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Multicentre randomised controlled trial of HELP (heat loss prevention) in the delivery room

Not Applicable
Completed
Conditions
Hypothermia
Hypothermia in premature infants
Neonatal Diseases
Registration Number
ISRCTN85045728
Lead Sponsor
niversity of Alberta and Sunnybrook and Women's College Health Sciences Centre (Canada) and The Vermont Oxford Network (USA)
Brief Summary

1. 2013 protocol in https://www.ncbi.nlm.nih.gov/pubmed/23770234 (added 07/02/2019) 2. 2015 results in https://www.ncbi.nlm.nih.gov/pubmed/25449224 (added 07/02/2019)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
1685
Inclusion Criteria

Infants born at less than 28 weeks (aged 0 - 27 days, either sex) whose delivery is considered imminent and have consented (written) to participate in the trial. Prior to birth a firm decision to provide full resuscitative measures and intensive support must be made.

Exclusion Criteria

1. Infants born with major congenital anomalies that are not covered by skin (e.g. gastroschisis, meningomyelocele)
2. Infants whose deliveries are not attended by the neonatal team (e.g. precipitous delivery on route to the labour suite)
3. Infants born with blistering skin conditions that preclude the use of occlusive wrap

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Death to discharge or at six months corrected gestational age
Secondary Outcome Measures
NameTimeMethod
<br> 1. Axillary temperature upon arrival in Neonatal Intensive Care Unit (NICU)<br> 2. Apgar scores, incidence of acidosis, hypotension, hypoglycaemia, seizures in the first 12 hours of life<br> 3. Patent ductus arteriosus, respiratory distress, syndrome/chronic lung disease, necrotizing enterocolitis/GI perforation, Retinopathy of Prematurity, sepsis, hearing, pneumothorax, intraventricular Haemorrhage/periventricular leukomalacia, pulmonary hemorrhage all measured at 36 weeks corrected gestational age, or at time of death or discharge home<br> 4. Death and neurosensory disability measured at 18 months corrected gestational age<br>
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