Evidence map›Paper›PMID 35050459›Full record

ReviewIndian journal of pediatrics2022

Neonatal Seizures-Perspective in Low-and Middle-Income Countries.

Hemadri Vegda, Vaisakh Krishnan, Gabriel Variane, Vaishnavi Bagayi, Phoebe Ivain, Ronit M Pressler

Abstract readReview
In one paragraph

Review in Indian journal of pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. [Amplitude-integrated electroencephalography monitoring results of hospitalized neonates in plateau areas].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2024
    Article
  13. Article
  14. Review
  15. Article
  16. Neonatal seizures: stepping outside the comfort zone.Clinical and experimental pediatrics · 2022
    Article
  17. Changing Paradigms in Neonatal Care.Indian journal of pediatrics · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Hemadri VegdaCenter of Perinatal Neuroscience, Department of Brain Sciences, Imperial College, London, UK.
Vaisakh KrishnanCenter of Perinatal Neuroscience, Department of Brain Sciences, Imperial College, London, UK.
Gabriel VarianeProtecting Brains & Saving Futures, McGill University Health Center/Research Institute of the McGill University Health Center, São Paulo - SP, Brazil.
Vaishnavi BagayiCenter of Perinatal Neuroscience, Department of Brain Sciences, Imperial College, London, UK.
Phoebe IvainCenter for Perinatal Neuroscience, Brain Sciences Department, Imperial College of Science Technology and Medicine, London, UK.
Ronit M PresslerDepartment of Clinical Neurophysiology, Great Ormond Street Hospital for Children NHS Trust, London, UK. r.pressler@ucl.ac.uk.ORCID http://orcid.org/0000-0002-2905-6839

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neonatal seizures are the commonest neurological emergency and are associated with poor neurodevelopmental outcome. While they are generally difficult to diagnose and treat, they pose a significant clinical challenge for physicians in low- and middle-income countries (LMIC). They are mostly provoked seizures caused by an acute brain insult such as hypoxic-ischemic encephalopathy (HIE), ischemic stroke, intracranial hemorrhage, infections of the central nervous system, or acute metabolic disturbances. Early onset epilepsy syndromes are less common. Clinical diagnosis of seizures in the neonatal period are frequently inaccurate, as clinical manifestations are difficult to distinguish from nonseizure behavior. Additionally, a high proportion of seizures are electrographic-only without any clinical manifestations, making diagnosis with EEG or aEEG a necessity. Only focal clonic and focal tonic seizures can be diagnosed clinically with adequate diagnostic certainty. Prompt diagnosis and timely treatment are important, with evidence suggesting that early treatment improves the response to antiseizure medication. The vast majority of published studies are from high-income countries, making extrapolation to LMIC impossible, thus highlighting the urgent need for a better understanding of the etiologies, comorbidities, and drug trials evaluating safety and efficacy in LMIC. In this review paper, the authors present the latest data on etiology, diagnosis, classification, and guidelines for the management of neonates with the emphasis on low-resource settings.

Indexed as

EpilepsyHypoxia-Ischemia, BrainInfant, Newborn, DiseasesDeveloping CountriesElectroencephalographyHumansInfant, NewbornSeizuresEEGLow- and middle-income countriesNeonatal seizureTreatment

Identifiers

PMID35050459
PMCPMC8857130

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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.