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First immunization of premature infants born before 33 weeks of gestation; safe at home or is cardiorespiratory monitoring in the hospital necessary?

Completed
Conditions
verstoringen van vitale functies na reguliere vaccinatie
cardiorespiratory incidents post-immunization
safety of immunization
Registration Number
NL-OMON41573
Lead Sponsor
Medisch Centrum Alkmaar
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
50
Inclusion Criteria

children born prematurely (gestational age <33 wks)
discharged from the hospital in clinically stable condition at the age suitable for administration of
1st DaKTP-Hib-HepB-Pneu immunization (=postnatal age of 2 months).

Exclusion Criteria

No approval of parent.
Need for respiratory support or tubefeeding at home.
Any known congenital or acquired medical condition potentially affecting cardiorespiratory stability.

Study & Design

Study Type
Observational non invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>Number and characteristics of the following cardiorespiratory events:<br /><br>- apnea<br /><br>- bradycardia<br /><br>- cyanosis<br /><br><br /><br>definitions<br /><br>- apnea = isolated respiratory pause >= 20 seconds or respiratory pause > 15<br /><br>seconds combined with a heart rate < 80 beats/minute<br /><br>during at least 5 seconds.<br /><br>- bradycardia = hearts rate < 80 beats/minute during at least >= 20 seconds.<br /><br>- cyanosis = transcutaneous oxygensaturation < 86% during > 15 seconds.</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>- bodytemperature<br /><br>- local skin reaction<br /><br>- changed nutritional pattern<br /><br>- changed sleep pattern<br /><br>- need for analgesia</p><br>
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