Evidence map›Paper›PMID 39821131›Full record

Observational studyPediatric research2025

Physiological and behavioral stability of newborns on therapeutic hypothermia for hypoxic-ischemic encephalopathy during parental holding.

Lucas Gançarski, Claire Langlet-Muteau, Jennifer Rondel, Benoît Escande, Claire Koenig-Zores, Pierre Kuhn

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Pediatric research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Lucas GançarskiDepartment of Neonatal Medicine, University Hospital of Strasbourg, University of Strasbourg, Strasbourg, France.
Claire Langlet-MuteauDepartment of Neonatal Medicine, University Hospital of Strasbourg, University of Strasbourg, Strasbourg, France.
Jennifer RondelDepartment of Neonatal Medicine, University Hospital of Strasbourg, University of Strasbourg, Strasbourg, France.
Benoît EscandeDepartment of Neonatal Medicine, University Hospital of Strasbourg, University of Strasbourg, Strasbourg, France.
Claire Koenig-ZoresDepartment of Neonatal Medicine, University Hospital of Strasbourg, University of Strasbourg, Strasbourg, France.
Pierre KuhnDepartment of Neonatal Medicine, University Hospital of Strasbourg, University of Strasbourg, Strasbourg, France. pierre.kuhn@chru-strasbourg.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysical separation contributes to parental trauma and poor bonding in the context of therapeutic hypothermia (TH) for hypoxic-ischemic encephalopathy (HIE). Parental holding (PH) may improve parents' experience. We aim to determine the physiological and behavioral stability of the newborn held by the parents during TH.

methodsObservational, prospective, single-center study which included 30 newborns with mean gestational age of 39 (1.8) weeks and mean birth weight 3165 (508) g, with HIE treated by TH, whom parents wanted to hold. All infants were mechanically ventilated and received sedation-analgesia. Main outcome was change in body temperature (> 34°C or < 33 °C) during PH. Secondary outcomes were change in vital signs and behavior (comfort/pain scores) during PH. Parental and nurses' opinions were assessed by a self-reporting questionnaire with a 10-point Likert scale.

resultsWe found no significant changes in temperature, other vital signs or in infants' COMFORT-B score during parental holding. Responses to self-reporting questionnaires completed by parents and nurses showed a high level of overall effectiveness and satisfaction with PH.

conclusionParents holding newborns undergoing therapeutic hypothermia for hypoxic-ischemic encephalopathy was safe for the newborn without causing discomfort. It was also beneficial for the parents and supported by the healthcare team. IMPACT: Parents holding newborns undergoing therapeutic hypothermia for Hypoxic Ischemic Encephalopathy was feasible without causing discomfort. It was also beneficial for the parents and supported by the healthcare team. Infants' temperature or other vital signs did not change during parental holding, which was found very satisfactory by parents and healthcare givers, showing that parental holding is feasible. This study promotes further dissemination of parental holding, which may limit the detrimental effect of physical separation for parents of newborns undergoing therapeutic hypothermia.

Indexed as

Hypothermia, InducedHypoxia-Ischemia, BrainInfant BehaviorParentsBody TemperatureFemaleGestational AgeHumansInfant, NewbornMaleParent-Child RelationsProspective StudiesSurveys and QuestionnairesTreatment Outcome

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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.