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Prediction of outcome methods assessing short- and long-term outcome after therapeutic hypothermia

Hemmen Sabir1, Frances M Cowan2

  • 1School of Clinical Sciences, University of Bristol, St Michael's Hospital, Bristol, UK; Department of General Pediatrics, Neonatology and Pediatric Cardiology, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.

Seminars in Fetal & Neonatal Medicine
|December 3, 2014
PubMed

Therapeutic hypothermia has significantly changed outcomes for newborns suffering neonatal encephalopathy. Outcome predictors established in the pre-cooling era may not automatically be transferred to the cooling era. This article reviews how the reliability of routinely used outcome predictors has changed. We summarize current knowledge about why this may be the case and when to best obtain and analyze different clinical, biochemical, and imaging outcome markers to predict outcome in cooled asphyxiated newborns.

Keywords:
Amplitude-integrated electroencephalographyMagnetic resonance imagingNeonatal encephalopathyOutcome assessmentTherapeutic hypothermiaUltrasonography

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