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N/A N=48 Randomized Supportive Care

Very Low Birth Weight Preterm Infant Bundled Care in the NICU

Preterm Infants

Enrolled (actual)
48
Serious AEs
0.0%
Results posted
Mar 2022
Primary outcome: Primary: Mean Heart Rate by Group — 200; 185 beats per minute

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
3-hour bundled care (Other); 6-hour bundled care (Other)
Age
Pediatric
Sex
All
Sponsor
Duke University
Primary completion
Aug 2019

Outcome Measures

OutcomeResultp-value
PRIMARY
Mean Heart Rate by Group
200; 185
SECONDARY
Estimates of Infant Buttock Transepidermal Water Loss (TEWL) by Group
38.48; 35.73
SECONDARY
Microbiota Diversity of the Skin at Both the Buttocks and Chest Sites and Stool by Group
4.14; 3.99; 4.14; 4.18; 4.16; 3.56

Summary

The purpose of this study is to explore the impact of bundling nursing care activities on the overall health of Very Low Birthweight (VLBW) preterm infants who receive bundled care in a Level IV Neonatal Intensive Care Unit (NICU). The study will evaluate differences in infant health when diaper changes occur at 3- versus 6-hours during 3-hour bundled care. Differences in infant skin health between 3- and 6-hour bundled care diapering at two sites (buttocks and chest) will also be evaluated.

Eligibility Criteria

Inclusion Criteria

  • Must be participating in the Intensive Care Nursery standard 3-hour bundled care
  • Must wear a breathable diaper
  • Must be ≤ 32 weeks gestation at birth and weigh ≤ 1500g at birth.
  • Infants are expected to remain hospitalized for at least 4 weeks

Exclusion Criteria

  • Neonatal Abstinence Syndrome
  • Humidified incubator
  • Diaper rash
  • Pre-existing or genetic skin conditions
  • Use of barrier creams
  • Severe illness requiring 1: 1 nursing care: e.g. minimal stimulation protocol, high frequency ventilation, vasopressor drug support, or body cooling.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03370757). 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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