The TELENEO Trial: a Multicenter Trial of Telemedicine for Advanced Neonatal Resuscitations in Community Hospitals
Death; Neonatal | Morbidity;NewbornThe 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.
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Participation Requirements
-
Sex:
ALL -
Eligible Ages:
0 and up
Participation Criteria
Inclusion Criteria:
GROUP 1: Community hospital clinicians
To be eligible to participate in this study, an individual must meet all of the following 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.
GROUP 2: At-risk outborn neonates To be eligible for this study, a neonate born in a participating community hospital spoke site must meet \*at least one\* of the following inclusion criteria
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.
Exclusion Criteria:
GROUP 1: Community hospital clinicians None
GROUP 2: At-risk outborn neonates
A neonate born in a participating community hospital spoke site who meets any of the following criteria will be excluded from the study:
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.
Study Location
William Osler Health System - Brampton Civic Hospital
William Osler Health System - Brampton Civic HospitalBrampton, Ontario
Canada
Contact Study Team
Hemasree Kandraju
Sangeet Kathuria, MBBS
Southlake Regional Health Centre
Southlake Regional Health CentreNewmarket, Ontario
Canada
Contact Study Team
Madeline Drake, MB, BCh
North York General Hospital
North York General HospitalToronto, Ontario
Canada
Contact Study Team
Shaheen Doctor, MD
Unity Health - St. Joseph's Health Centre
Unity Health - St. Joseph's Health CentreToronto, Ontario
Canada
Contact Study Team
Rana Esmaeilizand, MD
Stevenson Memorial Hospital
Stevenson Memorial HospitalAlliston, Ontario
Canada
Contact Study Team
Ihab Khalil, MBBS
Trillium Health Partners - Credit Valley Health
Trillium Health Partners - Credit Valley HealthMississauga, Ontario
Canada
Contact Study Team
Marina Castro, MD
Maura Mansur
Scarborough Health Network - General Hospital
Scarborough Health Network - General HospitalScarborough, Ontario
Canada
Contact Study Team
Peter Azzopardi, MD
Mohamed Ahmed, MD
The Hospital for Sick Children
The Hospital for Sick ChildrenToronto, Ontario
Canada
Contact Study Team
Hilary Whyte, MB, M.Sc., FRCPI, FRCPC
Marko Culjat, MD, M.Sc., PhD
Michael Garron Hospital
Michael Garron HospitalEast York, Ontario
Canada
Contact Study Team
Sehr Ansari, MBBS
Orillia Soldiers Memorial Hospital
Orillia Soldiers Memorial HospitalOrillia, Ontario
Canada
Contact Study Team
Sarah Barker, MD
Ryan Smith, MD
Sunnybrook Health Sciences Centre
Sunnybrook Health Sciences CentreToronto, Ontario
Canada
Contact Study Team
Elizabeth Asztalos, MD
Eugene Ng, MD
Mackenzie Health - Cortellucci Vaughan Hospital
Mackenzie Health - Cortellucci Vaughan HospitalVaughan, Ontario
Canada
Contact Study Team
Maksim Kirtsman, MDCM
Hannah Oatley, MD
William Osler Health System - Etobicoke General Hospital
William Osler Health System - Etobicoke General HospitalEtobicoke, Ontario
Canada
Contact Study Team
Prasanna Selliah, MD
Sangeet Kathuria, MBBS
Scarborough Health Network - Centenary Hospital
Scarborough Health Network - Centenary HospitalScarborough, Ontario
Canada
Contact Study Team
Peter Azzopardi, MD
Karen Chang, MBBS
Mount Sinai Hospital
Mount Sinai HospitalToronto, Ontario
Canada
Contact Study Team
Prakesh Shah, MBBS
- Study Sponsored By
- Mayo Clinic
- Participants Required
- More Information
- Study ID:
NCT06087224