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. Author manuscript; available in PMC: 2012 Nov 1.
Published in final edited form as: Pediatr Res. 2011 Nov;70(5):535–540. doi: 10.1203/PDR.0b013e31822f24c7

Table 3.

Incidence rate and hazard ratios for epilepsy risk factors among 129 children with neonatal encephalopathy.

Person- years Epilepsy cases Incidence rate/1000 person-years (95% CI) HR (95% CI) P
Perinatal Characteristics
Sex
- Females 381 5 13.1 (5.5 – 31.6) -
- Males 444 8 18.0 (9.0 – 36.1) 1.3 (0.4–4.1) 0.6
Delivery Method
- Vaginal delivery 468 9 19.2 (10.0 – 37.0) -
- Cesarean section 356 4 11.2 (4.2 – 29.9) 0.5 (0.2–1.6) 0.2
5 minute Apgar score
 ≥6, N(%) 305 2 6.6 (1.6 – 26.2) -
 4–5, N(%) 280 6 21.5 (9.6 – 47.8) 2.8 (0.6 – 18.8)
 0–3, N(%) 238 5 21.0 (8.7 – 50.5) 2.5 (0.5 – 12.8) 0.4
Degree of encephalopathy (N = 100)*
 Moderate 305 1 3.3 (0.5 – 23.2) -
 Severe 267 12 45.0 (25.5 – 79.2) 10.7 (1.4 – 82.7) 0.002
Therapeutic Hypothermia
 Not treated 774 11 14.2 (7.9 – 25.7)
 Treated 51 2 39.4 (9.9 – 157.6) 0.9 (0.2 – 4.1) 0.8
Neonatal seizures (N=53)**
 Clinical only 206 3 14.6 (4.7 – 45.1) -
 EEG confirmed seizures 53 5 93.5 (38.9 – 224.7) 4.0 (0.9 – 17.3)
 Status epilepticus 4 5 1237.1 (514.9 – 2972.2) 35.8 (6.5 – 196.5) 0.0001
MRI injury (N = 87)§
 Mild/moderate 434 5 11.5 (4.8 – 27.7) -
 Severe/near-total 146 8 54.7 (27.4 – 109.4) 5.5 (1.8 – 16.8) 0.003
*

No cases of epilepsy among children with mild neonatal encephalopathy;

**

No cases of epilepsy among children without neonatal seizures;

§

No cases of epilepsy among children without injury on neonatal MRI.