NCT03258528

Brief Summary

Objective: to evaluate the effect of right lateral positioning in comparison with supine positioning on tracheal aspirate pepsin levels as a marker of aspiration of gastric contents in ventilated preterm neonates. Study design: This randomized controlled trial was conducted on 60 ventilated preterm neonates \< 35 weeks. They were randomized into 2 groups; one group composed of 30 neonates that were nursed in right lateral position for 6 hours while the other group composed of 30 neonates that were nursed in supine position for 6 hours. Tracheal aspirate sample was obtained from each neonate in both groups just after the end of 6 hours and pepsin level was measured.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Mar 2016

Shorter than P25 for not_applicable

Status
completed

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

March 5, 2016

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 14, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 14, 2016

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

August 18, 2017

Completed
5 days until next milestone

First Posted

Study publicly available on registry

August 23, 2017

Completed
Last Updated

August 23, 2017

Status Verified

August 1, 2017

Enrollment Period

9 months

First QC Date

August 18, 2017

Last Update Submit

August 22, 2017

Conditions

Outcome Measures

Primary Outcomes (1)

  • tracheal aspirate pepsin

    Tracheal aspirate sample was obtained from each neonate in both groups just after the end of 6 hours and pepsin level was measured

    6 hours

Study Arms (2)

right lateral position group

ACTIVE COMPARATOR

Neonates kept in the right lateral position for 6 hours with head tilted 30 degree upward with rolled towel supports the infant back at 90 degree angle on the bed.

Behavioral: positioning

supine position group

ACTIVE COMPARATOR

Neonates kept in supine position for 6 hours with head tilted 30 degrees upward. Infants were fed while in their positions via feeding tube.

Behavioral: positioning

Interventions

positioningBEHAVIORAL

Positioning neonates for 6 hours either in right lateral position or supine position

right lateral position groupsupine position group

Eligibility Criteria

AgeUp to 28 Days
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may not qualify if:

  • Neonates with perinatal asphyxia, intracranial hemorrhage grade 3 or 4, periventricular leukomalacia, major congenital anomalies, gastrointestinal anomalies such as tracheoesophageal fistula, or necrotizing enterocolitis , receiving xanthine derivatives, H2 blockers, prokinetics, proton pump inhibitors or sedatives were excluded.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Gastroesophageal Reflux

Interventions

Patient Positioning

Condition Hierarchy (Ancestors)

Esophageal Motility DisordersDeglutition DisordersEsophageal DiseasesGastrointestinal DiseasesDigestive System Diseases

Intervention Hierarchy (Ancestors)

Patient CareTherapeuticsHealth ServicesHealth Care Facilities Workforce and Services

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: 2
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Prinicpal investigator

Study Record Dates

First Submitted

August 18, 2017

First Posted

August 23, 2017

Study Start

March 5, 2016

Primary Completion

December 14, 2016

Study Completion

December 14, 2016

Last Updated

August 23, 2017

Record last verified: 2017-08