Evidence map›Paper›PMID 39857854›Full record

ArticleChildren (Basel, Switzerland)2024

Effects of Therapeutic Hypothermia and Minimal Enteral Nutrition on Short-Term Outcomes in Neonates with Hypoxic-Ischemic Encephalopathy: A 10-Year Experience from Oman.

Manoj Malviya, Sathiya Murthi, Dhanya Jayaraj, Vidya Ramdas, Fadia Nazir Malik, Valsala Nair, Nusrabegam Marikkar, Mukesh Talreja, Tariq Sial, Prakash Manikoth and 8 more

Abstract read
In one paragraph

Article in Children (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Factors Influencing Breastfeeding Outcomes Following Neonatal Hypoxic Ischaemic Encephalopathy: A Mixed Methods Systematic Review.Journal of human lactation : official journal of International Lactation Consultant Association · 2026
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
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

18 authors.

Manoj MalviyaDepartment of Neonatology, Khoula Hospital, Mina Al Fahal, Muscat 116, Oman.
Sathiya MurthiOman Medical Speciality Board, Statistics, Al-Athaiba, Muscat 130, Oman.ORCID 0000-0001-7543-707X
Dhanya JayarajDepartment of Neonatology, Khoula Hospital, Mina Al Fahal, Muscat 116, Oman.
Vidya RamdasDepartment of Neonatology, Khoula Hospital, Mina Al Fahal, Muscat 116, Oman.
Fadia Nazir MalikDepartment of Neonatology, Khoula Hospital, Mina Al Fahal, Muscat 116, Oman.
Valsala NairDepartment of Neonatology, Khoula Hospital, Mina Al Fahal, Muscat 116, Oman.
Nusrabegam MarikkarDepartment of Neonatology, Khoula Hospital, Mina Al Fahal, Muscat 116, Oman.
Mukesh TalrejaDepartment of Neonatology, Khoula Hospital, Mina Al Fahal, Muscat 116, Oman.
Tariq SialDepartment of Neonatology, Khoula Hospital, Mina Al Fahal, Muscat 116, Oman.
Prakash ManikothArmed Forces Hospital, Al Khoud, Muscat 112, Oman.
Renjan VargheseDepartment of Radiology, Khoula Hospital, Mina Al Fahal, Muscat 116, Oman.
Khalsa Ali Al RamadhaniDepartment of Radiology, Khoula Hospital, Mina Al Fahal, Muscat 116, Oman.
Salima Al AisryDepartment of Neonatology, Khoula Hospital, Mina Al Fahal, Muscat 116, Oman.
Said Al KindiArmed Forces Hospital, Al Khoud, Muscat 112, Oman.
Ahmed Al HabsiDepartment of Radiology, Khoula Hospital, Mina Al Fahal, Muscat 116, Oman.
Ranjit TorgalkarKentucky Children's Hospital, University of Kentucky, Lexington, KY 40536, USA.ORCID 0000-0002-2585-7508
Munawwar AhmedDepartment of Radiology, Khoula Hospital, Mina Al Fahal, Muscat 116, Oman.
Mohammed Al YahmadiDepartment of Neonatology, Khoula Hospital, Mina Al Fahal, Muscat 116, Oman.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTherapeutic hypothermia (TH) is the standard treatment for moderate to severe hypoxic-ischemic encephalopathy (HIE) in developed countries, but data on its safety and efficacy in low-middle-income countries are limited and often conflicting. The impact of enteral feeding during TH remains inadequately explored. We aimed to examine TH's effects on mortality and brain injury and evaluate the safety and effectiveness of minimal enteral feeding during TH. Here, we report our single-center experience with TH over a 10-year period".

methodsA total of 187 neonates with moderate to severe HIE who underwent cooling were included in this retrospective study. Post-rewarming MRI scans were scored using a validated MRI scoring system. The primary outcomes were mortality and composite outcomes of mortality and brain injury.

resultsThe mortality rate was 3% in moderate and 25% in severe cases (

conclusionsMortality rates associated with TH in infants with moderate-severe HIE align with those in high-income countries, and minimal enteral feeding during TH is safe. The severity of HIE, MRI scores, and feeding status are important predictors of outcomes.

Indexed as

hypoxic–ischemic encephalopathymagnetic resonance imagingminimal enteral nutritionMRI scoring systemtherapeutic hypothermia

Identifiers

PMID39857854
PMCPMC11763856

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.