Table 1. Demographic findings of infants with the diagnosis of HIE born ≥36 weeks of gestational age.
Variables |
Total (N = 965) |
HIE stages based on Modified Sarnat Scoring System |
p |
||
---|---|---|---|---|---|
Mild HIE (Stage 1) (n = 246) |
Moderate HIE (Stage 2) (n = 568) |
Severe HIE (Stage 3) (n = 151) |
|||
Gestational age (w) * | 38.9 ± 1.4 | 38.9 ± 1.4 | 38.8 ± 1.4 | 38.7 ± 1.3 | 0.378w |
Birth weight (g) * | 3219 ± 504 | 3256 ± 512 | 3206 ± 479 | 3210 ± 584 | 0.413w |
Maternal age (y) * | 28.0 ± 5.9 | 27.3 ± 5.9 | 28.3 ± 5.9 | 28.3 ± 6.0 | 0.075w |
Sex (male) ‡ | 557 (57.7) | 135 (54.9) | 333 (58.6) | 89 (58.9) | 0.578y |
Place of birth
‡
Inborn Outborn Home |
517 (53.6) 443 (45.9) 5 (0.5) |
156 (63.4)a 89 (36.2)a 1 (0.4)a,b |
289 (50.9)b 278 (48.9)b 1 (0.2)b |
72 (47.7)b 76 (50.3)b 3 (2)a |
<0.001z |
Type of delivery (NVD) ‡ | 553 (57.3) | 142 (57.7)a.b | 341 (60)a | 70 (46.4)b | 0.01y |
APGAR scoresš 1st min (n = 965) 5th min (n = 965) 10th min (n = 537) 15th min (n = 236) 20th min (n = 207) |
4 (1–2) 6 (5–6) 7 (5–8) 7 (6–8) 7 (7–9) |
5 (4–6)a 7 (6–8)a 8 (7–9)a 8 (8–10)a 9 (8–10)a |
4 (3–5)b 6 (5–7)b 7 (6–8)b 7 (6–8)b 8 (7–9)b |
1 (1–3)c 4 (3–5)c 5 (4–6)c 6 (5–7)c 7 (5–7.5)c |
<0.001x <0.001x <0.001x <0.001x <0.001x |
Resuscitation at DR ‡ | 804 (83.3) | 176 (71.5)a | 483 (85)b | 145 (96)c | <0.001y |
Duration of resuscitation (n = 804)(min)š | 2 (1–5) | 1 (1–2)a | 2 (1–3)b | 5 (2–10)c | <0.001x |
Underlying etiologies‡ Antepartum (maternal/fetal) Maternal diabetes Maternal hypertension Intrauterine growth restriction Intrapartum Meconium-stained amniotic fluid Umbilical cord compression Postpartum Meconium aspiration syndrome Unknown |
239 (24.8) 42/140 (30) 13/140 (9.3) 18/123 (14.6) 398 (41.2) 173 (43.5) 77 (19.3) 99 (10.3) 63 (63.6) 229 (23.7) |
66 (26.8) 15/42 (35.7) 3/42 (7.1) 4/29 (13.8) 87 (35.4) 41 (47.1) 14 (16.1) 22 (8.9)a,b 16 (72.7) 71 (28.9) |
135 (23.8) 23/75 (30.7) 10/75 (13.3) 12/73 (16.4) 243 (42.8) 100 (41.1) 50 (20.6) 52 (9.2)a 33 (63.5) 138 (24.3) |
38 (25.2) 4/23 (17.4) 0/23 (0) 2/21 (9.5) 68 (45) 32 (47) 13 (19.1) 25 (16.6)b 14 (56) 20 (13.2) |
0.195y 0.644y 0.084y 0.021y |
Data given as: *mean ± SD, ‡number (%), šmedian (IQR). w:One Way ANOVA test, x:Kruskal Wallis H test, y:Chi-square test, z:Fisher-exact test.
Each subscript a,b,c letter denotes a subset of HIE categories whose column proprotions do not significantly from each other at the 0.05 level..
DR: delivery room; HIE: hypoxic ischemic encephalopathy; NVD: normal vaginal delivery; PPV: positive pressure ventilation.