Evidence map›Paper›PMID 27979578›Full record

ArticleThe Journal of pediatrics2017

Safety and Short-Term Outcomes of Therapeutic Hypothermia in Preterm Neonates 34-35 Weeks Gestational Age with Hypoxic-Ischemic Encephalopathy.

Rakesh Rao, Shamik Trivedi, Zachary Vesoulis, Steve M Liao, Christopher D Smyser, Amit M Mathur

Open access · greenAbstract readComparative StudyEvaluation Study
In one paragraph

Article in The Journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 2 pooled it
21.6field-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

63 citing papers in PubMed, 2 syntheses or guidelines pooled it, 131 citations in OpenAlex.

  1. Pooled it
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  8. Therapeutic hypothermia and in-hospital mortality in 35-week infants with encephalopathy.Journal of perinatology : official journal of the California Perinatal Association · 2026
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  19. Therapeutic hypothermia for preterm infants 34-35 weeks gestational age with neonatal encephalopathy.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Rakesh RaoDivision of Newborn-Medicine, Department of Pediatrics, Washington University School of Medicine, St Louis, MO. Electronic address: Rao_R@kids.wustl.edu.
Shamik TrivediDivision of Newborn-Medicine, Department of Pediatrics, Washington University School of Medicine, St Louis, MO.
Zachary VesoulisDivision of Newborn-Medicine, Department of Pediatrics, Washington University School of Medicine, St Louis, MO.
Steve M LiaoDivision of Newborn-Medicine, Department of Pediatrics, Washington University School of Medicine, St Louis, MO.
Christopher D SmyserDivision of Pediatric Neurology, Departments of Neurology, Pediatrics, and Radiology, Washington University School of Medicine, St Louis, MO.
Amit M MathurDivision of Newborn-Medicine, Department of Pediatrics, Washington University School of Medicine, St Louis, MO.
Washington University in St. Louis · US

Funding

Washington University Institute of Clinical and Translational SciencesKL2TR000450 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$8.8M
PREDICTING CHILDHOOD OUTCOMES IN PRETERM INFANTS USING CEREBRAL CONNECTIVITYK02NS089852 · NINDS · WASHINGTON UNIVERSITY · PI SMYSER, CHRISTOPHER DANIEL · 2014 to 2018
$848k
NCATS NIH HHS KL2 TR000450NINDS NIH HHS K02 NS089852
6 · The paper itself

Abstract

objectiveTo evaluate the safety and short-term outcomes of preterm neonates born at 34-35 weeks gestation with hypoxic-ischemic encephalopathy (HIE) treated with therapeutic hypothermia. STUDY

designMedical records of preterm neonates born at 34-35 weeks gestational age with HIE treated with therapeutic hypothermia were retrospectively reviewed. Short-term safety outcomes and the presence, severity (mild, moderate, severe), and patterns of brain injury on magnetic resonance imaging were reviewed using a standard scoring system, and compared with a cohort of term neonates with HIE treated with therapeutic hypothermia.

resultsThirty-one preterm and 32 term neonates were identified. Therapeutic hypothermia-associated complications were seen in 90% of preterm infants and 81.3% of term infants (P = .30). In the preterm infants, hyperglycemia (58.1% vs31.3%, P = .03) and rewarming before completion of therapeutic hypothermia (19.4% vs 0.0%, P = .009) were more likely compared with term infants. All deaths occurred in the preterm group (12.9% vs 0%, P = .04). Neuroimaging showed the presence of injury in 80.6% of preterm infants and 59.4% of term infants (P = .07), with no differences in injury severity. Injury to the white matter was more prevalent in preterm infants compared with term infants (66.7% vs 25.0%, P = .001).

conclusionsTherapeutic hypothermia in infants born at 34-35 weeks gestational age appears feasible. Risks of mortality and side effects warrant caution with use of therapeutic hypothermia in preterm infants.

Indexed as

Infant, PrematureApgar ScoreCohort StudiesDatabases, FactualElectroencephalographyFemaleFollow-Up StudiesGestational AgeHumansHypothermia, InducedHypoxia-Ischemia, BrainInfant, NewbornInfant, Premature, DiseasesMagnetic Resonance ImagingMalePatient Safetyhypoxic-ischemic encephalopathymagnetic resonance imagingsafetytherapeutic hypothermiawhite matter injury

Identifiers

PMID27979578
PMCPMC5367984
OpenAlexW2564617103

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.