Evidence map›Paper›PMID 38006967›Full record

Trial reportThe Journal of pediatrics2024

Time to Reaching Target Cooling Temperature and 2-year Outcomes in Infants with Hypoxic-Ischemic Encephalopathy.

Rakesh Rao, Bryan A Comstock, Tai-Wei Wu, Ulrike Mietzsch, Dennis E Mayock, Fernando F Gonzalez, Thomas R Wood, Patrick J Heagerty, Sandra E Juul, Yvonne W Wu

Registry-linked trialOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in The Journal of pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02811263 (High-dose Erythropoietin for Asphyxia and Encephalopathy), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.6field-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.

NCT02811263 phase3completednot on this map

High-dose Erythropoietin for Asphyxia and Encephalopathy

TypeinterventionalSponsorUniversity of California, San FranciscoRan2017 to 2022Enrolled500ConditionsNeonatal Encephalopathy, Birth AsphyxiaArmsNormal saline placebo, Erythropoietin
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
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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

10 authors at 4 institutions in 1 country.

Rakesh RaoDivision of Newborn Medicine, Department of Pediatrics, Washington University in St Louis, St. Louis, MO. Electronic address: Rao_R@wustl.edu.
Bryan A ComstockDivision of Neonatology, Department of Pediatrics, University of Washington, Seattle, WA.
Tai-Wei WuDivision of Neonatology, Department of Pediatrics, University of Southern California, Los Angeles, CA.
Ulrike MietzschDivision of Neonatology, Department of Pediatrics, University of Washington, Seattle, WA.
Dennis E MayockDivision of Neonatology, Department of Pediatrics, University of Washington, Seattle, WA.
Fernando F GonzalezDivision of Neonatology, Department of Pediatrics, University of California, San Francisco, CA.
Thomas R WoodDivision of Neonatology, Department of Pediatrics, University of Washington, Seattle, WA.
Patrick J HeagertyDivision of Neonatology, Department of Pediatrics, University of Washington, Seattle, WA.
Sandra E JuulDivision of Neonatology, Department of Pediatrics, University of Washington, Seattle, WA.
Yvonne W WuDivision of Neonatology, Department of Pediatrics, University of California, San Francisco, CA.
University of Washington · USUniversity of California, San Francisco · USUniversity of Southern California · USWashington University in St. Louis · US

Funding

High-dose Erythropoietin for Asphyxia and Encephalopathy (HEAL) CCCU01NS092764 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JUUL, SANDRA E, WU, YVONNE W · 2016 to 2020
$12.7M
Preterm Epo Neuroprotection Trial (PENUT Trial) CCCU01NS077953 · NINDS · UNIVERSITY OF WASHINGTON · PI JUUL, SANDRA E · 2013 to 2018
$10.7M
High-dose Erythropoietin for Asphyxia and Encephalopathy (HEAL) DCCU01NS092553 · NINDS · UNIVERSITY OF WASHINGTON · PI HEAGERTY, PATRICK J · 2016 to 2020
$1.7M
NINDS NIH HHS U01 NS077953NINDS NIH HHS U01 NS092553NINDS NIH HHS U01 NS092764
6 · The paper itself

Abstract

objectiveTo determine if time to reaching target temperature (TT) is associated with death or neurodevelopmental impairment (NDI) at 2 years of age in infants with hypoxic-ischemic encephalopathy (HIE). STUDY

designNewborn infants ≥36 weeks of gestation diagnosed with moderate or severe HIE and treated with therapeutic hypothermia were stratified based on time at which TT was reached, defined as early (ie, ≤4 hours of age) or late (>4 hours of age). Primary outcomes were death or NDI. Secondary outcomes included neurodevelopmental assessment with Bayley Scales of Infant and Toddler Development, third edition (BSID-III) at age 2.

resultsAmong 500 infants, the median time to reaching TT was 4.3 hours (IWR, 3.2-5.7 hours). Infants in early TT group (n = 211 [42%]) compared with the late TT group (n = 289 [58%]) were more likely to be inborn (23% vs 13%; P < .001) and have severe HIE (28% vs 19%; P = .03). The early and late TT groups did not differ in the primary outcome of death or any NDI (adjusted RR, 1.05; 95% CI, 0.85-0.30; P = .62). Among survivors, neurodevelopmental outcomes did not differ significantly in the 2 groups (adjusted mean difference in Bayley Scales of Infant Development-III scores: cognitive, -2.8 [95% CI, -6.1 to 0.5], language -3.3 [95% CI, -7.4 to 0.8], and motor -3.5 [95% CI, -7.3 to 0.3]).

conclusionsIn infants with HIE, time to reach TT is not independently associated with risk of death or NDI at age 2 years. Among survivors, developmental outcomes are similar between those who reached TT at <4 and ≥4 hours of age.

trial registrationHigh-dose Erythropoietin for Asphyxia and Encephalopathy (HEAL); NCT02811263; https://beta. CLINICALTRIALS: gov/study/NCT02811263.

Indexed as

Hypothermia, InducedHypoxia-Ischemia, BrainCold TemperatureDevelopmental DisabilitiesHumansInfant, NewbornTemperatureage at target temperaturehypoxia-ischemianeonatal encephalopathy

Identifiers

PMID38006967
PMCPMC11509115
OpenAlexW4388949148

What OpenQuestion holds

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Registered trials

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.