Gastroesophageal Reflux and Cardiorespiratory Problems

NCT ID: NCT03053609

Last Updated: 2017-02-15

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

COMPLETED

Total Enrollment

72 participants

Study Classification

OBSERVATIONAL

Study Start Date

2006-01-31

Study Completion Date

2016-12-31

Brief Summary

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Cardiorespiratory and gastroesophageal reflux events often coexist in infants in Neonatal Intensive Care Unit (NICU) thus leading to drugs over-prescription and delayed discharge.

Through cardiorespiratory and pH-impedance monitoring this study aims to evaluate the temporal association between gastroesophageal reflux (GER) and cardiorespiratory (CR) events in a large number of infants with gastroesophageal reflux disease (GERD) and CR symptoms and, whether this association is significant, to clarify the impact of GER on CR events.

Detailed Description

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This is an observational retrospective study to describe the association between cardiorespiratory (CR) and gastroesophageal reflux (GER) events in infants who underwent synchronized 24h Multichannel Intraluminal Impedance/pH-metry (MII/pH) and CR monitoring for GER disease symptoms and CR events. Data are collected from medical records and database of the University Neonatal Intensive Care Unit of the Sant'Anna-Regina Margherita Children Hospital (Turin).

The symptom association probability (SAP) index is used to identify those infants with significant associations between GER and CR events. In the group of infants with a positive SAP index the differences in reflux characteristics are compared according to whether a reflux preceded or followed a cardiorespiratory event (30 s time window).

Conditions

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Gastroesophageal Reflux Disease Apnea Infants Desaturation of Blood Bradycardia

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

RETROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* synchronized MII-pH and cardio-respiratory monitoring lasting more than 12 hours, excluding meal periods;
* exclusive enteral feeding
* parents' informed consent

Exclusion Criteria

* infectious, genetic, metabolic and neurological diseases
* ventilatory support and/or oxygen supplementation at the time of MII-pH/CR monitoring
* pharmacological therapies with effects on GER or apnoea during the week before MII-pH/CR monitoring
Maximum Eligible Age

3 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Turin, Italy

OTHER

Sponsor Role lead

Responsible Party

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Francesco Cresi

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Francesco Cresi, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Turin, Italy

Locations

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Ospedale S.Anna di Torino

Torino, (to), Italy

Site Status

Countries

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Italy

Other Identifiers

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apnea-01

Identifier Type: -

Identifier Source: org_study_id

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