The Adding Value of Parents to Nursing Care in the Control of FiO2

NCT ID: NCT02306317

Last Updated: 2018-03-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

46 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-03-31

Study Completion Date

2018-06-30

Brief Summary

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The purpose of this study is to determine whether saturation control by parents in children younger than 32 weeks or under 1500 g versus conventional care performed by nursing increases the time in which these patients remain at optimal saturation range. If the hypothesis of this study is confirmed premature infants could prevent episodes of hypoxia-hyperoxia and also give more relevance to the role of parents in caring for their children admitted in a neonatal intensive care unit.

Detailed Description

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Both episodes of hyperoxia and hypoxemia in preterm infants increase morbidity and mortality. Nowadays the adjustment of FiO2 is manually controlled, which means it depends on the staff, needing multiple adjustments throughout the day.

The investigators's hypothesis is that the FiO2 control by parents, improve the percentage of time in range of optimum saturation at least 10% compared to control by nurses.

The aim of this study is to compare the proportion of time with oxygen saturation (SpO2) within the assigned target range, in the preterm infants whose parents modify the fraction of inspired oxygen (FiO2) versus the nursing staff modifying group.

This is a randomized controlled clinical study in the neonatal intensive care unit at Hospital 12 de Octubre. Patients will be randomized in two groups, Experimental Group: parents controlling the saturation ranges, they will manually adjust FiO2 versus the Control Group: controlled by nursing staff (standard procedure). Saturations will be registered and adjustments of FiO2 will be filmed for nonconsecutive 20-hours periods. Twenty-three patients will be enrolled in each group.

Conditions

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Premature Birth of Newborn

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Control by nursing.

FiO2 adjusted manually by nursing staff. Intervention: Other. Standard procedure

Group Type ACTIVE_COMPARATOR

Standard procedure

Intervention Type OTHER

FiO2 manually controlled by nursing

Control by parents.

FiO2 adjusted manually by parents. Intervention. Other. Experimental procedure

Group Type EXPERIMENTAL

Experimental procedure

Intervention Type OTHER

FiO2 manually controlled by parents, after training.

Interventions

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Standard procedure

FiO2 manually controlled by nursing

Intervention Type OTHER

Experimental procedure

FiO2 manually controlled by parents, after training.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Related to child
* Preterm neonates less than 32 weeks or less than 1500 g hospitalized in the Neonatal Intensive Care Unit at Hospital 12 de Octubre.
* Receiving supplemental oxygen ≤0.4 administered by CPAP or conventional nasal cannula or high flow or children with BiPAP (flow generator with double level pressure)
* Minimum age 7 days old.
* Related to the mother:
* Absence of health problems that allows her to perform the task.
* Availability to frequently visit her baby with the father or with a companion, at least for 20 hours, not consecutive.
* Understanding of the study and the Spanish language by the mother and father or companion.
* Signed informed consent.

Exclusion Criteria

* Evidence of pneumothorax or pneumomediastinum.
* Non-compliance with study protocol.
* Requiring treatment with vasoactive drugs.
Minimum Eligible Age

7 Days

Maximum Eligible Age

9 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital Universitario 12 de Octubre

OTHER

Sponsor Role collaborator

Carmen Rosa Pallas

OTHER

Sponsor Role lead

Responsible Party

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Carmen Rosa Pallas

Dra. Carmen Rosa Pallás Alonso

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Carmen R. Pallás Alonso, Dra.

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitario 12 de Octubre

Locations

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Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Carmen R. Pallás Alonso, Dra.

Role: CONTACT

34 913908272

M. Dolores Martín Pelegrina, Dra.

Role: CONTACT

34 913908272

Facility Contacts

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Carmen R. Pallás Alonso, Dra

Role: primary

34 913908272

M. Dolores Martín Pelegrina, Dra.

Role: backup

34 913908272

References

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Martin-Pelegrina MD, Lorenzo-Rodriguez A, Lora-Pablos D, Munoz-Amat B, Morales-Betancourt C, Pallas-Alonso CR. FiO2 control by parents of preterm infants admitted to a neonatal intensive care unit: A pilot study. Acta Paediatr. 2018 Aug;107(8):1471-1472. doi: 10.1111/apa.14364. Epub 2018 May 11. No abstract available.

Reference Type DERIVED
PMID: 29676033 (View on PubMed)

Other Identifiers

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Neonatología-2014-01

Identifier Type: -

Identifier Source: org_study_id

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