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CTRI Number  CTRI/2025/08/093626 [Registered on: 25/08/2025] Trial Registered Prospectively
Last Modified On: 25/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Process of Care Changes 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Testing a new method of caring for premature babies to see if it helps them get better faster recovery compared to the usual care they receive 
Scientific Title of Study   Evaluation of comparative efficacy of newly developed clinical pathway for care of preterm neonates as against the existing newborn nursing care pathway on neonatal outcome 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Shalini Lokhande 
Designation  Assistant Professor 
Affiliation  Datta Meghe Institute of Higher Education and Research 
Address  Dept of Child Heaith Nursing, Ground Floor, SRMMCON Building, Sawangi Meghe

Wardha
MAHARASHTRA
442001
India 
Phone  9765304976  
Fax    
Email  shalini_lokhande@rediffmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Amar Taksande 
Designation  Professor and Head 
Affiliation  Datta Meghe Institute of Higher Education and Research 
Address  Dept of Pediatrics, 2nd Floor, AVBRH Building, Sawangi Meghe

Wardha
MAHARASHTRA
442001
India 
Phone  9822369233  
Fax    
Email  amar.taksande@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Amar Taksande 
Designation  Professor and Head 
Affiliation  Datta Meghe Institute of Higher Education and Research 
Address  Dept of Pediatrics, 2nd Floor, AVBRH Building, Sawangi Meghe

Wardha
MAHARASHTRA
442001
India 
Phone  9822369233  
Fax    
Email  amar.taksande@gmail.com  
 
Source of Monetary or Material Support  
Datta Meghe Institute of Higher Education and Research, Sawangi Meghe Wardha India 442001 
 
Primary Sponsor  
Name  Datta Meghe Institute of Higher Education and Research 
Address  Sawangi Meghe Wardha India 442001 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Amar Taksande  Acharya Vinoba Bhave Rural Hospital  Dept of Pediatrics, 2nd floor, AVBRH Building, Sawangi Meghe
Wardha
MAHARASHTRA 
9822369233

amar.taksande@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Datta Meghe Institute of Higher Education and Research, Wardha  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: P84||Other problems with newborn,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Newly developed Clinical pathway for care of preterm neonates  New care guidelines will be followed for the preterm neonates for a period of 7 days. 
Comparator Agent  Standard care in NICU for preterm neonates  Standard care will be provided to preterm neonates in NICU for 7 days. 
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  30.00 Day(s)
Gender  Both 
Details  1.Parents’ consent for willingness to include their preterm baby in study
2.Preterm neonate from 28 and 37 weeks of gestational age
3.Appropriate for their gestational age. 
 
ExclusionCriteria 
Details  1. Child with various complications including bronchopulmonary dysplasia, interventricular hemorrhage, periventricular leukomalacia, necrotizing enterocolitis, and congenital anomalies 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Reduced Morbidity and length of stay in NICU  Assessment will be done at 1 week. 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3/ Phase 4 
Date of First Enrollment (India)   01/10/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Preterm birth is a significant public health issue across the world because of associated neonatal (first 28 days of life) mortality and short-term and long-term morbidity and disability in later life.

According to WHO, every year about 15 million babies are born prematurely around the world and that is more than 1 in 10 of all babies born globally. Almost 1 million children die each year because of complications of preterm birth (2013). Across 184 countries, the rate of preterm birth ranges from 5% to 18% of babies born. In India, out of 27 million babies born every year (2010 data), 3.5 million babies born are premature as per the estimates.

Clinical Pathway (CP) is a term used to describe interdisciplinary plans of best care for designated groups of clients with a specific disease. These plans help with coordination and the provision of high-quality care. It also follows a systematic therapy plan with predetermined results.

Clinical Pathway can also be referred to by the terms Anticipatory recovery paths (ARPs), Integrated Care routes, Multidisciplinary pathways of care (MPCs), Care Maps, Collaborative Care paths, and Critical Pathway

The impact of specific developmental care practices on preterm infants has been researched extensively. Moreover, the dissemination of knowledge about developmental care has facilitated broader care that combines different kinds of developmental care practices in different NICUs. However, little is known about how variation in nursing care affects infant’s outcomes

So the aim of this study is The study aims to evaluate the effectiveness of clinical pathway for care of preterm to improve the preterm outcome.

The study aims to evaluate the effectiveness of clinical pathway for care of preterm to improve the preterm outcome.

 
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