Table 1. Characteristics of included articles with no hypothermia treatment.
Study and year of publication | HIE stage 1/2/3 (n) | NT | Follow-up | Neurodevelopmenta assessment. Definition of adverse outcome | Quality; Reason for reduction |
---|---|---|---|---|---|
Thornberg1994 [24] | NS, total n = 38 | 38 | 18 mo | Denver; Death or CP ± mental retardation | Moderate; Small sample size, stage of encephalopathy NS, variable follow-up |
Hellström-Westas 1995 [23] | NS, total n = 47, stage 2–3 n = 24, unspecified number of non-encephalopathic infants | 47 | 12–18 mo | NS; Death, CP or psychomotor retardation requiring special training | Moderate; Small sample size, patients with no encephalopathy or stage 1 included, unprecise definition of neurological impairment |
Eken 1995 [21] | 11/7/16 | 34 | 24 mo | Griffiths and neurologic examination according to Amiel-Tison, Grenier and Touwen.; Death,,DQ <85 or CP | Moderate; Small sample size, patients with HIE stage 1 included |
al Naqeeb 1999 [12] | 14/17/7, stage NA in 2 | 40 | 18–24 mo | Griffiths or Optimality Score and neurologic examination; Death, neuromotor abnormalities, Optimality Score <20 or DQ <85 | Moderate; Small sample size, patients with HIE stage 1 included |
Toet 1999 [15] | NS, total n = 68 | 68 | ≥12 mo | Griffiths and neurologic examination according to Amiel-Tison, Grenier and Touwen. Alberta Infant Motor Scale in children younger than 18 mo.; Death, CP or DQ <80 | Moderate; Stage of encephalopathy NS, variable follow-up |
Shalak 2003 [16] | 3/17/2, normal n = 15, stage 1–2 n = 13 | 50 | 18 mo | Bayley, neurological examination, visual and hearing evaluation.; Death, CP, non-specified low Bayley score, altered vision or hearing | Low; Small sample size, patients with no encephalopathy or stage 1 included, disability not well defined |
Ter Horst 2004 [25] | 4/18/5, stage NA in 3 | 30 | 24 mo | Neurologic examination based on Touwen.; Death, severe mental and motor delay, infantile spasms or CP | Low; Retrospective, small sample size, patients with HIE stage 1 included |
Van Rooij 2005 [26] | NS, total n = 160 | 160 | 24 mo | Griffiths; Death, CP, DQ <85 | Moderate; Retrospective, stage of encephalopathy NS, variable follow-up |
Shany 2006 [27] | 16/14/9 | 39 | 30 mo | Bayley II for children ≤42 mo and Leiter-R test for children > 42 mo. Neurologic evaluation according to Amiel-Tison; Death, developmental score <80 or CP | Low; Retrospective, developmental results needing adjustment for maternal education, patients with HIE stage 1 included |
Ancora 2010 [28] | 17/13/2 | 32 | 24 mo | Griffiths, neurologic examination and psychomotor assessment via Milani-Comparetti’s neuroevolutive assessment, Brazelton’s behavioural assessment and Prechtl’s general movement assessment. Brainstem auditory evoked responses and assessment of visual function.; Death, CP, DQ <85, hearing loss or cortical visual impairment | Moderate; Small sample size, patients with HIE stage 1 included |
CP, cerebral palsy; DQ, developmental quotient; NA, not assessable; NS, not specified; NT, cases treated in normothermia; mo = months