Table 1.
Category | Signs of HIE in each level | ||
---|---|---|---|
Normal/mild HIE | Moderate HIE | Severe HIE | |
Level of consciousness | 1 | 2 = Lethargic | 3 = Stupor/coma |
Spontaneous activity | 1 | 2 = Decreased activity | 3 = No activity |
Posture | 1 | 2 = Distal flexion, complete extension | 3 = Decerebrate |
Tone | 1 | 2 = Hypotonia (focal or general) | 3 = Flaccid |
3 = Rigid | |||
Primitive reflexes | |||
Suck | 1 | 2 = Weak or has bite | 3 = Absent |
Moro | 1 | 2 = Incomplete | 3 = Absent |
Autonomic system | |||
Pupils | 1 | 2 = Constricted | 3 = Deviation/dilated/nonreactive |
Heart rate | 1 | 2 = Bradycardia | 3 = Variable HR |
Respiration | 1 | 2 = Periodic breathing | 3 = Apnea or requires ventilator |
HIE hypoxic–ischemic encephalopathy, HR heart rate