Therapeutic hypothermia for hypoxic ischaemic encephalopathy using low-technology methods: a systematic review and meta-analysis

Acta Paediatr. 2015 Dec;104(12):1217-28. doi: 10.1111/apa.12830. Epub 2014 Nov 3.

Abstract

A systematic review and meta-analysis were performed to determine the effect of therapeutic hypothermia using low-technology methods, in settings with facilities for intensive care, in term or near-term infants with hypoxic-ischaemic encephalopathy on mortality, neurological morbidity at discharge and neurological morbidity at 6-24 months.

Conclusion: Meta-analysis of three randomised controlled studies showed that low-technology therapeutic hypothermia in an intensive care setting significantly reduced the mortality and the neurological morbidity in survivors at discharge.

Keywords: Cost-effectiveness; Hypothermia; Hypoxic-ischaemic cerebral injury; Newborn infant; Systematic review.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Humans
  • Hypothermia, Induced*
  • Hypoxia-Ischemia, Brain / mortality
  • Hypoxia-Ischemia, Brain / therapy*
  • Infant, Newborn