Infrared Thermography and Apgar Score
VIRGINA
1 other identifier
observational
200
1 country
1
Brief Summary
Background: The Apgar score assesses the newborn's adaptation in the first minutes of life. It is rated between 0 and 10 by the midwife, at 1-3-5 and 10 minutes of life. A low Apgar score at 5 minutes of life is associated with increased neonatal mortality and neurological impairment. However, this score has limitations and its measurement remains subjective: it does not guide resuscitation actions in the event of poor adaptation, significant inter-observer variability in scoring, variations according to the physiological maturation of the newborn, in particular according to gestational age. Infrared thermography is a rapidly developing imaging technique based on the measurement of infrared radiation. It is an accurate, reliable and easy instrument of providing rapid non-contact, non-invasive and non-irradiating diagnosis. A recent 2018 study showed that the use of thermography would allow accurate and non-invasive monitoring of newborns in neonatal intensive care unit for early diagnosis of certain pathologies such as infection. During the transition, during the first minutes of life, the circulatory and respiratory systems of the newborn change. Vasodilatation occurs progressively in the central and peripheral areas. Thermoregulation is also a crucial stage of adaptation. In view of this physiopathological knowledge, it seems interesting to correlate this adaptation , with the analysis of thermographic images. The principle of this technique is indeed based on the analysis of the heat emitted, and would thus make it possible to evaluate the blood perfusion of the newborn, and its evolution in the first minutes of life in an objective way. Our hypothesis is that a poor adaptation could be detected more efficiently on photographs taken at time T, contrary to the calculation of the Apgar score for which there are several limitations mentioned above. Main objective of the study: To study the ability of the thermographic image to objectively evaluate the adaptation to ectopic life of newborns compared to existing evaluations (Apgar, pH, Lactates).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jul 2020
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 9, 2020
CompletedFirst Posted
Study publicly available on registry
July 23, 2020
CompletedStudy Start
First participant enrolled
July 23, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 23, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2022
CompletedJuly 27, 2020
July 1, 2020
Same day
July 9, 2020
July 23, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
thermographic image
Correlation between thermographic image and Apgar score
1 minute of life
thermographic image
Correlation between thermographic image and Apgar score
5 minutes of life
thermographic image
Correlation between thermographic image and Apgar score
10 minutes of life
Interventions
thermographic image a 1, 3, 5 et 10 minutes of life
Eligibility Criteria
Term newborn, born after cesarean delivery, without congenital anomalies
You may qualify if:
- term infants, gestational age ≥ 37 weeks of gestation
- cesarean delivery
- maternal age ≥ 18 years
You may not qualify if:
- parents refusal
- congenital anomalies
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Poissy Saint Germain Hospital
Poissy, 78300, France
Related Publications (1)
Letouzey M, Diop S, Kengoum CEP, Rousseau A, Hot N, Francois J, Quibel T, Berveiller P, Boileau P, Jouen F, Trabelsi I, Bergounioux J. Newborn clinical condition assessment using infrared thermography: correlation with the Apgar score in a prospective cohort study. Front Pediatr. 2025 Dec 12;13:1636667. doi: 10.3389/fped.2025.1636667. eCollection 2025.
PMID: 41458084DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal investigator
Study Record Dates
First Submitted
July 9, 2020
First Posted
July 23, 2020
Study Start
July 23, 2020
Primary Completion
July 23, 2020
Study Completion
July 1, 2022
Last Updated
July 27, 2020
Record last verified: 2020-07