Trial Outcomes & Findings for Time to Accurate Heart Rate on Neonatal Outcomes (NCT NCT04587934)

NCT ID: NCT04587934

Last Updated: 2024-01-10

Results Overview

Measure time from birth to heart rate displayed on monitor following lead placement

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

42 participants

Primary outcome timeframe

Birth to 10 minutes of life

Results posted on

2024-01-10

Participant Flow

Pregnant women who are dated by their earliest ultrasound scan or last menstrual period at 230/7 to 326/7 weeks of gestational age were identified, recruited, and consented from the labor and delivery floor or perinatal special care unit at Sharp Mary Birch Hospital Women \& Newborns from February 2021 through June 2021.

Participant milestones

Participant milestones
Measure
iRes Warmer With ResusView
iRes Warmer with ResusView program with experimental electrocardiogram monitor will be used for heart rate monitoring in the first 10 minutes of life during routine care and and/or neonatal resuscitation. iRes Warmer with ResusView: Rapid heart rate display utilizing optimized ECG algorithm in iRes Warmer in babies delivered between 23+0 and 32+6 weeks estimated gestational age
iRes Warmer Without ResusView
An external non-experimental electrocardiogram monitor will be used for heart rate monitoring in the first 10 minutes of life during routine care and and/or neonatal resuscitation. iRes Warmer without ResusView: Electrocardiogram monitoring using external ECG monitor in babies delivered between 23+0 and 32+6 weeks estimated gestational age
Overall Study
STARTED
19
23
Overall Study
COMPLETED
19
23
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
iRes Warmer With ResusView
n=19 Participants
iRes Warmer with ResusView program with experimental electrocardiogram monitor will be used for heart rate monitoring in the first 10 minutes of life during routine care and and/or neonatal resuscitation. iRes Warmer with ResusView: Rapid heart rate display utilizing optimized ECG algorithm in iRes Warmer in babies delivered between 23+0 and 32+6 weeks estimated gestational age
iRes Warmer Without ResusView
n=23 Participants
An external non-experimental electrocardiogram monitor will be used for heart rate monitoring in the first 10 minutes of life during routine care and and/or neonatal resuscitation. iRes Warmer without ResusView: Electrocardiogram monitoring using external ECG monitor in babies delivered between 23+0 and 32+6 weeks estimated gestational age
Total
n=42 Participants
Total of all reporting groups
Age, Continuous
28 weeks gestational age at birth
STANDARD_DEVIATION 3 • n=19 Participants
28 weeks gestational age at birth
STANDARD_DEVIATION 3 • n=23 Participants
28 weeks gestational age at birth
STANDARD_DEVIATION 3 • n=42 Participants
Sex: Female, Male
Female
9 Participants
n=19 Participants
8 Participants
n=23 Participants
17 Participants
n=42 Participants
Sex: Female, Male
Male
10 Participants
n=19 Participants
15 Participants
n=23 Participants
25 Participants
n=42 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
19 Participants
n=19 Participants
23 Participants
n=23 Participants
42 Participants
n=42 Participants

PRIMARY outcome

Timeframe: Birth to 10 minutes of life

Population: All with available electrocardiogram data and prenatal consent

Measure time from birth to heart rate displayed on monitor following lead placement

Outcome measures

Outcome measures
Measure
iRes Warmer With ResusView
n=19 Participants
iRes Warmer with ResusView program with experimental electrocardiogram monitor will be used for heart rate monitoring in the first 10 minutes of life during routine care and and/or neonatal resuscitation. iRes Warmer with ResusView: Rapid heart rate display utilizing optimized ECG algorithm in iRes Warmer in babies delivered between 23+0 and 32+6 weeks estimated gestational age
iRes Warmer Without ResusView
n=23 Participants
An external non-experimental electrocardiogram monitor will be used for heart rate monitoring in the first 10 minutes of life during routine care and and/or neonatal resuscitation. iRes Warmer without ResusView: Electrocardiogram monitoring using external ECG monitor in babies delivered between 23+0 and 32+6 weeks estimated gestational age
Time to Heart Rate Display in iRes Warmer With Resusview
16 seconds from time of birth
Standard Deviation 11
50 seconds from time of birth
Standard Deviation 50

SECONDARY outcome

Timeframe: Birth to 10 minutes of life

Population: all subject with available electrocardiogram and fraction of inspired oxygen with consent prior to birth

Measure time from birth to first increase or decrease in fraction of inspired oxygen from ECG lead placement

Outcome measures

Outcome measures
Measure
iRes Warmer With ResusView
n=19 Participants
iRes Warmer with ResusView program with experimental electrocardiogram monitor will be used for heart rate monitoring in the first 10 minutes of life during routine care and and/or neonatal resuscitation. iRes Warmer with ResusView: Rapid heart rate display utilizing optimized ECG algorithm in iRes Warmer in babies delivered between 23+0 and 32+6 weeks estimated gestational age
iRes Warmer Without ResusView
n=23 Participants
An external non-experimental electrocardiogram monitor will be used for heart rate monitoring in the first 10 minutes of life during routine care and and/or neonatal resuscitation. iRes Warmer without ResusView: Electrocardiogram monitoring using external ECG monitor in babies delivered between 23+0 and 32+6 weeks estimated gestational age
Time to First Change in Fraction of Inspired Oxygen
160 seconds from time of birth
Standard Deviation 140
175 seconds from time of birth
Standard Deviation 79

SECONDARY outcome

Timeframe: Birth to 10 minutes of life

Measure time from birth to first increase or decrease in airway pressure from ECG lead placement

