Using the Electronic Health Record to Guide Management of Newborn Weight Loss
| Status: | Recruiting |
|---|---|
| Conditions: | Healthy Studies |
| Therapuetic Areas: | Other |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 11/2/2018 |
| Start Date: | September 20, 2018 |
| End Date: | October 1, 2019 |
| Contact: | Michelle Rait, RN |
| Email: | Michelle.Rait@ucsf.edu |
| Phone: | 415-502-1594 |
Beginning With a Healthy Start: A Randomized Controlled Trial of Informatics-Enhanced Newborn Weight Management
Weight loss is normal for healthy newborns in the first few days, especially for those
exclusively breastfed, who may have low enteral intake for several days. Although most
newborns tolerate this early period of weight loss well, those with pronounced weight loss
become at increased risk of feeding problems and hyperbilirubinemia, which are the two most
common causes of neonatal readmission. To facilitate the assessment of risk for an individual
newborn, the Newborn Weight Tool (NEWT) has been developed to categorize each infant's weight
loss according to population norms, so that formula can be administered when weight loss is
pronounced and avoided when weight loss is normal. The Healthy Start study will be a
randomized, controlled trial testing whether displaying NEWT to clinicians providing newborn
care can improve neonatal health outcomes including formula use, weight loss and readmission.
Newborns will be randomly assigned either to display weight with NEWT weight categorization
to their providers in the electronic health record (EHR) or to usual care (weight displayed
without NEWT categorization).
exclusively breastfed, who may have low enteral intake for several days. Although most
newborns tolerate this early period of weight loss well, those with pronounced weight loss
become at increased risk of feeding problems and hyperbilirubinemia, which are the two most
common causes of neonatal readmission. To facilitate the assessment of risk for an individual
newborn, the Newborn Weight Tool (NEWT) has been developed to categorize each infant's weight
loss according to population norms, so that formula can be administered when weight loss is
pronounced and avoided when weight loss is normal. The Healthy Start study will be a
randomized, controlled trial testing whether displaying NEWT to clinicians providing newborn
care can improve neonatal health outcomes including formula use, weight loss and readmission.
Newborns will be randomly assigned either to display weight with NEWT weight categorization
to their providers in the electronic health record (EHR) or to usual care (weight displayed
without NEWT categorization).
Inclusion Criteria:
- Assignment to a bed assignment on the well newborn service at the time of the first
weight measured subsequent to birth weight and at >6 hours and <=96 hours of age
Exclusion Criteria:
We found this trial at
1
site
505 Parnassus Ave
San Francisco, California 94143
San Francisco, California 94143
(415) 476-1000
Principal Investigator: Valerie Flaherman, MD,MPH
Phone: 415-502-6266
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