Risk Factors of Necrotizing Enterocolitis in Premature Newborns

NCT ID: NCT04719546

Last Updated: 2022-03-04

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

459 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-01-21

Study Completion Date

2021-08-31

Brief Summary

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With premature newborn increase survival, the risk of serious neonatal morbidity, such as necrotizing enterocolitis (NEC), also increased. NEC affects between 2 to 7% of premature infants including 5 to 22% of newborns weighing less than 1000 g.

NEC is an acquired disease, caused by inflammation of the intestinal lining. It is the most common life-threatening gastrointestinal emergency of prematurity, associated with a significant morbidity and mortality.

The etiology and physiopathology are multifactorial, complex, and remain poorly understood. The mechanism of the lesions seems to involve factors including immaturity of the intestinal barrier and the immune system, microvascular imbalance, disturbed gut flora and systemic inflammation.

Despite improved knowledge about this disease, the proportion of surviving patients has not improved for several years. It frequently leads to long-term sequelae depending on the severity of the NEC and its treatment.

Early diagnosis and early treatment of NEC may reduce the risk of mortality and morbidity. The aim of this retrospective bi-centric study is to look for risk factors allowing the prediction of NEC in order to prevent and improve the early management of this disease.

Detailed Description

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Conditions

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Necrotizing Enterocolitis of Newborn Risk Factors

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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NEC Group

All Premature Neonates born in Nancy and Lyon over 10 years and presenting with Necrotizing Enterocolitis

Observation of related perinatal factors

Intervention Type OTHER

Data described in Primary outcome measures will be collected in both groups

Control Group

All Premature Neonates born in Nancy and Lyon over 10 years without Necrotizing Enterocolitis throughout the neonatal period

Observation of related perinatal factors

Intervention Type OTHER

Data described in Primary outcome measures will be collected in both groups

Interventions

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Observation of related perinatal factors

Data described in Primary outcome measures will be collected in both groups

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Premature newborns (\< 37 weeks of gestation) having done a necrotizing enterocolitis stage II or III according to Bell's criteria.

Exclusion Criteria

* Children term born (\> 37 weeks of gestation)
* Necrotizing enterocolitis during an hospitalisation outside the NICU of Nancy or Lyon
* Malformation or pre-existing digestive pathology
* Complex or severe malformative pathologies
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Central Hospital, Nancy, France

OTHER

Sponsor Role lead

Responsible Party

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Jean-Michel HASCOET

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Maternite Regionale Universitaire CHRU NANCY

Nancy, Lorraine, France

Site Status

CHU LYON

Bron, , France

Site Status

Countries

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France

Other Identifiers

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2020PI279

Identifier Type: -

Identifier Source: org_study_id

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