Outcome measures

Outcome measures
Measure
iRes Warmer With ResusView
n=19 Participants
iRes Warmer with ResusView program with experimental electrocardiogram monitor will be used for heart rate monitoring in the first 10 minutes of life during routine care and and/or neonatal resuscitation. iRes Warmer with ResusView: Rapid heart rate display utilizing optimized ECG algorithm in iRes Warmer in babies delivered between 23+0 and 32+6 weeks estimated gestational age
iRes Warmer Without ResusView
n=23 Participants
An external non-experimental electrocardiogram monitor will be used for heart rate monitoring in the first 10 minutes of life during routine care and and/or neonatal resuscitation. iRes Warmer without ResusView: Electrocardiogram monitoring using external ECG monitor in babies delivered between 23+0 and 32+6 weeks estimated gestational age
Time to First Change in Airway Pressure
215 seconds from time of birth
Standard Deviation 204
100 seconds from time of birth
Standard Deviation 69

SECONDARY outcome

Timeframe: Birth to 10 minutes of life

Population: all with available electrocardiogram data and resuscitation intervention details

Measure time from birth to start of PPV following first heart rate display

Outcome measures

Outcome measures
Measure
iRes Warmer With ResusView
n=19 Participants
iRes Warmer with ResusView program with experimental electrocardiogram monitor will be used for heart rate monitoring in the first 10 minutes of life during routine care and and/or neonatal resuscitation. iRes Warmer with ResusView: Rapid heart rate display utilizing optimized ECG algorithm in iRes Warmer in babies delivered between 23+0 and 32+6 weeks estimated gestational age
iRes Warmer Without ResusView
n=23 Participants
An external non-experimental electrocardiogram monitor will be used for heart rate monitoring in the first 10 minutes of life during routine care and and/or neonatal resuscitation. iRes Warmer without ResusView: Electrocardiogram monitoring using external ECG monitor in babies delivered between 23+0 and 32+6 weeks estimated gestational age
Time to Initiation of Positive Pressure Ventilation (PPV)
58 seconds from time of birth
Standard Deviation 22
139 seconds from time of birth
Standard Deviation 79

OTHER_PRE_SPECIFIED outcome

Timeframe: Birth to 10 minutes of life

Population: all with electrocardiogram lead placement during resuscitation

Measure time from birth to application of Electrocardiogram electrodes from time of birth

Outcome measures

Outcome measures
Measure
iRes Warmer With ResusView
n=19 Participants
iRes Warmer with ResusView program with experimental electrocardiogram monitor will be used for heart rate monitoring in the first 10 minutes of life during routine care and and/or neonatal resuscitation. iRes Warmer with ResusView: Rapid heart rate display utilizing optimized ECG algorithm in iRes Warmer in babies delivered between 23+0 and 32+6 weeks estimated gestational age
iRes Warmer Without ResusView
n=23 Participants
An external non-experimental electrocardiogram monitor will be used for heart rate monitoring in the first 10 minutes of life during routine care and and/or neonatal resuscitation. iRes Warmer without ResusView: Electrocardiogram monitoring using external ECG monitor in babies delivered between 23+0 and 32+6 weeks estimated gestational age
Time of Electrode Placement
96 seconds from time of birth
Standard Deviation 24
112 seconds from time of birth
Standard Deviation 36

OTHER_PRE_SPECIFIED outcome

Timeframe: Birth to 10 minutes of life

Population: all with electrocardiogram lead placement

Identify if a cardiac rhythm is recognized by Electrocardiogram monitor algorithm and displays a waveform during resuscitation (Yes/No)

Outcome measures

Outcome measures
Measure
iRes Warmer With ResusView
n=19 Participants
iRes Warmer with ResusView program with experimental electrocardiogram monitor will be used for heart rate monitoring in the first 10 minutes of life during routine care and and/or neonatal resuscitation. iRes Warmer with ResusView: Rapid heart rate display utilizing optimized ECG algorithm in iRes Warmer in babies delivered between 23+0 and 32+6 weeks estimated gestational age
iRes Warmer Without ResusView
n=23 Participants
An external non-experimental electrocardiogram monitor will be used for heart rate monitoring in the first 10 minutes of life during routine care and and/or neonatal resuscitation. iRes Warmer without ResusView: Electrocardiogram monitoring using external ECG monitor in babies delivered between 23+0 and 32+6 weeks estimated gestational age
EKG Waveform Displayed by Rapid EKG Algorithm During Resuscitation
19 Participants
23 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Birth to 10 minutes of life

Population: all with electrocardiogram data

Measure at what time the Warmer displays the baby's cardiac rhythm

Outcome measures

Outcome measures
Measure
iRes Warmer With ResusView
n=19 Participants
iRes Warmer with ResusView program with experimental electrocardiogram monitor will be used for heart rate monitoring in the first 10 minutes of life during routine care and and/or neonatal resuscitation. iRes Warmer with ResusView: Rapid heart rate display utilizing optimized ECG algorithm in iRes Warmer in babies delivered between 23+0 and 32+6 weeks estimated gestational age
iRes Warmer Without ResusView
n=23 Participants
An external non-experimental electrocardiogram monitor will be used for heart rate monitoring in the first 10 minutes of life during routine care and and/or neonatal resuscitation. iRes Warmer without ResusView: Electrocardiogram monitoring using external ECG monitor in babies delivered between 23+0 and 32+6 weeks estimated gestational age
Time to Rhythm Recognition
111 seconds from time of EKG lead placement
Standard Deviation 28
161 seconds from time of EKG lead placement
Standard Deviation 56

Adverse Events

iRes Warmer With ResusView

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

iRes Warmer Without ResusView

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. Anup Katheria

Sharp Healthcare

Phone: 858-939-4170

Results disclosure agreements

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