Evidence map›Paper›PMID 26063779›Full record

ArticleJournal of neurophysiology2015

Impaired cerebral autoregulation and brain injury in newborns with hypoxic-ischemic encephalopathy treated with hypothermia.

An N Massaro, R B Govindan, Gilbert Vezina, Taeun Chang, Nickie N Andescavage, Yunfei Wang, Tareq Al-Shargabi, Marina Metzler, Kari Harris, Adre J du Plessis

Registry-linked trialAbstract read
In one paragraph

Article in Journal of neurophysiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03512613 (A Pilot Study- Monitoring Cerebral Blood Flow in Neonates With Congenital Heart Defects), which is not on this map. Cited by 55 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 2 pooled it
16.1field-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.

NCT03512613 unknown statusnot on this mapstarted 2018, after this paper: background citation

A Pilot Study- Monitoring Cerebral Blood Flow in Neonates With Congenital Heart Defects

TypeobservationalSponsorOrnim MedicalRan2018 to 2019Enrolled55ConditionsCongenital Heart Defect, Cerebrovascular CirculationArmsc-FLOW 3310-P
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 2 syntheses or guidelines pooled it, 91 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Hemodynamics in infants with hypoxemic ischemic encephalopathy: pathophysiology and beyond.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
  5. Observational
  6. Article
  7. Article
  8. Cerebral autoregulation in pediatric and neonatal intensive care: A scoping review.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
    Article
  9. Review
  10. Review
  11. Effect of early clinical management on metabolic acidemia in neonates with hypoxic-ischemic encephalopathy.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Observational
  18. 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
  19. Review
  20. Review
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

10 authors at 2 institutions in 1 country.

An N MassaroDivision of Neonatology, Children's National Health System, Washington, District of Columbia; Division of Fetal and Transitional Medicine, Children's National Health System, Washington, District of Columbia; Department of Pediatrics, The George Washington University School of Medicine, Washington, District of Columbia anguyenm@childrensnational.org.
R B GovindanDivision of Fetal and Transitional Medicine, Children's National Health System, Washington, District of Columbia; Department of Pediatrics, The George Washington University School of Medicine, Washington, District of Columbia.
Gilbert VezinaDivision of Diagnostic Imaging and Radiology, Children's National Health System, Washington, District of Columbia; Department of Pediatrics, The George Washington University School of Medicine, Washington, District of Columbia.
Taeun ChangDepartment of Neurology, Children's National Health System, Washington, District of Columbia; Department of Pediatrics, The George Washington University School of Medicine, Washington, District of Columbia.
Nickie N AndescavageDivision of Neonatology, Children's National Health System, Washington, District of Columbia; Department of Pediatrics, The George Washington University School of Medicine, Washington, District of Columbia.
Yunfei WangDepartment of Biostatistics and Study Methodology, Children's National Health System, Washington, District of Columbia; and Department of Pediatrics, The George Washington University School of Medicine, Washington, District of Columbia.
Tareq Al-ShargabiDivision of Fetal and Transitional Medicine, Children's National Health System, Washington, District of Columbia;
Marina MetzlerDivision of Fetal and Transitional Medicine, Children's National Health System, Washington, District of Columbia;
Kari HarrisDepartment of Neurology, Children's National Health System, Washington, District of Columbia;
Adre J du PlessisDivision of Fetal and Transitional Medicine, Children's National Health System, Washington, District of Columbia; Department of Pediatrics, The George Washington University School of Medicine, Washington, District of Columbia.
Children's National · USGeorge Washington University · US

Funding

NEUROIMAGING COREP30HD040677 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI VITTORIO GALLO, VITTORIO GALLO VITTORIO GALLO · 2001 to 2015
$15.9M
Clinical and Translational Science Institute at Children's NationalUL1TR000075 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI GUAY-WOODFORD, LISA MARIE · 2012 to 2015
$13.7M
Clinical and Translational Science Institute at Children's NationalKL2TR000076 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI GUAY-WOODFORD, LISA MARIE · 2012 to 2014
$756k
NCATS NIH HHS KL2 TR-000076NCATS NIH HHS UL1TR-000075NICHD NIH HHS P30 HD-040677
6 · The paper itself

Abstract

Impaired cerebral autoregulation may contribute to secondary injury in newborns with hypoxic-ischemic encephalopathy (HIE). Continuous, noninvasive assessment of cerebral pressure autoregulation can be achieved with bedside near-infrared spectroscopy (NIRS) and systemic mean arterial blood pressure (MAP) monitoring. This study aimed to evaluate whether impaired cerebral autoregulation measured by NIRS-MAP monitoring during therapeutic hypothermia and rewarming relates to outcome in 36 newborns with HIE. Spectral coherence analysis between NIRS and MAP was used to quantify changes in the duration [pressure passivity index (PPI)] and magnitude (gain) of cerebral autoregulatory impairment. Higher PPI in both cerebral hemispheres and gain in the right hemisphere were associated with neonatal adverse outcomes [death or detectable brain injury by magnetic resonance imaging (MRI), P < 0.001]. NIRS-MAP monitoring of cerebral autoregulation can provide an ongoing physiological biomarker that may help direct care in perinatal brain injury.

Indexed as

CryotherapyBlood PressureBrainFemaleFunctional LateralityHumansHypoxia-Ischemia, BrainInfant, NewbornMagnetic Resonance ImagingMaleProspective StudiesSpectroscopy, Near-Infraredcerebral blood flowhypoxic-ischemic encephalopathymagnetic resonance imagingnewborn

Identifiers

PMID26063779
PMCPMC4533061
OpenAlexW2157315110

What OpenQuestion holds

Textmetadata
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.