Evidence map›Paper›PMID 34828791›Full record

ArticleChildren (Basel, Switzerland)2021

Long-Term Outcomes after Neonatal Hypoxic-Ischemic Encephalopathy in the Era of Therapeutic Hypothermia: A Longitudinal, Prospective, Multicenter Case-Control Study in Children without Overt Brain Damage.

Elisa Cainelli, Luca Vedovelli, Emmanuele Mastretta, Dario Gregori, Agnese Suppiej, Patrizia Silvia Bisiacchi

Open access · goldAbstract read
In one paragraph

Article in Children (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  5. Review
  6. Review
  7. Review
  8. School outcomes after HIE: a population-based cohort study.Archives of disease in childhood. Fetal and neonatal edition · 2025
    Article
  9. Review
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  11. Article
  12. Review
  13. Article
  14. Article
  15. Psychometric properties of the Parenting Stress Index-Short Form in a Peruvian sample.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2024
    Article
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  18. Observational
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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 at 2 institutions in 1 country.

Elisa CainelliDepartment of General Psychology, University of Padova, 35131 Padova, Italy.ORCID 0000-0002-5039-4680
Luca VedovelliUnit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular, and Public Health Sciences, University of Padova, 35121 Padova, Italy.ORCID 0000-0003-4847-2333
Emmanuele MastrettaS.C. Neonatologia, Ospedale S. Anna, Città della Salute e della Scienza di Torino, 10126 Torino, Italy.
Dario GregoriUnit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular, and Public Health Sciences, University of Padova, 35121 Padova, Italy.ORCID 0000-0001-7906-0580
Agnese SuppiejDepartment of Medical Sciences, Section of Pediatrics, University of Ferrara, 44121 Ferrara, Italy.ORCID 0000-0001-5130-1450
Patrizia Silvia BisiacchiDepartment of General Psychology, University of Padova, 35131 Padova, Italy.
University of Padua · ITUniversity of Ferrara · IT

Funding

Ministry of Education, Universities and Research the research program Dipartimenti di Eccellenza (art.1, commi 314-337 legge 232/2016)
6 · The paper itself

Abstract

backgroundData on long-term outcomes in the era before therapeutic hypothermia (TH) showed a higher incidence of cognitive problems. Since the introduction of TH, data on its results are limited.

methodsOur sample population consisted of 40 children with a history of hypoxic-ischemic encephalopathy (HIE) treated with TH, with an average age of 6.25 years (range 5.5, 7.33), 24 (60%) males; and 33 peers with an average age of 8.8 years (6.08, 9.41), 17 (51%) males. Long-term follow-up data belong to two centers in Padova and Torino. We measured general intelligence (WPPSI-III or WISC-IV) and neuropsychological functioning (language, attention, memory, executive functions, social skills, visual motor abilities). We also administered questionnaires to their parents on the children's psychopathological profiles and parental stress.

resultsWe found differences between groups in several cognitive and neuropsychological domains: intelligence, visuomotor skills, executive functions, and attention. Interestingly, IQ test results effectively differentiated between the groups (HIE vs. controls). Furthermore, the incidence of psychopathology appears to be significantly higher in children with HIE (35%) than in control peers (12%).

conclusionsOur study supports previous findings on a higher incidence of neuropsychological, cognitive, and psychopathological sequelae after HIE treated with TH. As hypothesized, TH does not appear to ameliorate the outcome after neonatal HIE in those children who survive without major sequelae.

Indexed as

childrencognitionneuropsychologicalperinatal asphyxiapsychopathology

Identifiers

PMID34828791
PMCPMC8625352
OpenAlexW3217019762

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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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.