Evidence map›Paper›PMID 21435600›Full record

ReviewThe Lancet. Neurology2011

Treatment advances in neonatal neuroprotection and neurointensive care.

Michael V Johnston, Ali Fatemi, Mary Ann Wilson, Frances Northington

Abstract readReview
In one paragraph

Review in The Lancet. Neurology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 132 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
132citing papers in PubMed, 2 pooled it
31.9field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

132 citing papers in PubMed, 2 syntheses or guidelines pooled it, 275 citations in OpenAlex.

  1. Pooled it
  2. Magnesium for newborns with hypoxic-ischemic encephalopathy: a systematic review and meta-analysis.Journal of perinatology : official journal of the California Perinatal Association · 2013
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Review
  7. Article
  8. Article
  9. Article
  10. Therapeutic hypothermia for newborns with hypoxic-ischaemic encephalopathy.The Cochrane database of systematic reviews · 2026
    Article
  11. Article
  12. Article
  13. Small animal PET with spontaneous inhalation ofJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Article

72 more citing papers are in PubMed but not listed here.

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

4 authors at 2 institutions in 1 country.

Michael V JohnstonHugo W Moser Research Institute, at Kennedy Krieger Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA. Johnston@kennedykrieger.org
Ali Fatemi
Mary Ann Wilson
Frances Northington
Johns Hopkins Medicine · USJohns Hopkins University · US

Funding

NEUROTRANSMITTER INJURY MECHANISMS IN DEVELOPING BRAINR01NS028208 · NINDS · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI JOHNSTON, MICHAEL VAN DOREN · 1990 to 2011
$3.4M
Study of White Matter Development in a Rodent Model of Perinatal Brain InjuryK08NS063956 · NINDS · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI FATEMI, S. ALI · 2009 to 2013
$897k
In vivo Imaging of Hypoxic-Ischemic Encephalopathy in Neonatal MiceR21NS059529 · NINDS · JOHNS HOPKINS UNIVERSITY · PI ZHANG, JIANGYANG · 2008 to 2009
$395k
NINDS NIH HHS K08 NS063956NINDS NIH HHS R01 NS028208NINDS NIH HHS R01 NS28208NINDS NIH HHS R21 NS059529
6 · The paper itself

Abstract

Knowledge of the nature, prognosis, and ways to treat brain lesions in neonatal infants has increased remarkably. Neonatal hypoxic-ischaemic encephalopathy (HIE) in term infants, mirrors a progressive cascade of excito-oxidative events that unfold in the brain after an asphyxial insult. In the laboratory, this cascade can be blocked to protect brain tissue through the process of neuroprotection. However, proof of a clinical effect was lacking until the publication of three positive randomised controlled trials of moderate hypothermia for term infants with HIE. These results have greatly improved treatment prospects for babies with asphyxia and altered understanding of the theory of neuroprotection. The studies show that moderate hypothermia within 6 h of asphyxia improves survival without cerebral palsy or other disability by about 40% and reduces death or neurological disability by nearly 30%. The search is on to discover adjuvant treatments that can further enhance the effects of hypothermia.

Indexed as

Clinical Trials as TopicHumansHypothermia, InducedHypoxia-Ischemia, BrainInfant, NewbornPrognosisTreatment Outcome

Identifiers

PMID21435600
PMCPMC3757153
OpenAlexW2098603695

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.