Early arterial blood gas parameters, clinical features, and neuroimaging findings in neonates undergoing therapeutic hypothermia for suspected hypoxic-ischemic encephalopathy: a retrospective single-center study - Takeaways - MDSpire
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Assessment of Initial Arterial Blood Gas Metrics, Clinical Characteristics, and Neuroimaging Results in Neonates Treated with Therapeutic Hypothermia for Suspected Hypoxic-Ischemic Encephalopathy: A Retrospective Analysis from a Single Center

  • By

  • Ece Gültekin

  • July 9, 2026

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  • 1

    The study analyzed 22 neonates treated with therapeutic hypothermia for suspected hypoxic-ischemic encephalopathy (HIE).

  • 2

    Final HIE classification revealed no evidence of HIE in 72.7% of patients, with varying stages of HIE in the remainder.

  • 3

    Lower bicarbonate levels were significantly associated with the presence of any-stage HIE compared to neonates without HIE.

  • 4

    Neonates with seizures had lower gestational age and more negative base excess values, indicating more severe metabolic acidosis.

  • 5

    The study found low concordance between cranial ultrasonography and MRI, with many neonates having abnormal MRI despite normal ultrasonography.

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