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September 15, 2026Journal of Paediatrics and Child HealthOpen Access

Profile of Neonates Admitted With Hypoxic‐Ischemic Encephalopathy and Early Neurodevelopment Outcomes: A Retrospective Cohort Study

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Authors

VCVisothpong ChhoamNNNicole NgARAbdul Razak

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Overview

Retrospective cohort study reveals frequent neurodevelopmental delays across all severity levels in neonates with hypoxic-ischemic encephalopathy, highlighting the need for long-term surveillance.

Key Points

  • To evaluate the clinical profiles, staging documentation consistency, and early neurodevelopmental outcomes in neonates admitted with hypoxic-ischemic encephalopathy at an Australian tertiary perinatal unit.
  • Retrospective cohort study (2019–2025) of 114 neonates born at ≥ 35 weeks' gestation and admitted with hypoxic-ischemic encephalopathy (HIE) to an Australian tertiary center.
  • Evaluated documentation of modified Sarnat staging, administration of therapeutic hypothermia, and neonatal survival.
  • Assessed early neurodevelopmental outcomes at 3–4 months corrected age using standardized developmental testing.
  • Initial HIE staging documentation was comprehensive in 63.2% (72/114) of infants, while 36.8% (42/114) required retrospective score reconstruction.
  • Therapeutic hypothermia was administered to 77.1% (27/35) of infants with mild HIE and 89.9% (71/79) with moderate-to-severe HIE; mortality was 0% (0/35) in the mild group versus 20.3% (16/79) in the moderate-to-severe group.
  • Abnormal neurodevelopmental outcomes at 3–4 months corrected age occurred in 29.6% (8/27) of tested neonates with mild HIE and 59.6% (34/57) of those with moderate-to-severe HIE.

Cite This Study

Chhoam et al. (2026) studied this question.

synapsesocial.com/papers/6aa913f39013453be30a253fhttps://doi.org/10.1111/jpc.70588
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