Prognostic value of near-infrared spectroscopy in hypoxic-ischaemic encephalopathy

Pereira, Catarina Oliveira; Dias, Andrea; Vicente, Inês Nunes; Pinto, Joana Teresa; Marques, Carla; Dinis, Alexandra; Pinto, Carla; Carvalho, Leonor

doi:10.1016/j.anpede.2020.07.001

Cited by 3 publications

(9 citation statements)

References 20 publications

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“…Amongst included studies, 15 were RCTs 19,22,31,32,35,43,47,60,61,64,70,[72][73][74][75] and 49 were observational studies. 20,21,[23][24][25][26][27][28][29][30]33,34,[36][37][38][39][40][41][42][44][45][46][48][49][50][51][52][53][54][55][56][57][58][59]62,63,[65]…”

Section: Resultsmentioning

confidence: 99%

“…In many studies, the severity of hearing impairment was categorized as not requiring amplification, corrected by amplification, or not corrected by amplification. 21,22,24,32,34,35,37,42,43,[45][46][47]52,56,60,61,64,72,73,75,80,83 However, in some studies, the severity was more objectively classified based on the level of hearing threshold in decibels. 26,32,35,48,50,51,58,84 Details regarding the laterality of hearing impairment were found in only 10 studies, 26,33,35,50,51,58,65,76,79,84 while the severity was addressed in only 15 studies.…”

Section: Discussionmentioning

confidence: 99%

“…26,32,35,48,50,51,58,84 Details regarding the laterality of hearing impairment were found in only 10 studies, 26,33,35,50,51,58,65,76,79,84 while the severity was addressed in only 15 studies. 20,26,28,37,39,40,42,43,51,56,58,60,64,67,72,89 Even among the subset of fifteen studies, only three provided a grading system for hearing impairment severity. 26,51,60 Given the importance of hearing in acquiring language and communication skills, future studies should incorporate crucial information such as the age at screening, age at definitive diagnosis, tools used for screening and definitive diagnosis, severity, laterality, age at intervention, and type of intervention to enable comprehensive understanding.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of hearing impairment in neonatal encephalopathy due to hypoxia-ischemia: a systematic review and meta-analysis

Pawale,

Fursule,

Tan

et al. 2024

Pediatr Res

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Background This systematic review was undertaken to estimate the overall prevalence of hearing impairment in survivors of neonatal HIE. Methods PubMed, EMBASE, CINAHL, EMCARE and Cochrane databases, mednar (gray literature) were searched till January 2023. Randomized controlled trials and observational studies were included. The main outcome was estimation of overall prevalence of hearing impairment in survivors of HIE. Results A total of 71studies (5821 infants assessed for hearing impairment) were included of which 56 were from high income countries (HIC) and 15 from low- or middle-income countries (LMIC). Overall prevalence rate of hearing impairment in cooled infants was 5% (95% CI: 3–6%, n = 4868) and 3% (95% CI: 1–6%, n = 953) in non-cooled HIE infants. The prevalence rate in cooled HIE infants in LMICs was 7% (95% CI: 2–15%) and in HICs was 4% (95% CI: 3–5%). The prevalence rate in non-cooled HIE infants in LMICs was 8% (95% CI: 2–17%) and HICs was 2% (95% CI: 0–4%). Conclusions These results would be useful for counseling parents, and in acting as benchmark when comparing institutional data, and while monitoring future RCTs testing new interventions in HIE. There is a need for more data from LMICs and standardization of reporting hearing impairment. Impact The overall prevalence rate of hearing impairment in cooled infants with HIE was 5% (95% CI: 3–6%) and 3% (95% CI: 1–6%) in the non-cooled infants. The prevalence rate in cooled HIE infants in LMICs was 7% (95% CI: 2–15%) and in HICs was 4% (95% CI: 3–5%). The prevalence rate in non-cooled HIE infants in LMICs was 8% (95% CI: 2–17%) and HICs was 2% (95% CI: 0–4%). These results would be useful for counseling parents, and in acting as benchmark when comparing institutional data, and while monitoring future RCTs testing new interventions in HIE.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Prevalence of hearing impairment in neonatal encephalopathy due to hypoxia-ischemia: a systematic review and meta-analysis

Pawale,

Fursule,

Tan

et al. 2024

Pediatr Res

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“…A prospective cohort study by Tewari et al found that with brain rSO 2 levels of 55-85% monitored by NIRS, this cohort had better neurodevelopmental outcomes at 12 months in infants with encephalopathy due to HIE and non-HIE etiologies [92]. Pereira and colleagues showed that after hypothermia, regional cerebral oxygen saturation values below 66.0% significantly predicted normal neurodevelopment, while values above 82% are associated with severe disability [93]. Brain perfusion studies using NIRS technology in term infants with severe HIE, who were not therapeutically hypothermic, have shown changes in cerebral blood flow and cerebral blood volume to predict poor outcome [72,94].…”

