Nutritional Care and Head Growth in Preterm Infants

Completed

• Conditions: Prematurity; Extreme; Growth Retardation

• Registration Number: NCT03635944
• Lead Sponsor: Hôpital de la Croix-Rousse

Brief Summary

As extremely low birth weight infants are high-risk patients, the study aimed to compare neonatal care, nutritional strategy and postnatal growth of these infants in two European neonatal units. A retrospective study included extremely low birth weight infants born in Lyon, France or in Stockholm, Sweden. Data on morbidity, treatments, care practices, macro-nutrient intakes and postnatal growth were collected to determine risk factors of extra uterine growth restriction at discharge.

By comparing postnatal growth in ELBW infants hospitalized in two European neonatal intensive care units with different nutritional and extra nutritional care,our objective was to evaluate the role of nutrition in this population of preterm infants.

Detailed Description

In a retrospective study, all ELBW infants (birth weight under 1000 g) with a gestational age between 23 and 28 weeks were included if they were admitted during the first 24 hours of life and stayed for at least seven weeks in two European units (Lyon, france, and Stockholm, Sweden). Parenteral and enteral nutrition policies were detailed and protein and energy intakes were collected.Growth assessment Postnatal growth was precisely evaluated and compared in the two groups of infants.

Body weight, crown-heel length and head circumference were measured in both units at birth and until discharge. We calculated z-scores and changes in z-scores between birth and 36 weeks post-conceptional age (delta z-score) for body weight, HC, and crown-to-heel length using Olsen's references. Intra-uterine growth restriction was defined as a birth weight below or equal to minus two standard deviations. Extra-uterine growth restriction was defined as a z-score loss above or equal one standard deviation between birth and 36 weeks PCA. I

Study Timeline

• Study Start: 2016-12-01
• Primary Completion: 2017-05-01
• Study Completion: 2018-07-01
• Status Verified: 2018-08
• Study First Submitted: 2018-08-14
• Study First Submitted QC: 2018-08-15
• Last Update Submitted: 2018-08-15
• Study First Posted: 2018-08-17
• Last Update Posted: 2018-08-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 71

Inclusion Criteria

• birth weight under 1000 grams
• gestational age (GA) between 23 and 28 weeks
• born in 2012
• admitted during the first 24 hours of life
• stayed in one of the two studied units for at least 7 weeks before transfer to the referring hospital, discharge to home or death.

Exclusion Criteria

• Neonates with congenital anomalies

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Weight gain during hospitalization	between birth and 40 weeks	difference in weight between birth and discharge

Secondary Outcome Measures

Name	Time	Method
Crown-heel length gain during hospitalization	between birth and 40 weeks	difference in recumbent length between birth and discharge
Head circumference gain during hospitalization	between birth and 40 weeks	difference in head circumference between birth and discharge

Trial Locations

Locations (1)

Hopital de la croix rousse; 🇫🇷 Lyon, France