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Table 2 HIE Diagnosis, Treatments and Follow-up

From: Neonatal hypoxic-ischemic encephalopathy diagnosis and treatment: a National Survey in China

Survey Variables, n (%)

Total hospital

General hospital

Maternity and infant hospital

Children’s hospital

P-value

n = 273

n = 165

n = 73

n = 35

Which indicator(s) do you use for diagnosing HIE?

    

0.516

 Neurological manifestations

263 (96.3)

157 (95.2)

71 (97.3)

35 (100.0)

 

 Arterial blood gas

186 (68.1)

110 (66.7)

49 (67.1)

27 (77.1)

 

 Abnormal EEG/aEEG

152 (55.7)

79 (47.9)

44 (60.3)

29 (82.9)

 

 Abnormal MRI

200 (73.3)

126 (76.4)

43 (58.9)

31 (88.6)

 

 CT low density shadow

79 (28.9)

44 (26.7)

25 (34.2)

10 (28.6)

 

 Blood neuroenzymatic changes

86 (31.5)

52 (31.5)

18 (24.7)

16 (45.7)

 

Does your hospital provide TH for infants with HIE?

    

< 0.001

 Yes

147 (53.8)

71 (43.0)

49 (67.1)

27 (77.1)

 

Do you use any of the following agents to treat HIE?

    

0.462

 Cytidine diphosphate choline

57 (20.9)

41 (24.8)

8 (11.0)

8 (22.9)

 

 Rat nerve growth factor

70 (25.6)

46 (27.9)

11 (15.1)

13 (37.1)

 

 Ganglioside

179 (65.6)

111 (67.3)

45 (61.6)

23 (65.7)

 

 Erythropoietin

37 (13.6)

21 (12.7)

11 (15.1)

5 (14.3)

 

 Cerebrolysin

24 (8.8)

17 (10.3)

5 (6.8)

2 (5.7)

 

Does your hospital have a long-term follow-up service for HIE children?

    

0.69

 Yes

248 (90.8)

149 (90.3)

68 (93.2)

31 (88.6)

 

Up to how old are the HIE children followed up?

    

0.715

 1 year old

41 (15.0)

28 (17.0)

9 (12.3)

4 (11.4)

 

 2 years old

86 (31.5)

48 (29.1)

26 (35.6)

10 (28.6)

 

 Preschool age

148 (54.2)

89 (53.9)

38 (52.1)

21 (60.0)

 

Which neurodevelopmental assessment scale(s) is used in your follow-up clinic?

    

0.106

 Bayley

140 (51.3)

76 (46.1)

45 (61.6)

19 (54.3)

 

 CDCC

69 (25.3)

45 (27.3)

18 (24.7)

6 (17.1)

 

 Other standardized testsa

30 (11.0)

22 (13.3)

2 (2.7)

6 (17.1)

 

 None of above

34 (12.5)

22 (13.3)

8 (11.0)

4 (11.4)

 
  1. Abbreviation: HIE Hypoxic-ischemic encephalopathy, TH Therapeutic hypothermia, EEG Electroencephalography, aEEG amplitude-integrated electroencephalography, MRI Magnetic resonance imaging, CT Computerized tomography, GMs General movements, NBNA Neonatal behavioral neurological assessment, DDST Denver developmental screening test
  2. a Include Gesell, GMs, NBNA, Wechsler intelligence scale, and DDST