Evidence map›Paper›PMID 37898759›Full record

ArticleTrials2023

The effects of cerebral oximetry in mechanically ventilated newborns: a protocol for the SafeBoosC-IIIv randomised clinical trial.

Maria Linander Vestager, Mathias Lühr Hansen, Marie Isabel Rasmussen, Gitte Holst Hahn, Simon Hyttel-Sørensen, Adelina Pellicer, Anne Marie Heuchan, Cornelia Hagmann, Eugene Dempsey, Gabriel Dimitriou and 12 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05907317 (Safeguarding the Brain of Our Smallest Children-IIIv), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05907317 phase3recruitingnot on this mapstarted 2025, after this paper: background citation

Safeguarding the Brain of Our Smallest Children-IIIv (SafeBoosC-IIIv): Cerebral Oximetry Versus Usual Care in Mechanically Ventilated Newborns

TypeinterventionalSponsorCopenhagen Trial Unit, Center for Clinical Intervention ResearchRan2025 to 2029Enrolled1,610ConditionsHypoxia, Infant, Newborn, DiseasesArmsCerebral oximetry monitoring device, Usual care
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Maria Linander VestagerDepartment of Neonatology, Copenhagen University Hospital ─ Rigshospitalet, Copenhagen, Denmark. maria.linander.vestager@regionh.dk.ORCID http://orcid.org/0000-0002-3273-0791
Mathias Lühr HansenDepartment of Neonatology, Copenhagen University Hospital ─ Rigshospitalet, Copenhagen, Denmark.
Marie Isabel RasmussenDepartment of Neonatology, Copenhagen University Hospital ─ Rigshospitalet, Copenhagen, Denmark.
Gitte Holst HahnDepartment of Neonatology, Copenhagen University Hospital ─ Rigshospitalet, Copenhagen, Denmark.
Simon Hyttel-SørensenDepartment of Intensive Care, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Adelina PellicerDepartment of Neonatology, La Paz University Hospital, Madrid, Spain.
Anne Marie HeuchanDepartment of Neonatology, Royal Hospital for Children, Glasgow, UK.
Cornelia HagmannDepartment of Neonatology, Children's University Hospital of Zürich, Zurich, Switzerland.
Eugene DempseyInfant Centre and Department of Paediatrics and Child Health, University College Cork, Cork, Ireland.
Gabriel DimitriouNICU, Department of Paediatrics, University General Hospital of Patras, Patras, Greece.
Gerhard PichlerDepartment of Pediatrics, Medical University of Graz, Graz, Austria.
Gunnar NaulaersDepartment of Neonatology, University Hospital Leuven, Louvain, Belgium.
Hans FuchsDivision of Neonatology and Pediatric Intensive Care Medicine, Center for Pediatrics and Adolescents Medicine, Medical Center ─ University of Freiburg, Freiburg, Germany.
Jakub TkaczykDepartment of Neonatology, University Hospital Motol, Prague, Czech Republic.
Jonathan MintzerThe Department of Pediatrics, Division of Newborn Medicine, Mountainside Medical Center, Montclair, NJ, USA.
Monica FumagalliFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan, Milan, Italy.
Saudamini NesargiSt. Johns Medical College Hospital, Bengaluru, India.
Siv FredlyDepartment of Neonatology, Oslo University Hospital, Oslo, Norway.
Tomasz SzczapaII Department of Neonatology, Neonatal Biophysical Monitoring and Cardiopulmonary Therapies Research Unit, Poznan University of Medical Sciences, Poznan, Poland.
Christian GluudCopenhagen Trial Unit, Centre for Clinical Intervention Research, The Capital Region, Copenhagen University Hospital ─ Rigshospitalet, Copenhagen, Denmark.
Janus Christian JakobsenCopenhagen Trial Unit, Centre for Clinical Intervention Research, The Capital Region, Copenhagen University Hospital ─ Rigshospitalet, Copenhagen, Denmark.
Gorm GreisenDepartment of Neonatology, Copenhagen University Hospital ─ Rigshospitalet, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe SafeBoosC project aims to test the clinical value of non-invasive cerebral oximetry by near-infrared spectroscopy in newborn infants. The purpose is to establish whether cerebral oximetry can be used to save newborn infants' lives and brains or not. Newborns contribute heavily to total childhood mortality and neonatal brain damage is the cause of a large part of handicaps such as cerebral palsy. The objective of the SafeBoosC-IIIv trial is to evaluate the benefits and harms of cerebral oximetry added to usual care versus usual care in mechanically ventilated newborns. METHODS/

designSafeBoosC-IIIv is an investigator-initiated, multinational, randomised, pragmatic phase-III clinical trial. The inclusion criteria will be newborns with a gestational age more than 28 + 0 weeks, postnatal age less than 28 days, predicted to require mechanical ventilation for at least 24 h, and prior informed consent from the parents or deferred consent or absence of opt-out. The exclusion criteria will be no available cerebral oximeter, suspicion of or confirmed brain injury or disorder, or congenital heart disease likely to require surgery. A total of 3000 participants will be randomised in 60 neonatal intensive care units from 16 countries, in a 1:1 allocation ratio to cerebral oximetry versus usual care. Participants in the cerebral oximetry group will undergo cerebral oximetry monitoring during mechanical ventilation in the neonatal intensive care unit for as long as deemed useful by the treating physician or until 28 days of life. The participants in the cerebral oximetry group will be treated according to the SafeBoosC treatment guideline. Participants in the usual care group will not receive cerebral oximetry and will receive usual care. We use two co-primary outcomes: (1) a composite of death from any cause or moderate to severe neurodevelopmental disability at 2 years of corrected age and (2) the non-verbal cognitive score of the Parent Report of Children's Abilities-Revised (PARCA-R) at 2 years of corrected age. DISCUSSION: There is need for a randomised clinical trial to evaluate cerebral oximetry added to usual care versus usual care in mechanically ventilated newborns.

trial registrationThe protocol is registered at www. CLINICALTRIALS: gov (NCT05907317; registered 18 June 2023).

Indexed as

OximetryRespiration, ArtificialBrainCerebrovascular CirculationChildHumansInfantInfant, NewbornIntensive Care Units, NeonatalPragmatic Clinical Trials as TopicRandomized Controlled Trials as TopicBrain injuryMechanical ventilationNear infrared spectroscopyProtocolRandomised clinical trial

Identifiers

PMID37898759
PMCPMC10612349

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.