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Status unknownNCT05365984Updated May 9, 2022

Intelligent Follow-up of Neonatal Jaundice Based on Early Indicators and Internet Communications

An interventional study of end tidal carbon monoxide corrected for ambient carbon monoxide (ETCOc) and Internet Plus technology in Hyperbilirubinemia, Neonatal, sponsored by Women's Hospital School Of Medicine Zhejiang University. Status unknown. Open to participants aged 12 Hours to 7 Days. Per ClinicalTrials.gov, last updated 2022-05-09.

Sponsored by Women's Hospital School Of Medicine Zhejiang University · Not applicable, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Apr 2022), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
2,500
Allocation
Randomized
Ages
12 Hours to 7 Days
Sex
All
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Study summary

In this prospective multi-center randomized clinical trial, a new follow-up strategy for neonatal jaundice after discharge will be evaluated. It is based on current risk factors of neonatal hyperbilirubinemia, added with the rate of bilirubin production (exhaled carbon monoxide measurement) as a new indicator,and incorporated with Internet Plus technology. Traditional methods following the Chinese guideline for neonatal hyperbilirubinemia were applied in the control group. The morbidity of BIND, the number of outpatient follow-up after discharge and the convenience will be compared between the two groups. The accuracy, effectiveness, safety and convenience of the study strategy will be testified.

Read the detailed description

The eligible newborns will be randomized into two groups: the study group (innovative strategy) and the controlled group (traditional strategy).

The innovative strategy included the ETCOc measurement in the risk evaluating process and the Internet Plus approach in the follow-up process.

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Conditions studied

  • Hyperbilirubinemia, Neonatal

Keywords

  • End tidal carbon monoxide
  • Internet Plus
  • jaundice follow-up management model
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In context

Jaundice, Neonatal

105 studies on the registry are indexed under Jaundice, Neonatal; 27 are open to participants now.

This study's planned enrollment of 2,500 is above the median of 134 across 74 interventional studies indexed under Jaundice, Neonatal.

Browse Jaundice, Neonatal studies →

Lead sponsor

Women's Hospital School Of Medicine Zhejiang University is the lead sponsor of 74 studies on the registry; 44 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
12 Hours to 7 Days
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. gestational age between 35(+0)\~41(+6)
  2. birth weight ≥ 2500 g
  3. ethics approval obtained
  4. parental consent obtained

Exclusion criteria

Exclusion Criteria:

  1. severe perinatal asphyxia
  2. infectious diseases
  3. persistent need for respiratory support
  4. major congenital malformation
  5. inborn errors of metabolism
  6. pathological neonatal hyperbilirubinemia due to the defects of red blood cell membrane and erythrocyte enzyme
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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
2,500 participants (estimated)

Study arms

  • Experimental
    innavative modeled strategy

    In this arm, the risk evaluation before discharge for hyperbilirubenemia needing further intervention is based on Bhutani nomogram and end tidal carbon monoxide corrected for ambient carbon monoxide. Assessment result includes high risk, median risk, low risk and delayed discharge. Internet Plus technology is applied in follow-up management.

    Diagnostic Test: end tidal carbon monoxide corrected for ambient carbon monoxide (ETCOc) · Other: Internet Plus technology

  • No intervention
    traditional strategy

    In this arm, the risk evaluation before discharge for hyperbilirubenemia needing further intervention is based on Bhutani nomogram and the follow-up table advised by the Chinese guideline for neonatal hyperbilirubinemia. Assessment result includes high risk, median risk and low risk. Traditional outpatient is applied in follow-up management.

Interventions

  • Diagnostic testend tidal carbon monoxide corrected for ambient carbon monoxide (ETCOc)

    The measurement of end tidal carbon monoxide corrected for ambient carbon monoxide (ETCOc)is conducted in the process of risk evaluation.

  • OtherInternet Plus technology

    The Internet Plus technology is applied in the process of follow-up management.

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What researchers measure

Primary outcomes

  1. the incidence of acute bilirubin encephalitis

    the number of infants with acute bilirubin encephalitis in each group

    Time frame: within 2 week after birth

  2. the bilirubin level of readministration for hyperbilirubinemia

    the average bilirubin level of infants, who are readmitted for hyperbilirubinemia

    Time frame: within 1 months

Secondary outcomes

  1. the cost for the issue of jaundice follow-up

    compare the fee for intelligent follow-up with the fee for clinical visiting according to present jaundice follow-up suggestion

    Time frame: within 1 month

  2. the time for the issue of jaundice follow-up

    compare the time for intelligent follow-up,including the time for TSB measurement and internet commuication,with the time for clinical visiting according to present jaundice follow-up suggestion

