Table 2. Characteristics of included articles with hypothermia treatment.
Study and year of publication | HIE stage 1/2/3a (n) | NT/HT (n) | Follow-up | Neurodevelopmental assessment; Definition of adverse outcome | Quality; Reason for reduction |
---|---|---|---|---|---|
Hallberg 2010 [29] | 3/16/4 | 0/23 | 12 mo | Serial neurological examinations and AIMS at 4 mo; Death or spasticity and AIMS score <5th percentile | Moderate; Small sample size, retrospective, patients with HIE stage 1 included, short and limited follow-up |
Thoresen 2010 [17] | NS, total n = 74, all stage 2 or 3 | 31/43 | 18 mo | Bayley II, neurological examination, GMFCS and visual assessment; Death, MDI <70, GMFCS level 3–5 or no useful vision | High |
Ancora 2013 [30] | 0/8/4 | 0/12 | ≥12 mo | Griffiths; Death, CP or DQ <88.7 | Low; Small sample size, variable follow-up |
Shankaran 2011 [31] | 0/71/37 | 51/57 | 18 mo | Bayley II, neurological examination, GMFCS, hearing and visual assessment; Death; MDI 70–84 and either a GMFCS level of 2, hearing impairment with no amplification or persistent seizure disorder; MDI <70; GMFCS level 3–5; hearing impairment requiring hearing aids or blindness | High |
Gucuyener 2012 [32] | 0/6/4 | 0/10 | 8–24 mo | Bayley II; Death, CP, MDI or PDI <70 | Low; Retrospective, inconsistent follow-up |
Csekö 2013 [33] | NS, total n = 70, all stage 2 or 3 | 0/70 | 18–24 mo | Bayley II; Death, MDI or PDI <70 | Moderate; Retrospective |
Azzopardi 2014 [34] | NS, total n = 314, all stage 2 or 3 | 158/156 | 18 mo | Bayley II, neurological examination, GMFCS and visual assessmentDeath, CP with GMFCS level 3–5, MDI <70 or bilateral cortical visual impairment | High |
AIMS, Alberta Infant Motor Scale; CP, cerebral palsy; DQ, developmental quotient; GMFCS, Gross Motor Function Classification System; MDI, mental developmental index; NT/HT, ratio of cases treated in normothermia/receiving therapeutic hypothermia; PDI, psychomotor developmental index; mo, months