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N/A N=366 Randomized Treatment

Incubator Weaning of Moderately Preterm Infants

Infant, Newborn · Infant, Moderate Preterm

Enrolled (actual)
366
Serious AEs
0.3%
Results posted
Dec 2017
Primary outcome: Primary: Length of Hospital Stay (LOS) From Birth to Discharge (up to 120 Days) — 43; 41 days

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Weaning from an incubator at a lower weight (1600 grams) (Procedure); Weaning from an incubator at a higher weight (1800 grams) (Procedure)
Age
Pediatric · 0+ yrs
Sex
All
Sponsor
NICHD Neonatal Research Network
Primary completion
Jul 2016

Outcome Measures

OutcomeResultp-value
PRIMARY
Length of Hospital Stay (LOS) From Birth to Discharge (up to 120 Days)
43; 41
SECONDARY
Length of Stay (LOS) Following Weaning From Incubator to Crib to Hospital Discharge (up to 120 Days)
24; 19
SECONDARY
Failure Rate of Weaning to Crib (Number of Infants With Axillary Temperature < 36.3°C After 2 Weaning Attempts)
15; 8
SECONDARY
Growth Velocity (Weight in Grams/kg/Day) From Start of Weaning From Incubator (Following Random Assignment) to 36 Weeks Postmenstrual Age (PMA)
15.8; 15.8
SECONDARY
Growth Parameters: Weight at Status
2336.3; 2353.6
SECONDARY
Growth Parameters: Length at Status
44.6; 44.9
SECONDARY
Growth Parameters: Head Circumference at Status
31.9; 32.0
SECONDARY
Postmenstrual Age (PMA) at Discharge
37.1; 37.0
SECONDARY
Readmission to the Hospital Within 1 Week of Discharge
6; 2
SECONDARY
Death Among Enrolled Infants
0; 0
SECONDARY
Transferred to a Non-Network Hospital
11; 9
SECONDARY
Length of Stay (LOS) Following Randomization to Hospital Discharge
28; 27.5

Summary

The objective of this proposal is to evaluate whether weaning from an incubator to a crib at lower versus higher weight, 1600g or 1800g will result in shorter length of hospital stay among moderately preterm infants. The hypothesis of this study is that length of hospital stay (from birth to discharge) will be decreased among moderate preterm infants weaned from an incubator to an open crib at a lower versus higher weight, 1600g vs. 1800g.

Eligibility Criteria

Inclusion Criteria

  • Gestational age 29 0/7 to 33 6/7 weeks at birth
  • Birth weight less than 1600 grams
  • Greater than 48 hours of age
  • Current weight less than 1540 grams
  • In an incubator

Exclusion Criteria

  • Receiving phototherapy
  • Receiving respiratory support (including CPAP, ventilation, HFNC > 2 LPM)
  • Receiving blood pressure support
  • Designated for transfer to referral hospital while in incubator
  • Known major congenital or chromosomal anomaly
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02160002). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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