Respiratory Distress Syndrome Clinical Trial
Official title:
Principal Investigator
Verified date | December 2011 |
Source | Zhengzhou Children's Hospital, China |
Contact | n/a |
Is FDA regulated | No |
Health authority | China: Ministry of Health |
Study type | Interventional |
Respiratory distress syndrome (RDS) is common in preterm infants born at less than 32 weeks gestation; surfactant and mechanical ventilation have been the standard treatment. However, despite advances in neonatal respiratory care, a considerable number of preterm infants develop chronic lung disease, termed bronchopulmonary dysplasia (BPD), which is associated with neonatal death, prolonged neonatal intensive care stay, and impaired neurodevelopment. High-frequency oscillatory ventilation (HFOV) was developed as a new ventilation technique in the late 1970s. It was expected to result in less BPD and death as a primary model of ventilation compared to conventional ventilation (CV) in the treatment of RDS. However, there is disagreement concerning the advantage of HFOV over CV in the treatment of RDS in preterm infants regarding the prevention of death, BPD, intraventricular hemorrhage, and periventricular leucomalacia in the short term. The purpose of this study was to compare the efficacy and safety of HFOV and CV in preterm infants with severe RDS.
Status | Completed |
Enrollment | 360 |
Est. completion date | June 2011 |
Est. primary completion date | December 2009 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | N/A to 24 Hours |
Eligibility |
Inclusion Criteria: 1. Preterm infants admitted to the NICU with gestational age <32 weeks, birth weight <1500g and less than 24 hours of age 2. Who developed RDS requiring mechanical ventilation 3. Presented a partial pressure of oxygen (PaO2): fraction of inspired oxygen (FIO2) ratio <200 4. Radiograph criteria of severe RDS Exclusion Criteria: 1. Infants with genetic metabolic diseases 2. Congenital abnormalities 3. Pneumothorax 4. Grade III-IV intracranial hemorrhage |
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Prevention
Country | Name | City | State |
---|---|---|---|
China | Zhengzhou Children's Hospital | Zhengzhou | Henan |
Lead Sponsor | Collaborator |
---|---|
Zhengzhou Children's Hospital, China |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Incidence of bronchopulmonary dysplasia | To count the number of patients with bronchopulmonary dysplasia at 36 weeks of postmenstrual age. | defined as requirement of oxygen at 36 weeks of postmenstrual age | Yes |
Secondary | duration of mechanical ventilation | To calculate how many days of the newborn baby with mechanical ventilation either HFOV or CV at 36 weeks postmenstrual age. | number of days on mechanical ventilation after birth to 36weeks of postmenstrual age | Yes |
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