Therapeutic hypothermia for neonatal hypoxic ischaemic encephalopathy should not be discontinued in low- and middle-income countries

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Authors

Ballot, Daynia E.
Ramdin, Tanusha D.
Bandini, Rossella M.
Nakwa, Firdose
Velaphi, Sithembiso
Coetzee, Melantha
Masemola, Khomotso
Kali, Gugulabatembunamahlubi J.D.
Horn, Alan R.
Pillay, Shakti

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Health and Medical Publishing Group

Abstract

Perinatal asphyxia is a major cause of death and disability in children. Therapeutic hypothermia (TH) has become a standard of care for newborn infants who have sustained hypoxic ischaemic encephalopathy (HIE) due to perinatal asphyxia. There is compelling evidence to support this approach. A Cochrane systematic review of 11 prospective randomised controlled trials including 1 505 newborns showed that TH started within 6 hours of birth in infants with HIE significantly decreased mortality and neurodevelopmental disability in survivors.

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Keywords

Therapeutic hypothermia, Hypothermia, Neonatal, Low- and middle-income countries (LMICs), Perinatal asphyxia, Children, Hypoxic ischaemic encephalopathy (HIE)

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Citation

Ballot, D.E., Ramdin, T.D., Bandini, R.M. et al. Therapeutic hypothermia for neonatal hypoxic ischaemic encephalopathy should not be discontinued in low- and middle-income countries. South African Medical Journal, vol. 111, no. 12, pp. 1168-1169, dec. 2021. doi:10.7196/SAMJ.2021.v111i12.16180.