Table 2. Inclusion and exclusion criteria and used intervention in studies on renal function.
Study | Inclusion criteria | Exclusion criteria | Severity of HIE in participants (n, %) | Intervention | Control | |||||
---|---|---|---|---|---|---|---|---|---|---|
Mild | Moderate | Severe | N | Cooling type | Target temperature (°C) | Period | N | |||
Akisu et al. [16] | 5-min Apgar score ≤6; severe acidosis; neurologic findings of encephalopathy | Metabolic disorders; congenital malformations; chromosomal abnormalities; congenital infection; transitory drug depression | 3 (14%) | 12 (57%) | 6 (29%) | 11 | Head plus minimal systemic | Ear 33.5–33 | 72 h | 10 |
Rectal 36.5–36 | ||||||||||
Eicher et al. [17] | Birthweight >2000g; one clinical indication of hypoxic-ischemic injury; two neurologic findings of neonatal encephalopathy | Maternal chorioamnionitis; sepsis at birth; birth weight or head circumference <10%; presumed chromosomal abnormality | 2 (3%) | 10 (16%) | 50 (81%) | 32 | Whole body | Rectal 33.5 | 48 h | 33 |
Gluckman et al. [18] | 10-minute Apgar score ≤5; continued need for resuscitation; severe acidosis; moderate to severe encephalopathy | Use of anticonvulsants; major congenital abnormalities; head trauma causing major intracranial hemorrhage; severe growth restriction; birthweight <1800g; head circumference <-2 SD; critically ill infants | 0 | ND | ND | 116 | Head plus mild systemic | Rectal 34–35 | 72 h | 118 |
Gunn et al. [19] | Severe acidosis; 5-minute Apgar score ≤6; evidence of encephalopathy | Obvious major congenital abnormalities; metabolic diseases | 0 | ND | ND | 12 | Head plus either minimal systemic (n = 6) or mild systemic (n = 6) | Minimal: rectal 36.3 | 72 h | 10 |
Mild: rectal 35.7 | ||||||||||
Roka et al. [5] | 10-minute Apgar score ≤5; continued need for resuscitation at 10min; severe acidosis; moderate to severe encephalopathy; abnormal aEEG | Congenital malformations; suspected metabolic disorders | ND | ND | ND | 12 | Whole body | Rectal 33–34 | 72 h | 9 |
Shankaran et al. [20] | Either severe acidosis or acute perinatal event and 10-minute Apgar score ≤5 or assisted ventilation; moderate or severe encephalopathy | Major congenital abnormality; birth weight of ≤1800 g; moribund infants | 0 | 135 (65%) | 72 (35%) | 102 | Whole body | Esophageal 33.5 | 72 h | 106 |
Simbruner et al. [21] | 10-minute Apgar score <5, continued need for resuscitation, severe acidosis; clinical evidence of encephalopathy; abnormal standard EEG | Use of high-dose anticonvulsant therapy; birth weight <1800 g; head circumference of 3rd percentile; major congenital malformations; imperforate anus; gross hemorrhage; infant “in extremis” | 0 | 41 (33%) | 84 (67%) | 64 | Whole body | Rectal 33.5 | 72 h | 65 |
Tanigasalam et al. [22] | Encephalopathy; severe acidosis; any two of: 10-min Apgar score of ≤5, evidence of fetal distress, assisted ventilation for at least 10 min after birth, evidence of any organ dysfunction | Extramural neonates; major congenital abnormalities; absence of spontaneous respiratory efforts by 20 min after birth; history of maternal renal failure | 5 (4%) | 83 (69%) | 32 (27%) | 60 | Whole body | Rectal 33–34 | 72 h | 60 |
Zhou et al. [23] | Birth weight >2500 g; Apgar score ≤3 at 1 minute and ≤5 at 5 minutes; severe acidosis; need for resuscitation or ventilation at 5 minutes of age | Major congenital abnormalities; infection; other encephalopathy; severe anemia (hemoglobin <120g/L) | 39 (21%) | 82 (42%) | 73 (37%) | 100 | Head plus mild systemic | Nasopharyngeal 34 | 72 h | 94 |
Rectal 34.5–35 |
ND = not described.