Other Publication Details
Mandatory Fields
Reviews
Conway, JM;Walsh, BH;Boylan, GB;Murray, DM
2018
May
Mild hypoxic ischaemic encephalopathy and long term neurodevelopmental outcome - A systematic review
Validated
1
WOS: 54 ()
Optional Fields
NEONATAL ENCEPHALOPATHY PERINATAL ASPHYXIA PREDICTIVE-VALUE BIRTH ASPHYXIA HYPOTHERMIA INFANTS CHILDREN ELECTROENCEPHALOGRAPHY IMPAIRMENT SEVERITY
Aims: 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. Methods: 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. Result 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. Conclusion: A significant proportion of infants with mild HIE have abnormal outcome at follow up.
CLARE
ELSEVIER IRELAND LTD
0378-3782
80
87
10.1016/j.earlhumdev.2018.02.007
Grant Details