Evidence map›Paper›PMID 21183927›Full record

ReviewJournal of perinatology : official journal of the California Perinatal Association2011

Physiologic and pharmacologic considerations for hypothermia therapy in neonates.

S Zanelli, M Buck, K Fairchild

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of perinatology : official journal of the California Perinatal Association, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05295784 (Pharmacokinetics), which is not on this map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 4% of its field
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.

NCT05295784 phase1withdrawnnot on this mapstarted 2024, after this paper: background citation

Pharmacokinetics (PK) and Safety of Caffeine in Neonates With Hypoxic Ischemic Encephalopathy Receiving Therapeutic Hypothermia

TypeinterventionalSponsorUniversity of ArkansasRan2024 to 2024Enrolled0ConditionsAcute Kidney Injury, Hypoxic-Ischemic Encephalopathy, CaffeineArmsCaffeine citrate
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 124 citations in OpenAlex.

  1. Pooled it
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  3. Trial
  4. Trial
  5. Article
  6. Review
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  10. Neonatal serial creatinine levels as an adjunct biomarker in timing of fetal neurologic injury.European journal of obstetrics & gynecology and reproductive biology: X · 2023
    Article
  11. Article
  12. Comparative evaluation of approach to cardiovascular care in neonatal encephalopathy undergoing therapeutic hypothermia.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Observational
  19. Article
  20. 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

3 authors at 1 institution in 1 country.

S ZanelliDepartment of Pediatrics, University of Virginia, Charlottesville, USA. sz5d@virginia.edu
M Buck
K Fairchild
University of Virginia · US

Funding

Hypothermia enhances inflammatory cytokine expression via NF-kappa BK08HD051609 · NICHD · UNIVERSITY OF VIRGINIA · PI FAIRCHILD, KAREN D · 2006 to 2010
$651k
NICHD NIH HHS K08 HD051609
6 · The paper itself

Abstract

With mounting evidence that hypothermia is neuroprotective in newborns with hypoxic-ischemic encephalopathy (HIE), an increasing number of centers are offering this therapy. Hypothermia is associated with a wide range of physiologic changes affecting every organ system, and awareness of these effects is essential for optimum patient management. Lowering the core temperature also alters pharmacokinetic and pharmacodynamic properties of medications commonly used in asphyxiated neonates, necessitating close attention to drug efficacy and side effects. Rewarming introduces additional risks and challenges as the hypothermia-associated physiologic and pharmacologic changes are reversed. In this review we provide an organ system-based assessment of physiologic changes associated with hypothermia. We also summarize evidence from randomized controlled trials showing lack of serious adverse effects of moderate hypothermia therapy in term and near-term newborns with moderate-to-severe HIE. Finally, we review the effects of hypothermia on drug metabolism and clearance based on studies in animal models and human adults, and limited data from neonates.

Indexed as

AnimalsBrainHumansHypothermia, InducedHypoxia-Ischemia, BrainInactivation, MetabolicInfant, NewbornMetabolic Clearance RatePharmacokineticsRandomized Controlled Trials as TopicRewarmingTemperature

Identifiers

PMID21183927
PMCPMC3552186
OpenAlexW1977719679

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.