Evidence map›Paper›PMID 33846554›Full record

Observational studyPediatric research2022

Body temperature, heart rate and long-term outcome of cooled infants: an observational study.

Kennosuke Tsuda, Jun Shibasaki, Tetsuya Isayama, Akihito Takeuchi, Takeo Mukai, Tomoaki Ioroi, Akihito Takahashi, Hiroyuki Sano, Nanae Yutaka, Sachiko Iwata and 6 more

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Pediatric research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
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

16 authors.

Kennosuke TsudaDepartment of Pediatrics, Japanese Red Cross Nagoya Daini Hospital, Aichi, Japan.
Jun ShibasakiDepartment of Neonatology, Kanagawa Children's Medical Center, Kanagawa, Japan.
Tetsuya IsayamaDivision of Neonatology, Center of Maternal-Fetal Neonatal and Reproductive Medicine, National Center for Child Health and Development, Tokyo, Japan.
Akihito TakeuchiDivision of Neonatology, National Hospital Organization Okayama Medical Center, Okayama, Japan.
Takeo MukaiDepartment of Pediatrics, The University of Tokyo Hospital, Tokyo, Japan.
Tomoaki IoroiDepartment of Pediatrics, Perinatal Medical Center, Himeji Red Cross Hospital, Hyogo, Japan.
Akihito TakahashiDepartment of Pediatrics, Kurashiki Central Hospital, Okayama, Japan.
Hiroyuki SanoDepartment of Pediatrics, Yodogawa Christian Hospital, Osaka, Japan.
Nanae YutakaDepartment of Pediatrics, Yodogawa Christian Hospital, Osaka, Japan.
Sachiko IwataCenter for Human Development and Family Science, Department of Neonatology and Pediatrics, Nagoya City University Graduate School of Medical Sciences, Aichi, Japan.
Makoto NabetaniDepartment of Pediatrics, Yodogawa Christian Hospital, Osaka, Japan.
Hisanori SobajimaDivision of Neonatology, Center for Maternal, Fetal and Neonatal Medicine, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
Shigeharu HosonoDivision of Neonatology, Department of Perinatal and Neonatal Medicine, Jichi Medical University Saitama Medical Center, Saitama, Japan.
Masanori TamuraDepartment of Pediatrics, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
Osuke IwataCenter for Human Development and Family Science, Department of Neonatology and Pediatrics, Nagoya City University Graduate School of Medical Sciences, Aichi, Japan. o.iwata@med.nagoya-cu.ac.jp.
Baby Cooling Registry of Japan

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTherapeutic hypothermia is a standard of care for neonatal encephalopathy; however, approximately one in two newborn infants fails to respond to this treatment. Recent studies have suggested potential relationships between body temperature, heart rate and the outcome of cooled infants.

methodsThe clinical data of 756 infants registered to the Baby Cooling Registry of Japan between January 2012 and December 2016 were analysed to assess the relationship between body temperature, heart rate and adverse outcomes (death or severe impairment at 18 months corrected age).

resultsA lower body temperature at admission was associated with adverse outcomes in the univariate analysis (P < 0.001), the significance of which was lost when adjusted for the severity of encephalopathy and other covariates. A higher body temperature during cooling and higher heart rate before and during cooling were associated with adverse outcomes in both univariate (all P < 0.001) and multivariate (P = 0.012, P < 0.001 and P < 0.001, respectively) analyses.

conclusionsSevere hypoxia-ischaemia might be a common causative of faster heart rates before and during cooling and low body temperature before cooling, whereas causal relationships between slightly higher temperatures during cooling and adverse outcomes need to be elucidated in future studies. IMPACT: In a large cohort of encephalopathic newborn infants, dual roles of body temperature to the outcome were shown; adverse outcomes were associated with a lower body temperature at admission and higher body temperature during cooling. A higher heart rate before and during cooling were associated with adverse outcomes. Severe hypoxia-ischaemia might be a common causative of faster heart rates before and during cooling and low body temperature before cooling. The exact mechanism underlying the relationship between slightly higher body temperature during cooling and adverse outcomes remains unknown, which needs to be elucidated in future studies.

Indexed as

Brain DiseasesHypothermia, InducedHypoxia-Ischemia, BrainBody TemperatureHeart RateHumansHypoxiaInfantInfant, Newborn

Identifiers

What OpenQuestion holds

Textmetadata
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.