Fidgety Movements of Preterm Neonates Included in COSGOD III - Ancillary Retrospective Observational Study to COSGOD III Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Preterm
- Sponsor
- Medical University of Graz
- Enrollment
- 183
- Locations
- 2
- Primary Endpoint
- Short-term outcome
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The evidence on the effects of clinical care with cerebral NIRS (Near-infrared spectroscopy) monitoring on short term neurological outcome, displayed by fidgety movements between six to 20 weeks post term, are still uncertain.
Two centers (Graz and Innsbruck), who participated in the COSGOD III trial, routinely performed GMA between 37+0 to 42+0 weeks of corrected age (writhing movements) and between six to 20 weeks post term (fidgety movements).
Aim of the present study is therefore to assess in neonates, who were included into the COSGOD III trial, in a retrospective observational study routinely performed fidgety movements between six to 20 weeks of corrected age after discharge.
The investigators hypothesise that the preterm neonates in the intervention group of the COSGOD III trial show better survival and short term neurological outcome, displayed by normal fidgety movements, compared to neonates in the control group.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Preterm neonates included in the COSGOD III trial
- •Routinely performed fidgety movement (FM) analysis between six to 20 weeks post term
Exclusion Criteria
- •Neonates without FM analysis between six to 20 weeks post term
Outcomes
Primary Outcomes
Short-term outcome
Time Frame: Between six to 20 weeks post term in surviving preterm neonates
Combined outcome of survival with normal Fidgety movement analysis. Outcome defined as good (survival with normal fidgety movements) or poor (death, abnormal/absent of fidgety movements). Mortality is assessed by medical documentation system. Fidgety movement assessements were performed by video recording of sequences of at least three minutes. Fidgety movements were documented by clinical staff trained and certified for GMA. FMs were as either normal or abnormal, whereby abnormal FMs are further divided into two categories: absent or abnormal.
Secondary Outcomes
- Interventions during resuscitation(First 15 minutes after birth)
- Interventions during the first 24 hours after birth(First 24 hours after birth)
- Neonatal morbidity at term age(Between birth and term age)