Ref (type) | Population | Outcome, Interventions | Results and statistical analysis | Effect size | Favours |
Mortality | |||||
Systematic review |
50 term infants with moderate/severe neonatal encephalopathy and evidence of intrapartum asphyxia 2 RCTs in this analysis |
Mortality
5/27 (19%) with hypothermia 6/23 (26%) with normothermia |
RR 0.73 95% CI 0.26 to 2.09 |
Not significant | |
RCT |
67 term infants with moderate/severe neonatal encephalopathy after perinatal asphyxia |
Mortality
10/32 (31%) with systemic hypothermia 14/33 (42%) with normothermia |
RR 0.74 95% CI 0.38 to 1.41 |
Not significant | |
RCT |
234 newborn infants with clinical and electroencephalographic evidence of moderate or severe neonatal (hypoxic–ischaemic) encephalopathy |
Death
at 18 months
36/108 (33%) with therapeutic cooling of the infant's head and mild systemic hypothermia 42/110 (38%) with normothermia |
RR 0.87 95% CI 0.61 to 1.25 |
Not significant | |
RCT |
208 term or near-term infants with moderate/severe neonatal encephalopathy after perinatal asphyxia |
Mortality
24/102 (24%) with whole-body cooling 37/106 (35%) with normothermia |
RR 0.68 95% CI 0.44 to 1.05 |
Not significant | |
Systematic review |
23 term infants with moderate/severe neonatal encephalopathy and evidence of intrapartum asphyxia Data from 1 RCT |
Combined outcome of death or major neurodevelopmental disability
7/18 (39%) with hypothermia 4/13 (31%) with normothermia |
RR 1.26 95% CI 0.46 to 3.44 |
Not significant | |
RCT |
234 newborn infants with clinical and electroencephalographic evidence of moderate or severe neonatal (hypoxic–ischaemic) encephalopathy |
Combined outcome of death or severe disability
at 18 months
59/108 (55%) with therapeutic cooling of the infant's head and mild systemic hypothermia 73/110 (66%) with normothermia |
RR 0.82 95% CI 0.66 to 1.02 |
Not significant | |
RCT |
Subgroup analysis of 46 infants with severe amplitude-integrated electroencephalographic findings at enrollment Subgroup analysis |
Combined outcome of death or severe disability
at 18 months
19/24 (79%) with therapeutic cooling of the infant's head and mild systemic hypothermia 15/22 (68%) with normothermia |
RR 1.16 95% CI 0.82 to 1.65 |
Not significant | |
RCT |
Subgroup analysis of 172 infants with intermediate amplitude integrated electroencephalographic changes Subgroup analysis |
Combined outcome of death or severe disability
at 18 months
40/84 (48%) with therapeutic cooling of the infant's head and mild systemic hypothermia 58/88 (66%) with normothermia |
RR 0.72 95% CI 0.55 to 0.95 NNT 6 95% CI 3 to 25 |
Not significant | |
RCT |
208 term or near-term infants with moderate/severe neonatal encephalopathy after perinatal asphyxia |
Death or moderate/severe disability
at 18–24 months
45/102 (44%) with whole-body cooling 64/106 (60%) with normothermia |
RR 0.73 95% CI 0.56 to 0.95 NNT 6 95% CI 3 to 33 |
Small effect size | hypothermia |