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Does the use of an iodine-containing contrast agent to visualise the PICC tip in preterm babies cause hypothyroidism? A randomised controlled trial

Not Applicable
Completed
Conditions
Hypothyroidism
premature birth
Metabolic and Endocrine - Thyroid disease
Reproductive Health and Childbirth - Complications of newborn
Registration Number
ACTRN12614000560695
Lead Sponsor
Royal North Shore Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
41
Inclusion Criteria

Preterms < 30 weeks requiring PICC line after 48 hours of life

Exclusion Criteria

Maternal hypothyroidism/hyperthyroidism
Maternal use of povidone iodine during delivery
Maternal intake of >1100microgram/day Iodine in food or supplements
Maternal intake of antithyroid drugs, Amiodarone
Syndromic babies
Babies on dopamine, steroids, Amiodarone
SGA(small for gestational age) babies(<3rd centile)
Initial abnormal thyroid function test
Neonates having topical povidone iodine exposure
Babies requiring multiple long lines with the previous exposure to contrast

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Clinical Hypothyroidism (FT4- < 10pmol/L for any age<br> TSH- > 12mIU/L for any age)<br>[7 and 14 days after injecting contrast]
Secondary Outcome Measures
NameTimeMethod
ongline tip position identification independently by 2 doctors[Immediately after injecting contrast and xray];Length of impact of iodine on hypothyroidism by doing repeat TFTs on day 21,28,42 and 60.[Maximum 2 months(21,28,42 and 60 days thyroid function tests are done if day 7 or 14 test is abnormal)]
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