Body Temperature, Heart Rate, and Short-Term Outcome of Cooled Infants

Therapeutic Hypothermia and Temperature Management
Kennosuke TsudaBaby Cooling Registry of Japan Collaboration Team

Abstract

Therapeutic hypothermia following neonatal encephalopathy is neuroprotective. However, approximately one in two cooled infants still die or develop permanent neurological impairments. Further understanding of variables associated with the effectiveness of cooling is important to improve the therapeutic regimen. To identify clinical factors associated with short-term outcomes of cooled infants, clinical data of 509 cooled infants registered to the Baby Cooling Registry of Japan between 2012 and 2014 were evaluated. Independent variables of death during the initial hospitalization and survival discharge from the cooling hospital at ≤28 days of life were assessed. Death was associated with higher Thompson scores at admission (p < 0.001); higher heart rates after 3-72 hours of cooling (p < 0.001); and higher body temperature after 24 hours of cooling (p = 0.002). Survival discharge was associated with higher 10 minutes Apgar scores (p < 0.001); higher blood pH and base excess (both p < 0.001); lower Thompson scores (at admission and after 24 hours of cooling; both p < 0.001); lower heart rates at initiating cooling (p = 0.003) and after 24 hours of cooling (p < 0.001) and lower average values after 3-72 hours of cooling (p < 0.001)...Continue Reading

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Citations

May 17, 2019·Archives of Disease in Childhood. Fetal and Neonatal Edition·Jun ShibasakiUNKNOWN Baby Cooling Registry of Japan Collaboration Team
Apr 14, 2021·Pediatric Research·Kennosuke TsudaUNKNOWN Baby Cooling Registry of Japan
Jun 26, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Han-Yang Chen, Suneet P Chauhan

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