SOon HOme Study About Preterm Infants (SOHO)

Institute of Hospitalization and Scientific Care (IRCCS)

Status: Not yet enrolling

Conditions: Preterm Birth Complication

Treatments: Procedure: Weaning from the incubator to open coat at a weight greater than or equal to 1400 grams

Study type: Interventional

Funder types: Other

Identifiers

NCT06593808

6575

Details and patient eligibility

About

The goal of this randomized controlled trial without medication neither device (for procedure) is to compare the average length of hospital stay of infants weaned from the incubator at a weight greater than or equal to 1400 grams versus infants weaned at a weight greater than or equal to 1600 grams.

The main questions it aims to answer are:

• Is it possible to reduce the average hospital stay in the early weaning group compared with the standard weaning group?
• Is this procedure safe and without adverse outcomes between the two groups during the hospital stay and during the first week after discharge?

Full description

Premature or low-birth-weight infants have low thermoregulatory abilities, higher risk of hypothermia and thus require a heated environment to survive. In the Neonatal Intensive Care Unit, these infants are placed from birth in an appropriately heated and humidified incubator. When they gain thermal competence they are gradually transferred to the open crib, normally when they reach a weight of about 1600-1800 grams, although the practice varies widely among neonatal units. Recent studies have concluded that clinically stable preterm infants can be transferred to an open crib at a body weight of less than 1600 grams. The abilities to maintain a normal body temperature in an open crib, good feeding autonomy, stable cardio-respiratory function, and acceptable growth rate are the physiological skills generally required for discharge of infants from the hospital.

The study compares the average length of hospital stay of infants weaned from the incubator at a weight greater than or equal to 1400 grams versus infants weaned at a weight greater than or equal to 1600 grams, as well as the incidence of adverse outcomes between the two groups (lower growth rate, inadequate breastfeeding, thermal lability and need for the incubator, readmission to the hospital) during the ward stay and during the first week after discharge, the degree of psychological stress of the parents, and the quality of the parent-child relationship in the two different groups.

Enrollment: 82 estimated patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Infants with birth weight less than 1400 grams in incubator who have reached a minimum weight of 1400 grams
• Stable clinical condition: normal heart rate and respiratory rate, No need for invasive respiratory assistance, no episodes of apnea, stable axillary temperature not less than 36.5°for at least 72 hours.
• No need for phototherapy
• Stable or increasing weight for at least 48 hours
• Signature by both parents of an informed consent

Exclusion criteria

• Severe congenital anomalies at birth
• Need for invasive respiratory support at the time of enrollment
• Ongoing phototherapy
• Major surgical pathology with need for surgery
• Failure by both parents to sign up for informed consent

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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82 participants in 2 patient groups

Preterm infants in incubator

No Intervention group

Description:

Preterm infant in stable conditions transferred from the incubator to the open crib at a weight greater than or equal to 1600 grams

Preterm infants in open coat

Experimental group

Description:

Preterm infant in stable conditions transferred from the incubator to the open crib at a weight greater than or equal to 1400 grams

Treatment:

Procedure: Weaning from the incubator to open coat at a weight greater than or equal to 1400 grams