Evidence map›Paper›PMID 35338480›Full record

ArticleActa obstetricia et gynecologica Scandinavica2022

Risk factors for hypoxic-ischemic encephalopathy in cases of severe acidosis: A case-control study.

Perrine Lorain, Alexandra Bower, Elsa Gottardi, Marc Dommergues, Laurence Foix L'Helias, Isabelle Guellec, Gilles Kayem

Open access · diamondAbstract readMulticenter Study
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. RECOVER Guidelines: Newborn Resuscitation in Dogs and Cats. Clinical Guidelines.Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001) · 2025
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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

7 authors at 2 institutions in 1 country.

Perrine LorainDepartment of Gynecology and Obstetrics, Trousseau Hospital - Assistance Publique-Hopitaux de Paris, Sorbonne University, Paris, France.ORCID https://orcid.org/0000-0003-4805-0245
Alexandra BowerDepartment of Neonatology, Trousseau Hospital - Assistance Publique-Hopitaux de Paris, Sorbonne University, Paris, France.
Elsa GottardiDepartment of Gynecology and Obstetrics, Trousseau Hospital - Assistance Publique-Hopitaux de Paris, Sorbonne University, Paris, France.
Marc DommerguesDepartment of Gynecology and Obstetrics, Pitié Salpétrière Hospital - Assistance Publique-Hopitaux de Paris, Sorbonne University, Paris, France.
Laurence Foix L'HeliasDepartment of Neonatology, Trousseau Hospital - Assistance Publique-Hopitaux de Paris, Sorbonne University, Paris, France.
Isabelle GuellecInserm UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (EPOPé), Research Center for Epidemiology and BioStatistics Sorbonne Paris Cité (CRESS), DHU Risks in pregnancy, Paris Descartes University, Paris, France.
Gilles KayemDepartment of Gynecology and Obstetrics, Trousseau Hospital - Assistance Publique-Hopitaux de Paris, Sorbonne University, Paris, France.
Sorbonne Université · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe aim of the study was to identify the obstetric risk factors for hypoxic-ischemic encephalopathy (HIE) in infants with asphyxia at birth. MATERIAL AND

methodsThis multicenter case-control study covered the 5-year period from 2014 through 2018 and included newborns ≥36 weeks of gestation with an umbilical pH at birth ≤7.0. Cases were newborns who developed moderate or severe HIE; they were matched with controls with pH ≤7.0 at birth over the same period without moderate or severe HIE. The factors studied were maternal, gestational, intrapartum, delivery-related, and neonatal characteristics. A multivariable analysis was performed to study the maternal, obstetric, and neonatal factors independently associated with moderate or severe HIE.

resultsOur review of the records identified 41 cases and 98 controls. Compared with controls, children with moderate or severe HIE had a lower 5-min Apgar score, lower umbilical artery pH, and higher cord lactate levels at birth and at 1 h of life. Obstetric factors associated with moderate or severe HIE were the occurrence of an acute event (adjusted odds ratio [aOR] 6.4; 95% confidence interval [CI] 1.8-22.5), maternal fever (aOR 3.5; 95% CI 1.0-11.9), and thick meconium during labor (aOR 2.9; 95% CI 1.0-8.6).

conclusionsHIE is associated with a lower 5-min Apgar score and with the severity of acidosis at birth and at 1 h of life. In newborns with a pH <7.0 at birth, the occurrence of an acute obstetric event, maternal fever, and thick meconium are independent factors associated with moderate or severe HIE.

Indexed as

AcidosisAsphyxia NeonatorumHypoxia-Ischemia, BrainApgar ScoreCase-Control StudiesChildFemaleHumansInfantInfant, NewbornPregnancyRisk Factorsacidosisencephalopathyhypoxic-ischemicintrapartum asphyxiaumbilical pH

Identifiers

PMID35338480
PMCPMC9564668
OpenAlexW4220657261

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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.