The TELENEO Trial: A Multicenter Trial of Telemedicine for Advanced Neonatal Resuscitations in Community Hospitals

Description

The purpose of this study is to evaluate the impact of real-time audio-video telemedicine consults with a neonatologist (termed teleneonatology) on the early health outcomes of at-risk neonates delivered in community hospitals.

Conditions

Death; Neonatal, Morbidity;Newborn

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Study Overview

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Study Details

Study overview

The purpose of this study is to evaluate the impact of real-time audio-video telemedicine consults with a neonatologist (termed teleneonatology) on the early health outcomes of at-risk neonates delivered in community hospitals.

The TELENEO Trial: A Multicenter Trial of Telemedicine for Advanced Neonatal Resuscitations in Community Hospitals

The TELENEO Trial: A Multicenter Trial of Telemedicine for Advanced Neonatal Resuscitations in Community Hospitals

Condition
Death; Neonatal
Intervention / Treatment

-

Contacts and Locations

Juneau

Bartlett Regional Hospital, Juneau, Alaska, United States, 99801

Ketchikan

PeaceHealth Ketchikan Medical Center, Ketchikan, Alaska, United States, 99901

Phoenix

Mayo Clinic Arizona, Phoenix, Arizona, United States, 85054

Rochester

Mayo Clinic Minnesota, Rochester, Minnesota, United States, 55905

Altus

Jackson County Memorial Hospital, Altus, Oklahoma, United States, 73521

Elk City

Great Plains Regional Medical Center, Elk City, Oklahoma, United States, 73648

Oklahoma City

University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States, 73104

Anacortes

Island Health, Anacortes, Washington, United States, 98221

Everett

Providence Regional Medical Center Everett, Everett, Washington, United States, 98201

Port Angeles

Olympic Medical Center, Port Angeles, Washington, United States, 98362

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • 1. A clinician who attends newborn resuscitations at a participating community hospital spoke site.
  • 2. Provision of informed oral consent prior to any mandatory study specific procedures and analyses.
  • 1. Preterm birth at less than 32 weeks' gestation at delivery; OR
  • 2. Need for advanced resuscitation defined as:
  • 1. positive pressure ventilation (PPV) initiated soon after birth and continued for at least 10 minutes; OR
  • 2. placement of an alternative airway (endotracheal tube or laryngeal mask) to provide PPV; OR
  • 3. chest compressions.
  • 1. Birth outside of the hospital birthing center.
  • 2. Neonatal transport team present at time of birth and providing resuscitative care.
  • 3. Severe congenital anomaly necessitating intensive care or surgery in the first two weeks of life.
  • 4. Plan for comfort care (non-resuscitation) following delivery.
  • 5. In-person neonatology-trained physician present for the resuscitation.

Ages Eligible for Study

0 Days to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Mayo Clinic,

Jennifer Fang, MD, PRINCIPAL_INVESTIGATOR, Mayo Clinic

Bart M Demaerschalk, MD, PRINCIPAL_INVESTIGATOR, Mayo Clinic

Meegan G Van Straaten, MSPH, STUDY_DIRECTOR, Mayo Clinic

Study Record Dates

2029-05-01