Improving the care of ventilated preterm babies by weighing them within the incubator

ISRCTN ISRCTN58085619
DOI https://doi.org/10.1186/ISRCTN58085619
Protocol serial number N/A
Sponsor Royal Salford NHS Trust
Funder Royal Salford NHS Trust
Submission date
12/03/2015
Registration date
18/03/2015
Last edited
04/07/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Neonatal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Currently when looking after babies in intensive care, doctors do not have an ability to weigh them accurately if they are ventilated. This means that sick babies have to be disconnected from the artificial breathing machine (ventilator) in order to weigh them. They are then weighed on standalone electronic scales, without the ventilator attached. Since most sick babies do not tolerate this procedure, they are not weighed and this means that medicines, fluids and electrolytes are calculated by estimation (guessing) their weight, which potentially can lead to over or under dosing.
This study aims to determine whether we could safely and accurately weigh ventilated babies within the incubator on integral incubator scales, whilst still connected to the ventilator, by comparing their weight with and without a ventilator tube compensator device against their true (electronic standalone scale) weight.

Who can participate?
Any ventilated stable baby

What does the study involve?
We weighed ventilated babies within the incubator on integral incubator scales, whilst still connected to the ventilator, and compared their weight with and without a ventilator tube compensator device against their true (electronic standalone scale) weight, whilst disconnected from the ventilator.

What are the possible benefits and risks of participating?
No direct benefit for infant and no anticipated risks, since only carried out in stable ventilated babies.

Where is the study run from?
Salford Royal Foundation Trust (UK)

When is the study starting and how long is it expected to run for?
February 2009 to August 2011

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Dr Ula El-Kafrawy

Contact information

Dr Ula El-Kafrawy
Scientific

Royal Bolton Hospital
Bolton
Manchester
Manchester
BL4 0JR
United Kingdom

Study information

Primary study designObservational
Study designDiagnostic accuracy study
Secondary study design
Scientific titleOptimising the care of ventilated infants by weighing accurately on incubator scales
Study objectivesAssessing the accuracy of integral incubator scales in weighing ventilated infants
Ethics approval(s)Cambridgeshire 2 Ethics Committee, 09/04/2008, REC ref: 08/H0308/35
Health condition(s) or problem(s) studiedAssessing the accuracy of integral incubator scales in weighing ventilated infants
InterventionComparison of weights of ventilated infants when weighed on incubator scales against true weight
Intervention type
Primary outcome measure(s)

The weight of the ventilated baby was compared by 2 different methods, one by weighing on incubator scales whilst ventilated and one by weighing on freestanding electronic scales whilst not ventilated, the weights were done at baseline within a few minutes of each other. They were then compared by the statistical method of Bland and Altman.

Key secondary outcome measure(s)

Inaccuracy correctable by use of a ventilator tube compensator device

Completion date01/08/2011

Eligibility

Participant type(s)Patient
Age groupNeonate
SexAll
Target sample size at registration30
Key inclusion criteriaAny ventilated baby
Key exclusion criteriaNo exclusion criteria.
Date of first enrolment01/06/2009
Date of final enrolment01/02/2011

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

Royal Salford Hospital
Salford
Manchester
M6 8HD
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryStored in repository
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/12/2016 Yes No

Editorial Notes

04/07/2017: Publication reference added.