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临床试验/CTRI/2020/01/022964
CTRI/2020/01/022964已完成3 期

Effect of limiting blood sampling losses in early postnatal period in extremely premature neonates- A Randomized controlled Trial

Surya Hospital1 个研究点 分布在 1 个国家目标入组 100 人开始时间: 2020年1月30日最近更新:

试验速览

阶段
3 期
状态
已完成
入组人数
100
试验地点
1
主要终点
Need for Packed RBC transfusions

研究概览

简要总结

Primary purpose of the study is to (a) assess the feasibility of limited blood sampling approach,(b) determine the effect of limiting phlebotomies on transfusion requirements in extremely premature neonates.Our hypothesis is that a limited blood sampling approach would result in a significant reduction in  the proportion of neonates requiring packed RBC transfusions in the first 6 weeks of postnatal age . Eligible neonates will be stratified for gestational age and the primary outcome estimates would be adjusted for gestational age and haemoglobin at admission. Interim analysis for safety would be performed after 50% enrolment in the study.

研究设计

研究类型
Interventional
分配方式
Computer generated randomization
盲法
Not Applicable

入排标准

年龄范围
1.00 Day(s) 至 30.00 Day(s)(—)
性别
All

入选标准

  • Preterm infants ≤ 28 weeks of gestation and ≤ 1 kg birth weight,enrolled at 12-24 hours of postnatal age.

排除标准

  • 1.Placenta previa, Abruptio placentae, Retroplacental hemorrhage (Concealed hemorrhage) 2.Monochorionic twins/triplets/Quadruplets 3.Rh isoimmunisation 4.Hydrops fetalis
  • Major congenital anomalies in the infant like Gastroschisis, Exomphalos.
  • Extremely sick neonates who are deemed unlikely to survive beyond first 72 hours of life.

结局指标

主要结局

Need for Packed RBC transfusions

时间窗: At 6 weeks of postnatal age

次要结局

  • Need for packed RBC transfusion
  • Time to first packed RBC transfusion(At the time of discharge)
  • Phlebotomy loss volume
  • Weekly hemoglobin level
  • severe Intraventricular haemorrhage(Grade 3 or 4)(At the time of discharge)
  • Number of transfusions
  • All cause mortality
  • Patent ductus arteriosus requiring treatment
  • Necrotising enterocolitis (stage 2 or more)
  • Bronchopulmonary Dysplasia(Oxygen requirement at 36 weeks)
  • Periventricular Leukomalacia(At the time of discharge)
  • Time to reach full feeds
  • Duration of respiratory support (days)
  • Duration of hospital stay (days)
  • Late onset sepsis ( culture positive)
  • Retinopathy of prematurity requiring intervention.
  • Neurodevelopmental outcomes

研究者

申办方类型
Private hospital/clinic

研究点 (1)

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