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Plasma Protein Levels and Very Preterm Birth

Aðeins skráðir notendur geta þýtt greinar
Skráðu þig / skráðu þig
Krækjan er vistuð á klemmuspjaldið
StaðaLokið
Styrktaraðilar
Centre Hospitalier Universitaire de la Réunion
Samstarfsmenn
INSERM CIE1, Dijon, 21000, France

Lykilorð

Útdráttur

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.

Dagsetningar

Síðast staðfest: 08/31/2018
Fyrst lagt fram: 11/24/2013
Áætluð skráning lögð fram: 12/05/2013
Fyrst sent: 12/10/2013
Síðasta uppfærsla lögð fram: 09/27/2018
Síðasta uppfærsla sett upp: 09/30/2018
Raunverulegur upphafsdagur náms: 12/31/2013
Áætlaður aðallokunardagur: 02/28/2015
Áætlaður dagsetningu rannsóknar: 02/28/2015

Ástand eða sjúkdómur

Very Preterm Infants

Íhlutun / meðferð

Other: Very preterm babies

Stig

-

Armhópar

ArmurÍhlutun / meðferð
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.

Hæfniskröfur

Kyn sem eru hæf til námsAll
SýnatökuaðferðNon-Probability Sample
Tekur við heilbrigðum sjálfboðaliðum
Viðmið

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

Útkoma

Aðal niðurstöður ráðstafanir

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]

Aðgerðir vegna aukaatriða

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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