Evidence map›Paper›PMID 28208138›Full record

ArticleNeonatology2017

A Comparison of the Thompson Encephalopathy Score and Amplitude-Integrated Electroencephalography in Infants with Perinatal Asphyxia and Therapeutic Hypothermia.

Lauren C Weeke, Ana Vilan, Mona C Toet, Ingrid C van Haastert, Linda S de Vries, Floris Groenendaal

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in Neonatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04043299 (Birth Asphyxia in Uganda), which is not on this map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

NCT04043299 phase3unknown statusnot on this mapstarted 2020, after this paper: background citation

Birth Asphyxia in Uganda: Prevalence, Associated Factors and Effect of Intrapartum Oxygen Administration on Fetal and Early Neonatal Outcomes

TypeinterventionalSponsorMakerere UniversityRan2020 to 2020Enrolled1,108ConditionsFetal Distress, Birth AsphyxiaArms100% Oxygen, 21% oxygen
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

6 authors.

Lauren C WeekeDepartment of Neonatology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Ana Vilan
Mona C Toet
Ingrid C van Haastert
Linda S de Vries
Floris Groenendaal

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn previous studies clinical signs or amplitude-integrated electroencephalography (aEEG)-based signs of encephalopathy were used to select infants with perinatal asphyxia for treatment with hypothermia.

aimThe objective of this study was to compare Thompson encephalopathy scores and aEEG, and relate both to outcome. SUBJECTS AND

methodsThompson scores, aEEG, and outcome were compared in 122 infants with perinatal asphyxia and therapeutic hypothermia. Of these 122 infants, 41 died and 7 had an adverse neurodevelopmental outcome. A receiver operating characteristics (ROC) analysis was also performed.

resultsThompson scores were higher in infants with more abnormal aEEG background patterns (ANOVA, p < 0.001). The ROC analysis demonstrated that a Thompson score of 11 or higher or an aEEG background pattern of continuous low voltage or worse was associated with an adverse outcome (AUC 0.84 for both).

conclusionsHigh Thompson scores and a suppressed aEEG background pattern are associated with an adverse outcome after perinatal asphyxia and therapeutic hypothermia. Further studies are needed to identify the best technique with which to select patients for therapeutic hypothermia.

Indexed as

Brain WavesDecision Support TechniquesElectroencephalographyHypothermia, InducedSignal Processing, Computer-AssistedAnalysis of VarianceArea Under CurveAsphyxia NeonatorumBrainChild DevelopmentChild, PreschoolClinical Decision-MakingFemaleHumansInfantInfant, NewbornElectroencephalographyEncephalopathyNeurodevelopmentPerinatal asphyxiaTherapeutic hypothermiaThompson score

Identifiers

PMID28208138
PMCPMC5569711

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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.