Aspiration of Residual Gastric Contents

NCT ID: NCT01863043

Last Updated: 2023-06-28

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

146 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-10-07

Study Completion Date

2019-01-22

Brief Summary

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The primary purpose of this study is to determine nutrition outcomes and risks to gastrointestinal integrity and function of aspirating for routine gastric contents prior to each feeding in very low birth weight premature infants.

Detailed Description

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The participants in the study will be randomly assigned (like the flip of a coin) to either have the leftover food in their stomach removed before each feeding, or not have the leftover food removed before each feeding. In addition, when a blood drawn is performed as regular care an extra amount with be taken. A test to determine how much of the hormones gastrin and motilin are contained in the blood will be performed. Stool samples will be collected. Participation could last up to approximately 6 to 8 weeks of age.

Conditions

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Infant, Premature Nutrition, Enteral

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Routine aspiration of gastric contents

Infants will have routine aspiration of gastric contents prior to each feeding to monitor the amount of residual gastric contents remaining in the stomach.

Group Type ACTIVE_COMPARATOR

Routine aspiration of gastric contents

Intervention Type PROCEDURE

Infants will have routine aspiration of gastric contents prior to each feeding to monitor the amount of residual gastric contents remaining in the stomach.

No aspiration of gastric contents

Infants will not have routine aspiration of gastric contents prior to every feeding to assess residual gastric contents.

Group Type EXPERIMENTAL

No aspiration of gastric contents

Intervention Type PROCEDURE

Infants will not have routine aspiration of gastric contents prior to every feeding to assess residual gastric contents.

Interventions

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No aspiration of gastric contents

Infants will not have routine aspiration of gastric contents prior to every feeding to assess residual gastric contents.

Intervention Type PROCEDURE

Routine aspiration of gastric contents

Infants will have routine aspiration of gastric contents prior to each feeding to monitor the amount of residual gastric contents remaining in the stomach.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* born at 32 weeks of less of gestational age
* birth weight \</= to 1250 grams
* receiving some enteral feedings by 72 hours of age
* receiving parenteral feedings by 24 hours of age

Exclusion Criteria

* Congenital or chromosomal abnormalities
* complex congenital heart diseases and congenital anatomic gastrointestinal abnormalities
Maximum Eligible Age

3 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Nursing Research (NINR)

NIH

Sponsor Role collaborator

University of Florida

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Leslie A Parker, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Florida

Locations

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Neonatal intensive care unit at Shands children's hospital at the Univeristy of Florida

Gainesville, Florida, United States

Site Status

Countries

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United States

References

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Parker LA, Weaver M, Murgas Torrazza RJ, Shuster J, Li N, Krueger C, Neu J. Effect of Aspiration and Evaluation of Gastric Residuals on Intestinal Inflammation, Bleeding, and Gastrointestinal Peptide Level. J Pediatr. 2020 Feb;217:165-171.e2. doi: 10.1016/j.jpeds.2019.10.036. Epub 2019 Nov 19.

Reference Type DERIVED
PMID: 31757473 (View on PubMed)

Parker LA, Weaver M, Murgas Torrazza RJ, Shuster J, Li N, Krueger C, Neu J. Effect of Gastric Residual Evaluation on Enteral Intake in Extremely Preterm Infants: A Randomized Clinical Trial. JAMA Pediatr. 2019 Jun 1;173(6):534-543. doi: 10.1001/jamapediatrics.2019.0800.

Reference Type DERIVED
PMID: 31034045 (View on PubMed)

Provided Documents

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Document Type: Study Protocol, Statistical Analysis Plan, and Informed Consent Form: Protocol, statistical analysis and ICF

View Document

Other Identifiers

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1R01NR014019-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

IRB201501174- N

Identifier Type: -

Identifier Source: org_study_id

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