Trial Outcomes & Findings for Implementation of a Transcutaneous Bilirubinometer (NCT NCT01622699)

NCT ID: NCT01622699

Last Updated: 2020-01-02

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

430 participants

Primary outcome timeframe

up to 1 year

Results posted on

2020-01-02

Participant Flow

Participant milestones

Participant milestones
Measure
Transcutaneous Bilirubin Measurements
patients that were randomized to get bilirubinemeasurements through the transcutaneous bilirubinometer
Visual Assessment of Neonatal Jaundice
pateients that were randomized to the standrad treatemnt, thus withoutthe use of the transcutaneous bilirubinometer
Overall Study
STARTED
213
217
Overall Study
COMPLETED
213
217
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Implementation of a Transcutaneous Bilirubinometer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Transcutaneous Bilirubin Measurements
n=213 Participants
patients that were randomized to get bilirubine measurements through the transcutaneous bilirubinometer
Visual Assessment of Neonatal Jaundice
n=217 Participants
patients that were randomized NOT to get bilirubinemeasurements through the transcutaneous bilirubinometer
Total
n=430 Participants
Total of all reporting groups
Age, Categorical
<=18 years
213 Participants
n=5 Participants
217 Participants
n=7 Participants
430 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
agee
53.9 hours
STANDARD_DEVIATION 17.4 • n=5 Participants
59.2 hours
STANDARD_DEVIATION 19.8 • n=7 Participants
56.6 hours
STANDARD_DEVIATION 18.6 • n=5 Participants
Sex: Female, Male
Female
103 Participants
n=5 Participants
98 Participants
n=7 Participants
201 Participants
n=5 Participants
Sex: Female, Male
Male
110 Participants
n=5 Participants
119 Participants
n=7 Participants
229 Participants
n=5 Participants
Region of Enrollment
Netherlands
213 Participants
n=5 Participants
217 Participants
n=7 Participants
430 Participants
n=5 Participants

PRIMARY outcome

Timeframe: up to 1 year

Outcome measures

Outcome measures
Measure
Transcutaneous Bilirubin Measurements
n=213 Participants
In this intervention group, the initial visual assessment of jaundice wille be followed by measurement by transcutaneous bilirubinometer Transcutaneous Bilirubinometer: If a baby is jaundiced, the ward-nurse will perform a transcutaneous bilirubin measurement. It takes about 5 seconds to perform the measurement at the forehead or sternum of the baby. The device is a validated measurement-tool, which provides us with an estimated serum bilirubin-concentration. This is not an invasive procedure: A light-reflection is used to measure transcutaneous bilirubin.
Visual Assessment of Neonatal Jaundice
n=217 Participants
In this control group (standard of care) the visual assessment will be followed by measurement of blood bilirubin as indicated by the physician visual assessment of neonatal jaundice: To detect newborns with jaundice (who will possibly meet the criteria for phototherapy) there have been international guidelines formulated by the American Academy of Pediatrics. The standard of care at the neonatal- and maternity ward of our hospital to detect those newborns is visual assessment according to these guidelines.
Number of Blood Tests for Bilirubin Measurement (Before the Potential Start of Phototherapy).
0 blood tests for bilirubin
Interval 0.0 to 2.0
1 blood tests for bilirubin
Interval 1.0 to 2.0

SECONDARY outcome

Timeframe: up to 1 year

Outcome measures

Outcome measures
Measure
Transcutaneous Bilirubin Measurements
n=213 Participants
In this intervention group, the initial visual assessment of jaundice wille be followed by measurement by transcutaneous bilirubinometer Transcutaneous Bilirubinometer: If a baby is jaundiced, the ward-nurse will perform a transcutaneous bilirubin measurement. It takes about 5 seconds to perform the measurement at the forehead or sternum of the baby. The device is a validated measurement-tool, which provides us with an estimated serum bilirubin-concentration. This is not an invasive procedure: A light-reflection is used to measure transcutaneous bilirubin.
Visual Assessment of Neonatal Jaundice
n=217 Participants
In this control group (standard of care) the visual assessment will be followed by measurement of blood bilirubin as indicated by the physician visual assessment of neonatal jaundice: To detect newborns with jaundice (who will possibly meet the criteria for phototherapy) there have been international guidelines formulated by the American Academy of Pediatrics. The standard of care at the neonatal- and maternity ward of our hospital to detect those newborns is visual assessment according to these guidelines.
Number of Patients With Serum Bilirubin-values Above the 'Exchange Transfusion Limit'
3 Participants
1 Participants

SECONDARY outcome

Timeframe: up to 1 year

Outcome measures

Outcome measures
Measure
Transcutaneous Bilirubin Measurements
n=213 Participants
In this intervention group, the initial visual assessment of jaundice wille be followed by measurement by transcutaneous bilirubinometer Transcutaneous Bilirubinometer: If a baby is jaundiced, the ward-nurse will perform a transcutaneous bilirubin measurement. It takes about 5 seconds to perform the measurement at the forehead or sternum of the baby. The device is a validated measurement-tool, which provides us with an estimated serum bilirubin-concentration. This is not an invasive procedure: A light-reflection is used to measure transcutaneous bilirubin.
Visual Assessment of Neonatal Jaundice
n=217 Participants
In this control group (standard of care) the visual assessment will be followed by measurement of blood bilirubin as indicated by the physician visual assessment of neonatal jaundice: To detect newborns with jaundice (who will possibly meet the criteria for phototherapy) there have been international guidelines formulated by the American Academy of Pediatrics. The standard of care at the neonatal- and maternity ward of our hospital to detect those newborns is visual assessment according to these guidelines.
Highest Measured Serum Bilirubin-value
210 micromol/l
Standard Deviation 46
217 micromol/l
Standard Deviation 65

SECONDARY outcome

Timeframe: up to 1 year

Kernicterus is a very rare condition. As it is a possible complication of neonatal hyperbilirubinemia, it's an outcome measure.

Outcome measures

Outcome measures
Measure
Transcutaneous Bilirubin Measurements
n=213 Participants
In this intervention group, the initial visual assessment of jaundice wille be followed by measurement by transcutaneous bilirubinometer Transcutaneous Bilirubinometer: If a baby is jaundiced, the ward-nurse will perform a transcutaneous bilirubin measurement. It takes about 5 seconds to perform the measurement at the forehead or sternum of the baby. The device is a validated measurement-tool, which provides us with an estimated serum bilirubin-concentration. This is not an invasive procedure: A light-reflection is used to measure transcutaneous bilirubin.
Visual Assessment of Neonatal Jaundice
n=217 Participants
In this control group (standard of care) the visual assessment will be followed by measurement of blood bilirubin as indicated by the physician visual assessment of neonatal jaundice: To detect newborns with jaundice (who will possibly meet the criteria for phototherapy) there have been international guidelines formulated by the American Academy of Pediatrics. The standard of care at the neonatal- and maternity ward of our hospital to detect those newborns is visual assessment according to these guidelines.
Number of Patients Having Kernicterus
0 Participants
0 Participants

Adverse Events

Transcutaneous Measurement

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Visual Assessment of Neonatal Jaundice

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr J Bekhof

Isala

Phone: 0384247492

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place