Hypothermia for neonatal hypoxic-ischemic encephalopathy: Retrospective descriptive study of features associated with poor outcome
| dc.rights.license | open | en_US |
| dc.contributor.author | LABAT, J. | |
| dc.contributor.author | BROCARD, C. | |
| hal.structure.identifier | Bordeaux population health [BPH] | |
| dc.contributor.author | BELAROUSSI, Yaniss | |
| dc.contributor.author | BAR, C. | |
| dc.contributor.author | GOTCHAC, Julien, J. | |
| hal.structure.identifier | Centre de résonance magnétique des systèmes biologiques [CRMSB] | |
| dc.contributor.author | CHATEIL, Jean-Francois | |
| dc.contributor.author | BRISSAUD, O. | |
| dc.date.accessioned | 2023-02-16T10:53:39Z | |
| dc.date.available | 2023-02-16T10:53:39Z | |
| dc.date.issued | 2022-12-13 | |
| dc.identifier.issn | 0929-693x | en_US |
| dc.identifier.uri | https://oskar-bordeaux.fr/handle/20.500.12278/171972 | |
| dc.description.abstractEn | AIM: To investigate the clinical, laboratory, electrophysiological, and imaging features associated with death or neurological impairment at 1 year of age in term neonates with hypoxic-ischemic encephalopathy (HIE) treated by therapeutic hypothermia (TH). METHODS: This was a single-center retrospective and descriptive study conducted over a period of 2 years. We included consecutive term newborns with moderate or severe HIE who were treated by TH initiated within the sixth hour after birth and continued for 72 h,. For all patients, brain magnetic resonance imaging (MRI) was performed before the eighth day and a score was established; furthermore, at least two electroencephalograms were recorded. RESULTS: Among the 33 patients included, 20 neonates had a favorable outcome and 13 had an unfavorable outcome. Early clinical seizures (15% vs. 53.8%, p = 0.047), the persistence of a poor prognosis according to the electroencephalogram pattern after TH (0% vs. 69.2%, p = 0.0001), and an elevated score on the early brain MRI (2 vs. 11, p < 0.001) combined with a high lactate/N-acetyl-aspartate ratio (0.52 vs. 1.33, p = 0.008) on spectroscopy were associated with death and a poor outcome. CONCLUSION: A combination of tools can help the medical team to establish the most reliable prognosis for these full-term neonates, to guide care, and to inform parents most appropriately and sincerely. | |
| dc.language.iso | EN | en_US |
| dc.title.en | Hypothermia for neonatal hypoxic-ischemic encephalopathy: Retrospective descriptive study of features associated with poor outcome | |
| dc.title.alternative | Arch Pediatr | en_US |
| dc.type | Article de revue | en_US |
| dc.identifier.doi | 10.1016/j.arcped.2022.08.022 | en_US |
| dc.subject.hal | Sciences du Vivant [q-bio]/Santé publique et épidémiologie | en_US |
| dc.identifier.pubmed | 36522220 | en_US |
| bordeaux.journal | Archives de Pédiatrie | en_US |
| bordeaux.page | 93-99 | en_US |
| bordeaux.volume | 30 | en_US |
| bordeaux.hal.laboratories | Bordeaux Population Health Research Center (BPH) - UMR 1219 | en_US |
| bordeaux.issue | 2 | en_US |
| bordeaux.institution | Université de Bordeaux | en_US |
| bordeaux.institution | INSERM | en_US |
| bordeaux.institution | CNRS | |
| bordeaux.team | EPICENE | en_US |
| bordeaux.peerReviewed | oui | en_US |
| bordeaux.inpress | non | en_US |
| hal.identifier | hal-03992121 | |
| hal.version | 1 | |
| hal.date.transferred | 2023-02-16T10:53:41Z | |
| hal.export | true | |
| dc.rights.cc | Pas de Licence CC | en_US |
| bordeaux.COinS | ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Archives%20de%20P%C3%A9diatrie&rft.date=2022-12-13&rft.volume=30&rft.issue=2&rft.spage=93-99&rft.epage=93-99&rft.eissn=0929-693x&rft.issn=0929-693x&rft.au=LABAT,%20J.&BROCARD,%20C.&BELAROUSSI,%20Yaniss&BAR,%20C.&GOTCHAC,%20Julien,%20J.&rft.genre=article |
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