E16.1 P70.4
Conditions
Interventions
Group 1: Premature infants < 1500 g or < 32 + 0 weeks of gestation will be included. Arterial cord blood will be obtained after cord clamping to determine catecholamines, catecholamine-metabolites and
Sponsors
Universitätsklinikum Düsseldorf
Eligibility
Sex/Gender
All
Age
0 Days to 3 Days
Inclusion criteria
Inclusion criteria: Premature infants < 1500 g or < 32+0 weeks of gestation and consent of both parents.
Exclusion criteria
Exclusion criteria: Lack of parental consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. To evaluate if catecholamine concentrations/their metabolites correlate with severity of illness over time, and if there is a specific decrease of catecholamine levels after clinical stabilization. 2. To evaluate if there is a correlation between catecholamine levels in arterial cord blood and urine with glycemia in preterm infants during the first weeks of life. | — |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate if 1. infections, intubation, ventilation, apneas, bradycardias, medications, kangaroo care, etc. have an effect on urinary catecholamine concentrations. 2. one or more catecholamines/metabolites in arterial cord blood or urine serve as a screening parameter to predict the risk for hypoglycemia and transient hyperinsulinism in preterm infants. 3. the levels of catecholamines correlate with the levels of C-peptide in urine. 4. the levels of catecholamines/metabolites in arterial cord blood and urine are weight dependent. 5. the duration of prenatal risk factor exposure correlates with the levels of catecholamines and with the postnatal blood glucose levels. 6. other factors like maternal BMI, maternal medication, smoking, alcohol and other drugs etc. have an influence on the catecholamine levels and/or postnatal blood glucose levels in preterm infants. 7. the levels of catecholamines correlate with the need for oral glucose gel, intravenous glucose, subcutaneous glucagon, diazoxide and duration of hospitalization. 8. to establish reference ranges for umbilical artery catecholamines in preterm infants. | — |
Countries
Germany
Contacts
Public ContactHenrike Hörmann
Universitätsklinikum Düsseldorf, Klinik für Allgemeine Pädiatrie, Neonatologie und Kinderkardiologie
Outcome results
None listed