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A study about the relationship between lung ultrasound findings and inflammatory markers in neonates with respiratory failure

Not Applicable
Completed
Conditions
Refined diagnosis of different types of neonatal respiratory failure
Pregnancy and Childbirth
Respiratory failure of newborn
Registration Number
ISRCTN13964911
Lead Sponsor
Hôpital Antoine-Béclère
Brief Summary

2024 Results article in https://pubmed.ncbi.nlm.nih.gov/38367957/ (added 29/02/2024)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
160
Inclusion Criteria

1. Neonates presenting with respiratory failure
2. Requiring any type of respiratory support including O2 supplementation, HHHFNC, CPAP, different types of NIV or invasive ventilation, or ECMO
3. =1 consolidation on lung ultrasound performed during clinical care. Consolidation is defined according to classical lung ultrasound semiology as the presence of echo-poor or tissue-like echotexture originating from the pleural line area with irregular borders, which may also have mixed hypoechogenic and hyperechogenic spots representing air bronchograms. In order to search for consolidations, a lung ultrasound exam must be complete and all chest areas (including posterior ones) should be scanned.

Exclusion Criteria

1. Major congenital malformations
2. Congenital lung anomalies
3. Cytogenetic anomalies
4. Need for thoracic surgery
5. Massive air leaks preventing a detailed evaluation of lung parenchyma

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Integrated clinical diagnosis obtained using clinical and anamnestic data, together with following, collected within routine care: <br>1. Lung ultrasound score calculated using point-of-care lung ultrasound <br>2. Maximal size from the pleura to their inferior margin of consolidation measured using point-of-care lung ultrasound<br>3. Inflammatory biomarker (such as procalcitonin, C-reactive protein, or others) levels measured using clinical routine blood samples
Secondary Outcome Measures
NameTimeMethod
There are no secondary outcome measures
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