多量表联合应用对高危儿发育结局的判定

注册号:

Registration number:

ChiCTR1900021145 

最近更新日期:

Date of Last Refreshed on:

2019-01-30 18:57:48 

注册时间:

Date of Registration:

2019-01-30 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

多量表联合应用对高危儿发育结局的判定

Public title:

Combined use of multiple scales and MRI to determine the developmental outcome of high-risk infants

注册题目简写:

English Acronym:

研究课题的正式科学名称:

多量表联合应用对高危儿发育结局的判定

Scientific title:

Combined use of multiple scales and MRI to determine the developmental outcome of high-risk infants

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

杜琳 

研究负责人:

单玲 

Applicant:

LIN DU 

Study leader:

LING SHAN 

申请注册联系人电话:

Applicant telephone:

+86 13943077961

研究负责人电话:

Study leader's
telephone:

+86 15804303133

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

zlzdulin@126.com

研究负责人电子邮件:

Study leader's E-mail:

shanling19830605@163.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

吉林省长春市新民大街71号

研究负责人通讯地址:

吉林省长春市新民大街71号

Applicant address:

71 Xinmin Street, Changchun, Jilin, China

Study leader's address:

71 Xinmin Street, Changchun, Jilin, China

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

吉林大学第一医院

Applicant's institution:

the First Hospital of Jilin University

研究负责人所在单位:

吉林大学第一医院

Affiliation of the Leader:

the First Hospital of Jilin University

是否获伦理委员会批准:

Approved by ethic committee:

No

伦理委员会批件文号:

Approved No. of ethic committee:

伦理委员会批件附件:

Approved file of Ethical Committee:

批准本研究的伦理委员会名称:

Name of the ethic committee:

伦理委员会批准日期:

Date of approved by ethic committee:

2013-08-26 00:00:00

伦理委员会联系人:

Contact Name of the ethic committee:

伦理委员会联系地址:

Contact Address of the ethic committee:

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

吉林大学第一医院

Primary sponsor:

The First Hospital of Jilin University

研究实施负责(组长)单位地址:

吉林大学第一医院

Primary sponsor's address:

71 Xinmin Street, Changchun, Jilin, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

吉林

市(区县):

Country:

China

Province:

Jilin

City:

单位(医院):

吉林大学第一医院

具体地址:

吉林省长春市新民大街71号

Institution
hospital:

The First Hospital of Jilin University

Address:

71 Xinmin Street, Changchun, Jilin, China

经费或物资来源:

Source(s) of funding:

None

研究疾病:

高危儿  

Target disease:

high-risk infants

研究疾病代码:

Target disease code:

研究类型:

病因学/相关因素研究

Study type:

Cause/Relative factors study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

单臂 

Study design:

Single arm 

研究目的:

通过多量表联合头部MRI应用来评估高危儿发育水平,以便更准确的对高危儿进行发育评估及分级管理  

Objectives of Study:

Assessment of the developmental level of high-risk children through multi-scale combined with head MRI application for more accurate developmental assessment and hierarchical management of high-risk infants

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

①存在可能影响本研究的效应指标观察者;②视力、听力异常患儿。③中途主动退出或失访者。

Exclusion criteria:

1. There are effect indicators that may affect the study;
2. children with visual acuity and hearing abnormalities;
3. Those who voluntarily withdraw or lose their visits halfway.

研究实施时间:

Study execute time:

From 2019-01-30 00:00:00 To 2022-01-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2019-01-30 00:00:00 To 2022-01-30 00:00:00

干预措施:

Interventions:

组别:

病例组

样本量:

250

Group:

Case series

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

吉林省 

市(区县):

 

Country:

China

Province:

Jilin

City:

单位(医院):

吉林大学第一医院 

单位级别:

三级甲等 

Institution
hospital:

the First Hospital of Jilin University

Level of the institution:

Tertiary A Hospital

测量指标:

Outcomes:

指标中文名:

全身运动质量评估

指标类型:

主要指标

Outcome:

GMs

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

全身运动质量评估

指标类型:

主要指标

Outcome:

GMs

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

早产与足月新生儿神经学评估

指标类型:

主要指标

Outcome:

The Neurological assessment of the preterm and full-term newborn infant

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

Carey儿童气质的系列评估问卷

指标类型:

主要指标

Outcome:

Carey Children's Temperament Series Assessment Questionnaire

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

Alberta婴儿运动量表

指标类型:

主要指标

Outcome:

Alberta Baby Sports Scale

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

Peabody运动发育量表

指标类型:

主要指标

Outcome:

Peabody Developmental Motor Scales

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

粗大运动功能评估

指标类型:

主要指标

Outcome:

Gross motor function measure

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

格里菲斯发育评估量表

指标类型:

主要指标

Outcome:

Griffiths Development Assessment Scale

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

Hammersmith婴幼儿神经系统检查

指标类型:

主要指标

Outcome:

the hammersmith infant neurological examination

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

None

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age years
最大 Max age years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

Randomization Procedure (please state who generates the random number sequence and by what method):

None

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

N/A

Blinding:

N/A

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

是Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

试验完成后6个月内公开,公开方式待定

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Within six months after the trial complete,pen manner to be determined.

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

数据采集使用病历记录表,数据管理使用EpiDate

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Data acquisition use case record form,Data management Using Epidate.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2019-01-30 18:57:48