Evidence map›Paper›PMID 39962327›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2025

Association between cardiovascular care and neurodevelopmental outcomes in infants with neonatal encephalopathy and hemodynamic instability.

Kata Kovacs, Regan E Giesinger, Zsuzsanna Varga, Miklos Szabo, Agnes Jermendy, Patrick J McNamara

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Article in Journal of perinatology : official journal of the California Perinatal Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

2 citing papers in PubMed.

  1. Trial
  2. Review
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

6 authors.

Kata KovacsDivision of Neonatology, Pediatric Center, MTA Center of Excellence, Semmelweis University, Budapest, Hungary.ORCID http://orcid.org/0000-0002-7115-6147
Regan E GiesingerDepartment of Pediatrics, University of Iowa, Iowa city, IA, USA.ORCID http://orcid.org/0000-0002-6227-6761
Zsuzsanna VargaDivision of Neonatology, Pediatric Center, MTA Center of Excellence, Semmelweis University, Budapest, Hungary.
Miklos SzaboDivision of Neonatology, Pediatric Center, MTA Center of Excellence, Semmelweis University, Budapest, Hungary.ORCID http://orcid.org/0000-0003-3317-5619
Agnes Jermendy *Division of Neonatology, Pediatric Center, MTA Center of Excellence, Semmelweis University, Budapest, Hungary.
Patrick J McNamara *Department of Pediatrics, University of Iowa, Iowa city, IA, USA. patrick-mcnamara@uiowa.edu.ORCID http://orcid.org/0000-0001-7648-8872

Funding

Országos Tudományos Kutatási Alapprogramok (Hungarian Scientific Research Fund) OTKA PD 142288
6 · The paper itself

Abstract

objectiveTo analyze the approach to cardiovascular care and long-term outcomes in infants undergoing hypothermia for neonatal encephalopathy (NE). STUDY

designThis is a retrospective cohort study of 152 infants with NE [SickKids Hospital (Center A, n = 74) or Semmelweis University (Center B, n = 78)], who developed hypotension and underwent neonatal follow-up. Primary outcome was defined as death or neurodevelopmental impairment (<70 on Bayley-II or <85 points on Bayley-III test).

resultThe presence of hypoxic injury in the brain MRI increased the odds of adverse outcome by 10.5 fold. In addition, for every 24 h increase in the duration of cardiovascular support the odds of adverse outcome increased by 12%. In a subgroup of patients with detailed echocardiography evaluation lower tricuspid annulus plane systolic excursion was noted in the non-survivors.

conclusionHypoxic brain injury and longer cardiovascular therapy are independently associated with the adverse long-term outcome in patients with NE.

Indexed as

HypotensionHypothermia, InducedHypoxia-Ischemia, BrainNeurodevelopmental DisordersEchocardiographyFemaleHemodynamicsHumansInfantInfant, NewbornMagnetic Resonance ImagingMaleRetrospective Studies

Identifiers

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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.