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Table 1 Description of outcomes with analysis metric, aggregation method, and time points in main cohort

From: Probiotic supplementation and risk of necrotizing enterocolitis and mortality among extremely preterm infants—the Probiotics in Extreme Prematurity in Scandinavia (PEPS) trial: study protocol for a multicenter, double-blinded, placebo-controlled, and registry-based randomized controlled trial

Outcome variables complete cohort

Primary outcome variables

Analysis metrics

Method of aggregation

Time point

Necrotizing enterocolitis

Incidence rate

Mean/Median

During study intervention (until 34 weeks of gestational age)

Necrotizing enterocolitis Bell Stage >IIa

Verified

Incidence rate

Mean/Median

During study intervention (until 34 weeks of gestational age)

Necrotizing enterocolitis Bell Stage >IIIa

Verified

Incidence rate

Mean/Median

During study intervention (until 34 weeks of gestational age)

Necrotizing enterocolitis

Operation

Date, time

Mean/Median

During study intervention (until 34 weeks of gestational age)

Abdominal symptoms

Incidence of free gas, intermural intestinal gas, inflated abdomen discolored abdomen, stagnant intestinal loop >24 h

Sum

During study intervention (until 34 weeks of gestational age)

Differential gastrointestinal diagnoses

Spontaneous intestinal perforation,

Malrotation/volvulus, other

Sum

During study intervention (until 34 weeks of gestational age)

X-ray of the abdomen

Incidence rate

Mean/Median

During study intervention (until 34 weeks of gestational age)

Death

Incidence rate

Mean/Median

Third day postpartum until 40 weeks of gestational age

Secondary outcome variables

 

Late-onset sepsis

Incidence rate

Mean/Median

During study intervention (until 34 weeks of gestational age)

Verified late-onset sepsisb

Incidence rate

Mean/Median

During study intervention (until 34 weeks of gestational age)

Late-onset sepsis

Culture-proven

Type of pathogen

Sum

During study intervention (until 34 weeks of gestational age)

Late-onset sepsis date

Date of onset

Sum

During study intervention (until 34 weeks of gestational age)

Late-onset sepsis

Peripheral line at onset

Yes/No

Mean/Median

During study intervention (until 34 weeks of gestational age)

Late-onset sepsis

Central line at onset

Yes/No

Mean/Median

During study intervention (until 34 weeks of gestational age)

Use of antibiotics

Rate of prescription (number)

Duration of treatment (days)

Mean/Median

During study intervention and until 40 weeks of gestational age

Length of stay

Number of days

Mean/Median

Length of stay at the neonatal intensive care unit

Length of stay at homecare

Effect on microbiome

Fecal samples

 

1. Directly after inclusion ± 2 days

2. 14 ± 2 days gestational age

3. 34 weeks ± 2 days gestational age

4. 12 months corrected age ± 2 weeks

Serious adverse event

(Necrotizing enterocolitis, death and late-onset sepsis included)

 

Bronchopulmonary dysplasia

Yes/No

Mean/Median

During study intervention (until 34 weeks of gestational age)

Respiratory distress syndrome

Yes/No

Mean/Median

From birth and during study intervention (until 34 weeks of gestational age)

Patent ductus arteriosus (PDA)

Yes/No

Mean/Median

From birth and during study intervention (until 34 weeks of gestational age)

Pulmonary hypertension

Yes/No

Mean/Median

During study intervention (until 34 weeks of gestational age)

Intraventricular hemorrhage

Yes/No

Mean/Median

During study intervention (until 34 weeks of gestational age)

Hydrocephalus

Yes/No

Mean/Median

During study intervention (until 34 weeks of gestational age)

Retinopathy of prematurity

Yes/No

Mean/Median

During study intervention (until 34 weeks of gestational age)

Characteristics/covariates

 

Pregnancies

Number

Mean/Median

Baseline

Preeclampsia

Yes/No

Mean/Median

Baseline

Chorioamnionitis

Yes/No

Mean/Median

Baseline

Infection pregnancy

Number of infections

Sum

Baseline

Antibiotics during pregnancy

Period

Sum

Baseline

Mode of delivery

Vaginal or Cesarean-section

Mean/Median

Baseline

Apgar-score

At 1, 5 and 10 minutes

Mean/Median, Sum

Baseline

Gender (x/y)

Boy/girl

Mean/Median

Baseline

Multiple birth

Yes/No

Mean/Median

Baseline

Gestational age

Number (gestation week)

Mean/Median

Baseline

Birth weight

Kilograms

Mean/Median

Baseline

Birth length

Centimeters

Mean/Median

Baseline

Birth head circumference

Centimeters

Mean/Median

Baseline

Z-scores from growth chart at birth

Reference Niklasson [73] and Fenton [74]

Standard deviation

Baseline

Respiratory support

Intubation

Period of treatment

Mean/Median

From birth until 40 weeks of gestational age

Respiratory support

Continuous positive airway pressure (CPAP)

Period of treatment

Mean/Median

From birth until 40 weeks of gestational age

Respiratory support

High-flow nasal cannula

Period of treatment

Mean/Median

From birth until 40 weeks of gestational age

Respiratory support

Low-flow nasal cannula

Period of treatment

Mean/Median

From birth until 40 weeks of gestational age

Patent ductus arteriosus closure strategies

Paracetamol

Period of treatment

Mean/Median

From birth until 40 weeks of gestational age

Patent ductus arteriosus closure strategies

Operation

Date

Mean/Median, Sum

From birth until 40 weeks of gestational age

  1. aSee definition of Bell Stage >II-III under “Plans for assessment and collection of outcomes {18a}”
  2. bSee definition of verified late-onset sepsis under “Plans for assessment and collection of outcomes {18a}”