Sourasky Medical Center |
Israel,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | successful and safe weaning from convective incubator of stable preterm infants to a warming bassinet at body weight of 1500g compared with 1600g. | Ten days | Yes | |
Secondary | Resting energy expenditure REE (kcal/kg/24h) measurements | Fourty eight hours | No |
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