Peer-Reviewed Journal Details
Mandatory Fields
Conway JM;Walsh BH;Boylan GB;Murray DM;
Early Human Development
Mild hypoxic ischaemic encephalopathy and long term neurodevelopmental outcome - A systematic review.
Scopus: 31 ()
Optional Fields
Hypoxic ischaemic encephalopathy (HIE) remains a significant cause of long term neurodisability despite therapeutic hypothermia (TH). Infants with mild HIE, representing 50% of those with HIE, are perceived as low risk and are currently not eligible for TH [1]. This review examines the available evidence of outcome in term infants with mild HIE. Medline, Embase and Cochrane Clinical Trials databases were searched in March 2017. Studies with well-defined HIE grading at birth and standardised neurodevelopmental assessment at =18¿months were included. Abnormal outcome was defined as death, cerebral palsy or standardised neurodevelopmental test score more than 1 standard deviation below the mean. Twenty studies were included. Abnormal outcome was reported in 86/341 (25%) of infants. There was insufficient evidence to examine the effect of TH on outcome. A significant proportion of infants with mild HIE have abnormal outcome at follow up.
Grant Details