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Plasma Protein Levels and Very Preterm Birth

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EstatiKonplete
Patwone
Centre Hospitalier Universitaire de la Réunion
Kolaboratè
INSERM CIE1, Dijon, 21000, France

Mo kle

Abstrè

The primary aim of this study is to investigate the relationship between early plasma protein levels and hemodynamics in very preterm infants during postnatal transition. Secondary aims are the following: i) to evaluate maternal and neonatal factors affecting plasma protein level at birth; ii) to evaluate the relationship between plasma protein level and albumin level on the first day of life; iii) to evaluate the association between early hypoproteinemia and neonatal mortality and morbidity in very preterm infants.

Dat

Dènye verifye: 08/31/2018
Premye Soumèt: 11/24/2013
Enskripsyon Estimasyon Soumèt: 12/05/2013
Premye afiche: 12/10/2013
Dènye Mizajou Soumèt: 09/27/2018
Dènye Mizajou afiche: 09/30/2018
Dat aktyèl kòmanse etid la: 12/31/2013
Dat Estimasyon Prensipal Estimasyon an: 02/28/2015
Dat estime fini etid la: 02/28/2015

Kondisyon oswa maladi

Very Preterm Infants

Entèvansyon / tretman

Other: Very preterm babies

Faz

-

Gwoup bra

BraEntèvansyon / tretman
Very preterm babies
Observational model: cohort
Other: Very preterm babies
Patient inclusion at birth Total plasma protein values measurement on cord blood sample at birth Hemodynamic evaluation at 6 hours after birth with colour doppler echocardiography and organ blood flow colour doppler Total plasma protein and albumin values measurement on plasma sample at 12 hours after birth Blood pressure, heart rate, O2 saturation, capillary refill time, rSO2 [regional (cerebral and somatic) tissue oxygenation by NIRS - near infrared spectroscopy] will be monitored over 24 hours after birth.

Kritè kalifikasyon yo

Sèks ki kalifye pou etidAll
Metòd echantiyonajNon-Probability Sample
Aksepte Volontè HealthyWi
Kritè

Inclusion Criteria:

- Parents written informed consent

- Birth at less than 32 weeks of gestational age

- Birth in a III level delivery facility at Reunion Island

Exclusion Criteria:

- Major congenital abnormalities

Rezilta

Mezi Rezilta Prensipal yo

1. Evidence of clinical hemodynamic disturbances defined by arterial hypotension (non-invasive measure of MAP - mmHg - pathological for gestational age) or measured at organ colour doppler, echocardiography or NIRS [about 6 hours after birth]

Mezi Rezilta Segondè

1. plasma protein [at 1 second after birth (cord blood sample)]

plasma protein level on cord blood sample depending on maternal and neonatal variables

2. Albumin level [At 12 hours after birth]

3. Mortality rate [patients will be followed for the duration of hospital stay, that is an average of 8 weeks]

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