Section: Near-infrared Spectroscopymentioning

confidence: 97%

Ultrasound Diagnosis and Near-Infrared Spectroscopy in the Study of Encephalopathy in Neonates Born under Asphyxia: Narrative Review

Lavrentev,

Petrova,

Serova

et al. 2024

Children

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Brain injury resulting from adverse events during pregnancy and delivery is the leading cause of neonatal morbidity and disability. Surviving neonates often suffer long-term motor, sensory, and cognitive impairments. Birth asphyxia is among the most common causes of neonatal encephalopathy. The integration of ultrasound, including Doppler ultrasound, and near-infrared spectroscopy (NIRS) offers a promising approach to understanding the pathology and diagnosis of encephalopathy in this special patient population. Ultrasound diagnosis can be very helpful for the assessment of structural abnormalities associated with neonatal encephalopathy such as alterations in brain structures (intraventricular hemorrhage, infarcts, hydrocephalus, white matter injury) and evaluation of morphologic changes. Doppler sonography is the most valuable method as it provides information about blood flow patterns and outcome prediction. NIRS provides valuable insight into the functional aspects of brain activity by measuring tissue oxygenation and blood flow. The combination of ultrasonography and NIRS may produce complementary information on structural and functional aspects of the brain. This review summarizes the current state of research, discusses advantages and limitations, and explores future directions to improve applicability and efficacy.

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“…Así, el grueso del seguimiento actual sigue siendo detectar a la edad de 18-24 meses fundamentalmente PCI o discapacidad intelectual (65,109,(137)(138)(139)(140) .…”

Section: Neurodesarrollo En La Etapa Actualunclassified

Seguimiento neurológico en una cohorte de pacientes con asfixia perinatal

Hortigüela Saeta

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A mis padres, por convertirme en la persona que soy.Gracias por estar siempre.Por mantener intacto ese cordón umbilical invisible que me llena de energía.Gracias por no dejar de cuidarme nunca. 3 AGRADECIMIENTOSA mis directores de tesis. Gracias a la Dra. Martínez Biarge por su esfuerzo e implicación.Gracias por dedicarme tu tiempo y por transmitirme ese cariño especial por las familias.Gracias Dr. Arnáez, por tu talento. Por confiar en mí para hacer este trabajo y acompañarme en este largo camino.Gracias Dr. Conejo por ser mi maestro. Por inculcarme esta pasión por la neuropediatría.Gracias David por ser un referente para mí.A mi hermana por estar siempre, haciendo que confíe en mí cuando se me olvida. Gracias Luján por tu ayuda incondicional.A mi familia por creer en mí y a los que ya no están; un gracias eterno por seguir cuidándome y guiándome.A mis amigas que me dan la fuerza que necesito.A mis compañeros del centro de salud que han asumido con una sonrisa la sobrecarga de trabajo para que yo tuviera más tiempo.Al pilar, a los cimientos de esta tesis. Gracias a las familias de los pacientes por confiar, por lograr el avance científico para poder ayudar a otras familias. Por vuestra generosidad. Sin vosotros nuestro trabajo no tendría sentido.A mis ojos, mis manos y mi voz. A mis hijas. Por darme alas, porque desde la inmadurez más madura habéis entendido la importancia de este trabajo. Por llenarme de energía y quererme. A vosotras, siempre. Y en especial a ti, mi persona favorita. El que soporta mi peor versión. El que espera y aguanta. El que hace levantarme. Gracias, Víctor. 4 ABREVIATURAS aEEG: Electroencefalograma integrado por amplitud. ASQ-3: Cuestionario de edades y etapas. AUC: Área bajo la curva AVAD: Años de vida ajustados por discapacidad. BPCI: Brazo posterior de cápsula interna.

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Prognostic value of near-infrared spectroscopy in hypoxic-ischaemic encephalopathy

Cited by 3 publications

References 20 publications

Prevalence of hearing impairment in neonatal encephalopathy due to hypoxia-ischemia: a systematic review and meta-analysis

Prevalence of hearing impairment in neonatal encephalopathy due to hypoxia-ischemia: a systematic review and meta-analysis

Ultrasound Diagnosis and Near-Infrared Spectroscopy in the Study of Encephalopathy in Neonates Born under Asphyxia: Narrative Review

Seguimiento neurológico en una cohorte de pacientes con asfixia perinatal

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