Warming Mattress Versus Polyethylene Wrapping to Prevent Hypothermia in Preterm Newborns.
Thermal Defense of Extremely Low Gestational Age Newborns (ELGANs) During Resuscitation: Exothermic Mattresses vs. Polyethylene Wrap
1 other identifier
interventional
36
1 country
1
Brief Summary
Mean axillary temperatures, taken during NICU resuscitation upon admission to the NICU, will not differ between VLBW babies who are occlusively wrapped and very low birth weight (VLBW) babies who are placed on thermal warming blankets.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started May 2007
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2007
CompletedFirst Submitted
Initial submission to the registry
December 19, 2007
CompletedFirst Posted
Study publicly available on registry
January 29, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2008
CompletedResults Posted
Study results publicly available
September 2, 2009
CompletedOctober 16, 2009
October 1, 2009
1.5 years
December 19, 2007
July 24, 2009
October 12, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Neonatal Intensive Care Unit (NICU) Admission Temperature
Axillary temperature of the infant upon arrival to the neonatal intensive care unit.
At time of admission to the NICU - usually within 10-15 min of birth
Study Arms (2)
Blanket
EXPERIMENTALThis arm includes those Extremely low gestational age newborns (ELGANs) who are to be placed on a sodium acetate warming blanket after delivery.
Wrap
EXPERIMENTALThis arm includes those ELGANs randomized to be wrapped in polyethylene after delivery.
Interventions
Eligibility Criteria
You may qualify if:
- Participants in this study will be selected from the inborn population at University Hospital. Eligible patients will be selected from the group of babies with estimated gestational ages of 24-28 weeks and \<1250g.
You may not qualify if:
- Congenital anomalies with open lesions such as meningomyelocele, or omphaloceles
- Blistering skin conditions
- Resuscitation not performed secondary to infant being below limits of viability as assessed by the in-house attending physician (specifically, according to current NRP recommendations):
- Where gestation, birth weight, and/or congenital anomalies are associated with almost certain early death, and unacceptably high morbidity is likely among the rare survivors, resuscitation is not indicated. Exceptions may be made based on parental desires.
- Newborns with confirmed gestation age of less than 24 weeks or birth weight less than 400 grams
- Anencephaly
- Confirmed Trisomy 13 or Trisomy 18 syndrome
- Meconium staining of amniotic fluid
- Birth assessment of gestational age \> 28 weeks or \>1250 grams
- Maternal temp \>38 degrees C around the time of delivery.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Oklahoma University Health Sciences Center
Oklahoma City, Oklahoma, 73104, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
Technical difficulties with the polyethylene wrap were the main limitations (variation of use, heat loss during pulse oximeter adjustment).
Results Point of Contact
- Title
- Doug Dannaway, MD
- Organization
- University of Oklahoma Health Sciences Center
Study Officials
- PRINCIPAL INVESTIGATOR
Douglas Dannaway, MD
University of Oklahoma
- STUDY DIRECTOR
Parker L Simon, DO, MPH
University of Oklahoma
- STUDY CHAIR
Marilyn Escobedo, MD
University of Oklahoma
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
December 19, 2007
First Posted
January 29, 2008
Study Start
May 1, 2007
Primary Completion
November 1, 2008
Study Completion
November 1, 2008
Last Updated
October 16, 2009
Results First Posted
September 2, 2009
Record last verified: 2009-10