- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03746743
Severity Index of Neonatal Septicemia Using Score for Neonatal Acute Physiology (SNAP) II (SNAP)
Severity Index of Neonatal Septicemia of Cases Admitted at Neonatal Intensive Care Units at CHILDREN'S HOSPITAL, CAIRO UNIVERSITY and at ELGALAA Children's MILITARY HOSPITAL Using Score for Neonatal Acute Physiology (SNAP) II
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This study will be conducted at the Neonatal intensive care Units at CHILDREN'S HOSPITAL, CAIRO UNIVERSITY and at ELGALAA Children's MILITARY HOSPITAL.
Population of study & disease condition:
Neonates with septicemia admitted to NICUs in CHILDREN'S HOSPITAL, CAIRO UNIVERSITY and in ELGALAA Children's MILITARY HOSPITAL.
Inclusion criteria:
- Type of patient: Neonates with septicemia.
- Age of patient: From 0-28 Days.
- Sex: males and females.
Exclusion criteria:
- Neonates with proved inborn error of metabolism.
- Neonates with multiple congenital anomalies.
- Neonates with severe birth asphyxia (APGAR score <4 at 5 minutes).
Methodology in details:
We will have 2 groups, each of them 50 neonates with septicemia. One group of premature neonates (32-36 weeks), the other group of full term neonates (>37 weeks).
All included Patients will be subjected to the following:
Full history with emphasis of relevant data as follows:
Date of birth, gestational age (AGA or SGA), gender, day of sepsis onset.
Clinical assessment:
Full systems examination.
Diagnosis of sepsis:
- By abnormal Total leucocytic count or I/T ratio or CRP with clinical Suggestion (poor feeding, hepatomegaly, apnea, tachypnea, lethargy, …).
- Confirm diagnosis by blood culture.
Sepsis will be considered severe if the neonate has sepsis plus one of the following: 1) cardiovascular organ dysfunction (hypotension or need for vasoactive drug) 2) 2 of the following (metabolic acidosis, increase lactic acid, oliguria, Prolonged capillary refill time) 3) Organ dysfunction (respiratory, renal, neurologic, hematologic).
SNAP II score:
For all neonates included in the study and its data collection within 24 hours from onset of sepsis, in the form of:
- Lowest mean blood pressure.
- Worst ratio of pao2/fio2
- Lowest temperature.
- Lowest serum PH.
- Occurrence of multiple seizures.
- Urine output<1 ml/kg/hour.
Follow up:
Follow up all neonates included in the study for 14 days: for morbidity and mortality.
- Diagnosis of organ dysfunction:
Respiratory: by CXR and clinical examination. CVS: by blood pressure, capillary refill time, shock and need for inotropes. Renal: by urine output, kidney function tests. Hematology: by picture of DIC or pancytopenia. Neurology: by seizures, dilated fixed pupil.
Possible Risk:
None.
Primary outcomes:
Using Score for Neonatal Acute Physiology II as a Predictor of Mortality and Organ Dysfunction in Neonates with Septicemia.
Secondary outcomes:
Early anticipation of clinical manifestations of sepsis which will correlate most with poor outcome.
Sample size:
100 Neonates with septicemia admitted to NICUs in CHILDREN'S HOSPITAL, CAIRO UNIVERSITY and in ELGALAA Children's MILITARY HOSPITAL.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
-
-
-
Giza, Egypt, 12613
- Faculty of medicine cairo university
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Type of patient: Neonates with septicemia.
- Age of patient: From 0-28 Days.
- Sex: males and females.
Exclusion Criteria:
- Neonates with proved inborn error of metabolism.
- Neonates with multiple congenital anomalies.
- Neonates with severe birth asphyxia (APGAR score <4 at 5 minutes).
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Preterm neonates
Neonates born between 32 and 37 weeks gestation
|
score for neonatal sepsis to predict morbidity
|
Fullterm neonates
Neonates born at or after 37 weeks gestation
|
score for neonatal sepsis to predict morbidity
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Using Score for Neonatal Acute Physiology II as a Predictor of Mortality and Organ Dysfunction in Neonates with Septicemia.
Time Frame: through study completion, an average of 1 year
|
through study completion, an average of 1 year
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Early anticipation of clinical manifestations of sepsis which will correlate most with poor outcome.
Time Frame: through study completion, an average of 1 year
|
through study completion, an average of 1 year
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Nermin R Mohamed, MD, Cairo University
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- SNAP II Score
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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