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. 2007 Nov 7;2007:0320.
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