Evidence map›Paper›PMID 36195634›Full record

ReviewPediatric research2023

Neuroprotective therapies in the NICU in term infants: present and future.

Eleanor J Molloy, Mohamed El-Dib, Sandra E Juul, Manon Benders, Fernando Gonzalez, Cynthia Bearer, Yvonne W Wu, Nicola J Robertson, Tim Hurley, Aoife Branagan and 11 more

Open access · hybridAbstract readReview
In one paragraph

Review in Pediatric research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
28.9field-weighted citation impact, top 1% 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

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.

  1. Pooled it
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  14. Infection and neonatal encephalopathy.Pediatric research · 2026
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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

21 authors at 20 institutions in 6 countries.

Eleanor J MolloyPaediatrics, Trinity College Dublin, Trinity Research in Childhood Centre (TRICC), Dublin, Ireland. Eleanor.molloy@tcd.ie.
Mohamed El-DibDepartment of Pediatric Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Sandra E JuulUniversity of Washington, Seattle, WA, USA.
Manon BendersDepartment of Neonatology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Fernando GonzalezDepartment of Neurology, Division of Child Neurology, University of California San Francisco, San Francisco, CA, USA.
Cynthia BearerDivision of Neonatology, Department of Pediatrics, Rainbow Babies & Children's Hospital, Cleveland, OH, USA.
Yvonne W WuDepartment of Neurology, University of California San Francisco, San Francisco, CA, USA.
Nicola J RobertsonInstitute for Women's Health, University College London, London, UK.
Tim HurleyPaediatrics, Trinity College Dublin, Trinity Research in Childhood Centre (TRICC), Dublin, Ireland.
Aoife BranaganPaediatrics, Trinity College Dublin, Trinity Research in Childhood Centre (TRICC), Dublin, Ireland.
C Michael CottenDepartment of Pediatrics, Duke University, Durham, NC, USA.
Sidhartha TanPediatrics, Division of Neonatology, Children's Hospital of Michigan, Detroit, MI, USA.
Abbot LaptookDepartment of Pediatrics, Women and Infants Hospital, Brown University, Providence, RI, USA.
Topun AustinDepartment of Paediatrics, University of Cambridge, Cambridge, UK.
Khorshid MohammadSection of Neonatology, Department of Pediatrics, University of Calgary, Calgary, AB, Canada.
Elizabeth RogersDepartment of Pediatrics, University of California, San Francisco Benioff Children's Hospital, San Francisco, CA, USA.
Karen LuytTranslational Health Sciences, University of Bristol, Bristol, UK.
Sonia BonifacioDivision of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, 750 Welch Road, Suite 315, Palo Alto, CA, 94304, USA.
Janet S SoulDepartment of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Alistair J GunnDepartments of Physiology and Paediatrics, School of Medical Sciences, University of Auckland, Private Bag 92019, Auckland, New Zealand.
Newborn Brain Society Guidelines and Publications Committee
Trinity College Dublin · IEUniversity of California, San Francisco · USDuke University · USHospital for Sick Children · CAStanford University · USBrigham and Women's Hospital · USBrown University · USCase Western Reserve University · USChildren's Hospital of Michigan · USChildren's National · USCleveland Clinic · USGeorge Washington University · USHarvard University · USLondon Women's Clinic · GBLurie Children's Hospital · USMontreal Children's Hospital · CAUCSF Benioff Children's Hospital · USUniversity Hospitals Bristol NHS Foundation Trust · GBUniversity of Auckland · NZUniversity of Calgary · CA

Funding

Probing Role of Tetrahydrobiopterin in Cerebral Palsy by Using Transgenic RabbitsR01NS117146 · NINDS · WAYNE STATE UNIVERSITY · PI TAN, SIDHARTHA, VASQUEZ VIVAR, JEANNETTE M. · 2021 to 2025
$3.1M
Neuroprotection by nNOS inhibitors in perinatal hypoxia-ischemiaR01NS114972 · NINDS · WAYNE STATE UNIVERSITY · PI TAN, SIDHARTHA · 2020 to 2024
$3.1M
NINDS NIH HHS R01 NS114972NINDS NIH HHS R01 NS117146
6 · The paper itself

Abstract

Outcomes of neonatal encephalopathy (NE) have improved since the widespread implementation of therapeutic hypothermia (TH) in high-resource settings. While TH for NE in term and near-term infants has proven beneficial, 30-50% of infants with moderate-to-severe NE treated with TH still suffer death or significant impairments. There is therefore a critical need to find additional pharmacological and non-pharmacological interventions that improve the outcomes for these children. There are many potential candidates; however, it is unclear whether these interventions have additional benefits when used with TH. Although primary and delayed (secondary) brain injury starting in the latent phase after HI are major contributors to neurodisability, the very late evolving effects of tertiary brain injury likely require different interventions targeting neurorestoration. Clinical trials of seizure management and neuroprotection bundles are needed, in addition to current trials combining erythropoietin, stem cells, and melatonin with TH. IMPACT: The widespread use of therapeutic hypothermia (TH) in the treatment of neonatal encephalopathy (NE) has reduced the associated morbidity and mortality. However, 30-50% of infants with moderate-to-severe NE treated with TH still suffer death or significant impairments. This review details the pathophysiology of NE along with the evidence for the use of TH and other beneficial neuroprotective strategies used in term infants. We also discuss treatment strategies undergoing evaluation at present as potential adjuvant treatments to TH in NE.

Indexed as

Brain InjuriesHypothermia, InducedHypoxia-Ischemia, BrainInfant, Newborn, DiseasesNeuroprotective AgentsChildHumansInfantInfant, NewbornIntensive Care Units, NeonatalNeuroprotectionNeuroprotective Agents

Identifiers

PMID36195634
PMCPMC10070589
OpenAlexW4301394182

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.