Evidence map›Paper›PMID 30250303›Full record

Observational studyPediatric research2018

Prospective research in infants with mild encephalopathy identified in the first six hours of life: neurodevelopmental outcomes at 18-22 months.

Lina F Chalak, Kim-Anh Nguyen, Chatchay Prempunpong, Roy Heyne, Sudhin Thayyil, Seetha Shankaran, Abbot R Laptook, Nancy Rollins, Athina Pappas, Louise Koclas and 5 more

3 registry-linked trialsAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Pediatric research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 65 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 2 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.

NCT04621279 recruitingnot on this mapstarted 2023, after this paper: background citation

COOLPRIME: Comparative Effectiveness for Cooling Prospectively Infants With Mild Encephalopathy

TypeobservationalSponsorUniversity of Texas Southwestern Medical CenterRan2023 to 2029Enrolled460ConditionsMild Hypoxic Ischemic Encephalopathy of NewbornArmsNormothermia, Whole body therapeutic hypothermia
NCT04816331 unknown statusnot on this mapstarted 2020, after this paper: background citation

Follow-up of Inflammatory Responses and Multiorgan Outcomes FoLlowing Neonatal Brain injurY

Typeobservational_patient_registrySponsorUniversity of Dublin, Trinity CollegeRan2020 to 2022Enrolled200ConditionsNeonatal EncephalopathyArmsMedical records and clinical measurements
NCT07393620 recruitingnot on this mapstarted 2026, after this paper: background citation

Predictive Value of Amplitude-Integrated Electroencephalography and Cerebral Tissue Oxygenation on Neurological Outcomes in Neonates With Mild Hypoxic-Ischemic Encephalopathy

TypeobservationalSponsorUludag UniversityRan2026 to 2029Enrolled30ConditionsHypoxic-Ischemic Encephalopathy Mild
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Observational
  7. Article
  8. Observational
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
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  15. Article
  16. Racial disparities and outcomes in neonatal hypoxic-ischemic encephalopathy.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  17. Article
  18. School outcomes after HIE: a population-based cohort study.Archives of disease in childhood. Fetal and neonatal edition · 2025
    Article
  19. Article
  20. Article

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

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

15 authors.

Lina F ChalakUniversity of Texas Southwestern Medical Center, Dallas, TX, USA. lina.chalak@utsouthwestern.edu.
Kim-Anh NguyenMcGill University Health Center, Montreal, QC, Canada.
Chatchay PrempunpongMahidol University, Bangkok, Thailand.
Roy HeyneUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.
Sudhin ThayyilImperial College, London, UK.
Seetha ShankaranWayne State University, Detroit, MI, USA.
Abbot R LaptookBrown University, Providence, RI, USA.
Nancy RollinsUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.
Athina PappasWayne State University, Detroit, MI, USA.
Louise KoclasMcGill University Health Center, Montreal, QC, Canada.
Birju ShahBrown University, Providence, RI, USA.
Paolo MontaldoImperial College, London, UK.
Benyachalee TechasaensiriMahidol University, Bangkok, Thailand.
Pablo J SánchezCenter for Perinatal Research, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, OH, USA.
Guilherme Sant'AnnaMcGill University Health Center, Montreal, QC, Canada.

Funding

A Novel Wavelet Neurovascular Bundle for Real Time Detection of Injury in Neonatal EncephalopathyR01NS102617 · NINDS · UT SOUTHWESTERN MEDICAL CENTER · PI LINA F CHALAK · 2017 to 2026
$4.0M
Cerebrovascular Dysfunction in Newborns with HIE during Hypothermia and RewarmingK23HD069521 · NICHD · UT SOUTHWESTERN MEDICAL CENTER · PI CHALAK, LINA F · 2012 to 2014
$368k
Department of Health NIHR/CS/010/022Medical Research Council MR/R001375/1NICHD NIH HHS K23 HD069521NINDS NIH HHS R01 NS102617
6 · The paper itself

Abstract

backgroundStudies of early childhood outcomes of mild hypoxic-ischemic encephalopathy (HIE) identified in the first 6 h of life are lacking.

objectiveTo evaluate neurodevelopmental outcomes at 18-22 months of PRIME study. STUDY

designMulticenter, prospective study of mild HIE defined as ≥1 abnormality using the modified Sarnat within 6 h of birth and not meeting cooling criteria. Primary outcome was disability with mild: Bayley III cognitive 70-84 or ≥85 and either Gross Motor Function Classification System (GMFCS) 1 or 2, seizures, or hearing deficit; moderate: cognitive 70-84 and either GMFCS 2, seizures, or hearing deficit; severe: cognitive <70, GMFCS 3-5.

resultsOf the 63 infants enrolled, 51 (81%) were evaluated at 19 ± 2 months and 43 (68%) completed Bayley III. Of the 43 infants, 7 (16%) were diagnosed with disability, including 1 cerebral palsy and 2 autism. Bayley scores < 85 in either cognition, motor, or language were detected in 17 (40%): 14 (32%) language, 7 (16%) cognitive, and 6 (14%) motor domain. Infants with disability had more abnormalities on discharge examination and brain MRI, with longer hospital stay (p < 0.001).

conclusionsIn this contemporary untreated cohort of mild HIE, disability occurred in 16% of infants at 18-22 months.

Indexed as

Autistic DisorderBirth WeightBrainBrain DiseasesCerebral PalsyCognitionDevelopmental DisabilitiesFollow-Up StudiesHumansHypoxia-Ischemia, BrainInfantInfant, NewbornInternational CooperationMagnetic Resonance ImagingNeurologic ExaminationProspective Studies

Identifiers

PMID30250303
PMCPMC6445543

What OpenQuestion holds

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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.