Health Condition 1: null- neonates with perinatal asphyxia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.GA >35 wks and Birth weight > 1800 g 2.PHYSIOLOGICAL CRITERIA- Any 1 of the following a. ABG (Umbilical Cord/1st postnatal hr) pH - 12 b. Apgar score c. Ventilation required for at least 10â??as part of resuscitation d. History of not having cried at birth 3.NEUROLOGICAL CRITERIA- Seizures OR Evidence of moderate or severe encephalopathy (3 of 6 criteria in modified Sarnat)
Exclusion criteria
Exclusion criteria: 1. Lack of consent 2. Major congenital malformations 3. Imminent death anticipated at the time of assessment for eligibility 4. PCV > 65% 5. Any thrombosis 6. Blood pressure > 97th Centile
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Death or severe neurodevelopmental impairment at 24 months (any of the following): (i) DASII overall score 70; (ii) Neurological examination score 40 (iii) GMFCS levels III,IV,V; (iv) Impaired sensory/communication outcomes: blindness, deafness, impaired communication using functional definitions, ongoing seizure disorder Timepoint: 24 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Short term): MRI abnormalities at 5±1 days of life. Standardized Neurological examination at 7 days Intermediate term (10-15 weeks): Presence of Fidgety Movements (FM) using the General Movement Assessment (GMA) and a normal classification by the Computer based Infants Movement Analysis (CIMA). Long term: mild neurodevelopmental impairment (DASII score 70-84; Neurological examination score 40-67; or GMFCS level II); and individual subscale scores and impairments as appropriate. Timepoint: 5 days, 10-15days | — |
Countries
India
Contacts
Christian Medical College and Hospital, Vellore, Tamil Nadu