Evidence map›Paper›PMID 28193115›Full record

ArticleJournal of child neurology2017

Characterization of Death in Neonatal Encephalopathy in the Hypothermia Era.

Monica E Lemmon, Renee D Boss, Sonia L Bonifacio, Audrey Foster-Barber, A James Barkovich, Hannah C Glass

Registry-linked trialAbstract read
In one paragraph

Article in Journal of child neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05733975 (Decision Making Support for Parents and Caregivers), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.9field-weighted citation impact, top 6% 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.

NCT05733975 nacompletednot on this mapstarted 2023, after this paper: background citation

Decision Making Support for Parents and Caregivers

TypeinterventionalSponsorDuke UniversityRan2023 to 2024Enrolled104ConditionsNeonatal Critical Illness, Pediatric Critical IllnessArmsDecision Making Guide
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 31 citations in OpenAlex.

  1. Should Australia Adopt a Groningen Like Protocol?Journal of bioethical inquiry · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Neonatal neuropalliative care.Handbook of clinical neurology · 2023
    Review
  13. Article
  14. Article
  15. Article
  16. Neuropalliative Care for Neonates.Journal of child neurology · 2021
    Review
  17. Prognostic value of neonatal EEG following therapeutic hypothermia in survivors of hypoxic-ischemic encephalopathy.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2021
    Article
  18. Article
  19. Observational
  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

6 authors at 3 institutions in 1 country.

Monica E Lemmon1 Department of Pediatrics, Duke University Medical Center, Durham, NC, USA.
Renee D Boss3 Division of Neonatology, Department of Pediatrics, Johns Hopkins Hospital, Baltimore, MD, USA.
Sonia L Bonifacio5 Department of Pediatrics, Stanford University, Palo Alto, CA, USA.
Audrey Foster-Barber6 Department of Pediatrics, University of California, San Francisco, San Francisco, CA, USA.
A James Barkovich6 Department of Pediatrics, University of California, San Francisco, San Francisco, CA, USA.
Hannah C Glass6 Department of Pediatrics, University of California, San Francisco, San Francisco, CA, USA.
University of California, San Francisco · USJohns Hopkins Hospital · USStanford University · US

Funding

Early Biomarkers in Neonatal Brain InjuryK23NS082500 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BONIFACIO, SONIA L · 2013 to 2017
$977k
MRI Mechanisms of Adverse Outcome in Preterm Infants with SeizuresK23NS066137 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GLASS, HANNAH CRANLEY · 2010 to 2014
$858k
NINDS NIH HHS K23 NS066137NINDS NIH HHS K23 NS082500
6 · The paper itself

Abstract

This study aimed to characterize the circumstances of death in encephalopathic neonates treated with therapeutic hypothermia. Patients who died after or during treatment with therapeutic hypothermia between 2007-2014 were identified. Patient circumstance of death was characterized using an established paradigm. Thirty-one of 229 patients died (14%) at a median of 3 days of life. Most who died were severely encephalopathic on examination (90%) and had severely abnormal electroencephalographic (EEG) findings (87%). All those who had magnetic resonance images (n = 13) had evidence of moderate-severe brain injury; 6 had near-total brain injury. Cooling was discontinued prematurely in 61% of patients. Most patients (90%) were physiologically stable at the time of death; 81% died following elective extubation for quality of life considerations. Three patients (10%) died following withholding or removal of artificial hydration and nutrition. Characterization of death in additional cohorts is needed to identify differences in decision making practices over time and between centers.

Indexed as

Hypothermia, InducedAdolescentAdultBrainBrain DiseasesElectroencephalographyFemaleHospice CareHumansInfantIntensive Care Units, NeonatalMagnetic Resonance ImagingMaleProspective StudiesTreatment FailureYoung Adultdeathdecision makinghypoxic-ischemic encephalopathyneonatal encephalopathytherapeutic hypothermia

Identifiers

PMID28193115
PMCPMC5359080
OpenAlexW2577422910

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.