Evidence map›Paper›PMID 41630606›Full record

Observational studyDevelopmental medicine and child neurology2026

Early neurodevelopmental outcome in newborns with mild hypoxic-ischaemic encephalopathy.

Domenico M Romeo, Chiara Arpaia, Angelo Di Malta, Elisa Pede, Grazia Maria Cicala, Daniela Ricci, Francesca Serrao, Eugenio Mercuri, Claudia Brogna, Mild Encephalopathy Regional Network*

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Developmental medicine and child neurology, 2026. 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. Observational
  2. 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

10 authors.

Domenico M RomeoPediatric Neurology Unit, Fondazione Policlinico A. Gemelli, IRCCS, Rome, Italy.ORCID 0000-0002-6229-1208
Chiara ArpaiaPediatric Neurology Unit, Fondazione Policlinico A. Gemelli, IRCCS, Rome, Italy.
Angelo Di MaltaPediatric Neurology Unit, Fondazione Policlinico A. Gemelli, IRCCS, Rome, Italy.
Elisa PedePediatric Neurology Unit, Fondazione Policlinico A. Gemelli, IRCCS, Rome, Italy.
Grazia Maria CicalaPediatric Neurology Unit, Fondazione Policlinico A. Gemelli, IRCCS, Rome, Italy.
Daniela RicciNational Centre of Services and Research for the Prevention of Blindness and Rehabilitation of Visually Impaired, IAPB Italia Onlus, Rome, Italy.
Francesca SerraoNeonatal Intensive Care Unit, Fondazione Policlinico A. Gemelli, IRCCS, Rome, Italy.
Eugenio MercuriPediatric Neurology Unit, Fondazione Policlinico A. Gemelli, IRCCS, Rome, Italy.ORCID 0000-0002-9851-5365
Claudia BrognaPediatric Neurology Unit, Fondazione Policlinico A. Gemelli, IRCCS, Rome, Italy.ORCID 0000-0002-9526-6367
Mild Encephalopathy Regional Network*

Funding

Fondazione Pierfranco e Luisa Mariani R-19-112°
6 · The paper itself

Abstract

aimTo describe the natural history of newborn children with mild hypoxic-ischaemic encephalopathy in the first year of life.

methodThis was a multicentre, prospective observational study involving five neonatal intensive care units in an Italian region using both structured clinical and neurophysiological assessments according to the Italian Society of Neonatology guidelines. To make the clinical evaluation homogeneous at each centre, a training neurological courses was provided to all operators involved in the study. Forty newborn children (23 males and 17 females) underwent neonatal and infant neurological examination (Hammersmith Neonatal Neurological Examination and Hammersmith Infant Neurological Examination), brain magnetic resonance at 7 to 10 days, electroencephalogram between 6 months and 12 months, and Griffiths Scales of Child Development, Third Edition to assess neurodevelopmental outcome at 12 months.

resultsAll of these infants demonstrated typical neuromotor development and age-appropriate developmental quotients at 12 months, even in the few showing abnormalities at magnetic resonance imaging assessment or neurological assessment during the neonatal period.

interpretationCurrent classifications of mild hypoxic-ischaemic encephalopathy may misclassify risk, highlighting the need for refined diagnostic criteria and early staging tools that can be used within the first 6 hours of life.

Indexed as

Child DevelopmentDevelopmental DisabilitiesHypoxia-Ischemia, BrainBrainElectroencephalographyFemaleHumansInfantInfant, NewbornMagnetic Resonance ImagingMaleNeurodevelopmentNeurologic ExaminationProspective Studies

Identifiers

PMID41630606
PMCPMC13436714

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Registered trials

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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.