Evidence map›Paper›PMID 25724376›Full record

ArticleJournal of child neurology2015

An Evaluation of Cerebral and Systemic Predictors of 18-Month Outcomes for Neonates With Hypoxic Ischemic Encephalopathy.

Renée A Shellhaas, Juhi S Kushwaha, Melissa A Plegue, David T Selewski, John D E Barks

Abstract readEvaluation Study
In one paragraph

Article in Journal of child neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
8.0field-weighted citation impact, top 3% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Factors affecting early childhood growth in hypoxic-ischemic encephalopathy treated with hypothermia.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
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  12. Oxygen dependency of mitochondrial metabolism indicates outcome of newborn brain injury.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2019
    Observational
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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

5 authors at 2 institutions in 1 country.

Renée A ShellhaasDepartment of Pediatrics & Communicable Diseases, University of Michigan, Ann Arbor, MI, USA shellhaa@med.umich.edu.
Juhi S KushwahaWayne State University School of Medicine, Detroit, MI, USA.
Melissa A PlegueCenter for Statistical Consultation and Research, University of Michigan, Ann Arbor, MI, USA.
David T SelewskiDepartment of Pediatrics & Communicable Diseases, University of Michigan, Ann Arbor, MI, USA.
John D E BarksDepartment of Pediatrics & Communicable Diseases, University of Michigan, Ann Arbor, MI, USA.
University of Michigan–Ann Arbor · USWayne State University · US

Funding

MICHIGAN INSTITUTE FOR CLINICAL AND HEALTH RESEARCH (MICHR) (UL1): (BPCA)UL1RR024986 · NCRR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SHANLEY, THOMAS P. · 2007 to 2011
$51.2M
Michigan Institute for Clinical and Health Research (MCHR)UL1TR000433 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MASHOUR, GEORGE ALEXANDER · 2012 to 2016
$49.9M
Cerebral metabolism, EEG, and sleep cycling in critically ill neonatesK23HD068402 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SHELLHAAS, RENEE A. · 2011 to 2014
$534k
NCATS NIH HHS UL1 TR000433NCRR NIH HHS UL1 RR024986NCRR NIH HHS UL1RR024986NICHD NIH HHS K23 HD068402
6 · The paper itself

Abstract

Amplitude-integrated EEG (aEEG) is a commonly used predictor of outcome after hypoxic ischemic encephalopathy. Cerebral and systemic near-infrared spectroscopy and acute kidney injury might also have prognostic value. The authors monitored neonates with aEEG, cerebral and systemic near-infrared spectroscopy during therapeutic hypothermia, assigned an acute kidney injury stage, and measured neurodevelopmental outcome. For 18 infants, cerebral near-infrared spectroscopy variables did not differentiate between those with favorable (n = 13) versus adverse (death or moderate-severe disability; n = 5) 18-month outcomes. However, systemic rSO2 variability was higher during hours 48-72 of cooling among those with favorable outcomes (.02 < P < .03). Mean aEEG amplitude during hours 24 to 48 of cooling was higher among those with good outcomes (.027 < P < .032). The aEEG lower margin was also higher during hours 12 to 48 for those with good outcomes (.014 < P < .035). Acute kidney injury did not predict outcome (P > .05). aEEG is a useful prognostic tool for outcomes after neonatal hypoxic ischemic encephalopathy, but the role of near-infrared spectroscopy in the hypothermia-treated population remains uncertain.

Indexed as

ElectroencephalographyHypothermia, InducedSpectroscopy, Near-InfraredBrainFemaleFollow-Up StudiesHumansHypoxia-Ischemia, BrainInfant, NewbornMalePilot ProjectsPrognosisTime FactorsTreatment Outcomeacute kidney injuryamplitude-integrated EEGdevelopmental outcomehypoxic-ischemic encephalopathynear-infrared spectroscopy

Identifiers

PMID25724376
PMCPMC4551612
OpenAlexW1965582307

What OpenQuestion holds

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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.