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. 2007 Nov 7;2007:0320.
Ref (type) Population Outcome, Interventions Results and statistical analysis Effect size Favours
Adverse effects

Systematic review
31 infants
Data from 1 RCT
Sinus bradycardia
with hypothermia
with normothermia
Absolute results not reported

RR 2.21
95% CI 0.1 to 50.3
Not significant

Systematic review
31 infants
2 RCTs in this analysis
Need for inotrope support
with hypothermia
with normothermia
Absolute results not reported

RR 2.41
95% CI 0.82 to 7.08
Not significant

Systematic review
31 infants
Data from 1 RCT
Anaemia requiring blood transfusion
with hypothermia
with normothermia
Absolute results not reported

RR 3.68
95% CI 0.19 to 70.9
Not significant

Systematic review
31 infants
Data from 1 RCT
Hypokalaemia
with hypothermia
with normothermia
Absolute results not reported

RR 1.16
95% CI 0.49 to 2.73
Not significant

Systematic review
31 infants
Data from 1 RCT
Oliguria
with hypothermia
with normothermia
Absolute results not reported

RR 0.67
95% CI 0.22 to 2.03
Not significant

Systematic review
31 infants
Data from 1 RCT
Coagulopathy resulting in major thrombosis or haemorrhage
with hypothermia
with normothermia
Absolute results not reported

RR 3.68
95% CI 0.19 to 70.9
Not significant

Systematic review
31 infants
Data from 1 RCT
Culture-proven sepsis
with hypothermia
with normothermia
Absolute results not reported

RR 0.72
95% CI 0.05 to 10.52
Not significant

RCT
67 term infants with moderate/severe neonatal encephalopathy after perinatal asphyxia Bradycardia
11/31 (35%) with systemic hypothermia
2/31 (6%) with normothermia

RR 5.5
95% CI 1.33 to 22.8
Large effect size normothermia

RCT
67 term infants with moderate/severe neonatal encephalopathy after perinatal asphyxia Plasma transfusions for coagulopathy
23/31 (74%) with systemic hypothermia
11/31 (35%) with normothermia

RR 2.09
95% CI 1.25 to 3.51
Moderate effect size normothermia

RCT
67 term infants with moderate/severe neonatal encephalopathy after perinatal asphyxia Mean duration of inotrope support
5 days with systemic hypothermia
2 days with normothermia

P = 0.02
Effect size not calculated normothermia

RCT
234 newborn infants with clinical and electroencephalographic evidence of moderate or severe neonatal (hypoxic–ischaemic) encephalopathy Sinus bradycardia
10/112 (9%) with therapeutic cooling of the infant's head and mild systemic hypothermia
1/118 (1%) with normothermia

RR 10.5
95% CI 1.37 to 80.97
Large effect size normothermia

RCT
234 newborn infants with clinical and electroencephalographic evidence of moderate or severe hypoxic–ischaemic encephalopathy Hypotension
62/112 (55%) with therapeutic cooling of the infant's head and mild systemic hypothermia
61/118 (52%) with normothermia

RR 1.07
95% CI 0.84 to 1.36
Not significant

RCT
234 newborn infants with clinical and electroencephalographic evidence of moderate or severe hypoxic–ischaemic encephalopathy Coagulopathy
21/112 (19%) with therapeutic cooling of the infant's head and mild systemic hypothermia
17/118 (14%) with normothermia

RR 1.30
95% CI 0.73 to 2.34
Not significant

RCT
234 newborn infants with clinical and electroencephalographic evidence of moderate or severe hypoxic–ischaemic encephalopathy Renal impairment
73/112 (65%) with therapeutic cooling of the infant's head and mild systemic hypothermia
83/118 (70%) with normothermia

RR 0.93
95% CI 0.77 to 1.11
Not significant

RCT
234 newborn infants with clinical and electroencephalographic evidence of moderate or severe hypoxic–ischaemic encephalopathy Hypoglycaemia
14/112 (13%) with therapeutic cooling of the infant's head and mild systemic hypothermia
20/118 (17%) with normothermia

RR 0.74
95% CI 0.39 to 1.39
Not significant

RCT
208 term or near-term infants with moderate/severe neonatal encephalopathy after perinatal asphyxia Hypotension treated with vasopressors
42/112 (38%) with whole-body cooling
35/118 (30%) with normothermia

RR 1.26
95% CI 0.88 to 1.82
Not significant

RCT
208 term or near-term infants with moderate/severe neonatal encephalopathy after perinatal asphyxia Cardiac arrhythmia
2/112 (2%) with whole-body cooling
1/118 (1%) with normothermia

RR 2.11
95% CI 0.19 to 22.9
Not significant

RCT
208 term or near-term infants with moderate/severe neonatal encephalopathy after perinatal asphyxia Persistent pulmonary hypertension
25/112 (22%) with whole-body cooling
23/118 (19%) with normothermia

RR 1.15
95% CI 0.69 to 1.90
Not significant

RCT
208 term or near-term infants with moderate/severe neonatal encephalopathy after perinatal asphyxia Renal impairment
22/112 (20%) with whole-body cooling
27/118 (23%) with normothermia

RR 0.86
95% CI 0.52 to 1.42
Not significant

RCT
208 term or near-term infants with moderate/severe neonatal encephalopathy after perinatal asphyxia Hypoglycaemia
12/112 (11%) with whole-body cooling
16/118 (14%) with normothermia

RR 0.79
95% CI 0.39 to 1.60
Not significant

RCT
208 term or near-term infants with moderate/severe neonatal encephalopathy after perinatal asphyxia Hypocalcaemia
28/112 (25%) with whole-body cooling
20/118 (17%) with normothermia

RR 1.47
95% CI 0.88 to 2.46
Not significant

RCT
208 term or near-term infants with moderate/severe neonatal encephalopathy after perinatal asphyxia Hepatic dysfunction
20/112 (18%) with whole-body cooling
16/118 (14%) with normothermia

RR 1.32
95% CI 0.72 to 2.41
Not significant

RCT
208 term or near-term infants with moderate/severe neonatal encephalopathy after perinatal asphyxia Disseminated intravascular coagulopathy
18/112 (16%) with whole-body cooling
12/118 (10%) with normothermia

RR 1.58
95% CI 0.80 to 3.13
Not significant