    Time frame: within 1 month

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Bhutani VK, Wong RJ, Stevenson DK. Hyperbilirubinemia in Preterm Neonates. Clin Perinatol. 2016 Jun;43(2):215-32. doi: 10.1016/j.clp.2016.01.001. Epub 2016 Mar 23. PubMed 27235203 ↗
  • Cortey A, Renesme L, Raignoux J, Bedu A, Casper C, Tourneux P, Truffert P. [Management of jaundice in the newborn>/=35 GW: From screening to follow-up after discharge. Guidelines for clinical practice]. Arch Pediatr. 2017 Feb;24(2):192-203. doi: 10.1016/j.arcped.2016.11.011. Epub 2017 Jan 14. French. PubMed 28094087 ↗
  • Du L. [Prevention and intervention strategies for hyperbilirubinemia induced brain injury]. Zhonghua Er Ke Za Zhi. 2014 Oct;52(10):721-3. No abstract available. Chinese. PubMed 25537534 ↗
  • Castillo A, Grogan TR, Wegrzyn GH, Ly KV, Walker VP, Calkins KL. Umbilical cord blood bilirubins, gestational age, and maternal race predict neonatal hyperbilirubinemia. PLoS One. 2018 Jun 1;13(6):e0197888. doi: 10.1371/journal.pone.0197888. eCollection 2018. PubMed 29856776 ↗
  • Bhutani VK, Maisels MJ, Schutzman DL, Castillo Cuadrado ME, Aby JL, Bogen DL, Christensen RD, Watchko JF, Wong RJ, Stevenson DK. Identification of risk for neonatal haemolysis. Acta Paediatr. 2018 Aug;107(8):1350-1356. doi: 10.1111/apa.14316. Epub 2018 Apr 16. PubMed 29532503 ↗
  • American Academy of Pediatrics Subcommittee on Hyperbilirubinemia. Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics. 2004 Jul;114(1):297-316. doi: 10.1542/peds.114.1.297. Erratum In: Pediatrics. 2004 Oct;114(4):1138. PubMed 15231951 ↗
  • Subspecialty Group of Neonatology, The Society of Pediatrics, Chinese Medical Association. [The experts consensus on the management of neonatal hyperbilirubinemia]. Zhonghua Er Ke Za Zhi. 2014 Oct;52(10):745-8. No abstract available. Chinese. PubMed 25537539 ↗
  • Rong ZH, Luo F, Ma LY, Chen L, Wu L, Liu W, Du LZ, Luo XP. [Evaluation of an automatic image-based screening technique for neonatal hyperbilirubinemia]. Zhonghua Er Ke Za Zhi. 2016 Aug;54(8):597-600. doi: 10.3760/cma.j.issn.0578-1310.2016.08.008. Chinese. PubMed 27510872 ↗
  • Tabatabaee RS, Golmohammadi H, Ahmadi SH. Easy Diagnosis of Jaundice: A Smartphone-Based Nanosensor Bioplatform Using Photoluminescent Bacterial Nanopaper for Point-of-Care Diagnosis of Hyperbilirubinemia. ACS Sens. 2019 Apr 26;4(4):1063-1071. doi: 10.1021/acssensors.9b00275. Epub 2019 Mar 29. PubMed 30896150 ↗
  • Dalal SS, Mishra S, Agarwal R, Deorari AK, Paul V. Does measuring the changes in TcB value offer better prediction of Hyperbilirubinemia in healthy neonates? Pediatrics. 2009 Nov;124(5):e851-7. doi: 10.1542/peds.2008-3623. Epub 2009 Oct 12. PubMed 19822593 ↗
  • Ma X, Zhu J, Du L. Neonatal Management During the Coronavirus Disease (COVID-19) Outbreak: The Chinese Experience. Neoreviews. 2020 May;21(5):e293-e297. doi: 10.1542/neo.21-5-e293. No abstract available. PubMed 32358142 ↗
  • Ma XL, Chen Z, Zhu JJ, Shen XX, Wu MY, Shi LP, Du LZ, Fu JF, Shu Q. Management strategies of neonatal jaundice during the coronavirus disease 2019 outbreak. World J Pediatr. 2020 Jun;16(3):247-250. doi: 10.1007/s12519-020-00347-3. Epub 2020 Feb 28. PubMed 32112336 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 9, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05365984
Lead sponsor
Women's Hospital School Of Medicine Zhejiang University
Collaborators
The Children's Hospital of Zhejiang University School of Medicine, Jiaxing University Affiliated Women and Children Hospital, Ningbo Women & Children's Hospital, Shaoxing Women's and Children's Hospital, Jinhua Central Hospital
Responsible party
Sponsor
First posted
May 9, 2022
Start date
May 2022 (estimated)
Primary completion
Jun 2024 (estimated)
Completion
Dec 2024 (estimated)
Last update
May 9, 2022

Study contacts

Jiajun Zhu, doctor
Contact
jiajunzhu@zju.edu.cn
+86-13858089111
Jiajun Zhu
principal investigator · Women's Hospital School Of Medicine Zhejiang University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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