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Evidence · Systematic review or meta-analysis

Effect of therapeutic hypothermia on renal and myocardial function in asphyxiated (near) term neonates: A systematic review and meta-analysis.

Systematic review or meta-analysisPLoS One2021Full text
  • Acute kidney injury
  • Cardiovascular
  • Medical
  • Neurology
  • Nursing
  • Renal and metabolic

Summary

A systematic review and meta-analysis of therapeutic hypothermia in (near) term asphyxiated neonates, focusing on renal and myocardial rather than neurological outcomes. Nine studies reported acute kidney injury incidence, with pooled analysis suggesting a reduction in AKI with cooling. Short-term cardiac biomarker, ECG and echocardiographic findings suggested possible cardioprotection, but no studies addressed long-term renal or myocardial function. Relevant to neonatal and paediatric intensive care teams managing cooled asphyxiated infants.

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