Measure | Center 1 (n=72) | Center 2 (n=20) | Center 3 (n=12) | P value |
---|---|---|---|---|
Incidence of HIE in NICU | 399 (4.0%) | 99 (2.5%)b | 68 (6.1%)a | <0.001 |
Patients undergoing hypothermia, no.(%) | 76 (19.0%) | 25(25.2%) | 13(19.1) | 0.35 |
Patients completing hypothermia, no.(%) | 72 (18.0%) | 20 (20.2%) | 12 (17.6%) | 0.61 |
Sex | 0.06 | |||
 Male, n (%) | 33 (45.8%) | 15 (75%) | 10 (83.3%) |  |
 Female, n (%) | 39 (54.2%) | 5 (25%) | 2 (16.7%) |  |
Ethnic | <0.001 | |||
 Han, n (%) | 50 (69.4%) a | 4 (20%) b | 0 (0%) b |  |
 Hui etc, n (%) | 8 (11.1%) | 9 (45%) a | 0 (0%) |  |
 Tibetan, n (%) | 14 (19.4%) b | 7 (35%) | 12 (100%) a |  |
Gestational age (Week) | 39.76±1.84 | 39.65±1.32 | 39.17±1.53 | 0.69 |
Birthweight (g) | 3158±514 | 3124±313 | 3180±605 | 0.22 |
5-min Apgar score | 8 (0-10) d | 4 (0-9) c | 6 (3-9) | <0.001 |
10-min Apgar score | 8 (0-10) d | 6 (0-10) c | 8 (5-10) | 0.02 |
Cord blood/first arterial blood pH | 7.29 (6.95-7.43) | 7.27(6.87-7.43) | 7.27(7.17-7.37) | 0.29 |
Base deficit (mmol/L) | -8.3 (-25.3--3) | -12.7 (-29.3--3.5) | -12.0 (-23--4) | 0.09 |
Inborn:outborn, n:n | 48:24 a | 3:17 b | 6:6 | <0.001 |
Age at admission (Hour) | 1 (0-12)d | 3 (1-17)c | 1 (1-3) | <0.001 |
Admission > 6 hours n (%) | 1 (1.4%) | 3 (15%)a | 0 (0%) | 0.01 |
Age at hypothermia (Hour) | 2 (0-12) c | 9 (3-20) d | 22 (4-45) d | <0.001 |
Starting hypothermia > 6 hours, no.(%) | 11 (15.3%) b | 15 (75%) a | 8 (67%) a | <0.001 |
Patients received mechanical ventilation no.(%) | 24 (33.3%) | 11 (55%) | 4 (33%) | 0.12 |
Clinical degree of HIE | <0.001 | |||
 Mild, n (%) | 35 (48.6%) a | 3 (15.8%) | 2 (16.7%) |  |
 Moderate, n (%) | 29 (40.3%) | 6 (31.6%) | 8 (66.7%) |  |
 Severe, n (%) | 8 (11.1%) b | 10 (52.6%) a | 2 (16.7%) |  |
EEG abnormal discharges | (n=68) | (n=18) | (n=10) | Â |
 Seizures, n (%) | 5 (7.3%) | 2 (11.1%) | 1 (10.0%) | 0.74 |
 Spikes/sharp waves, n (%) | 67 (98.5%) | 17 (94.4%) | 10 (100%) | 0.36 |
 Delta brushes, n (%) | 35 (51.5%) | 11 (61.1%) | 10 (100%) a | 0.006 |
Brain injury on MRI by NICHD-NRN | (n=62) | (n=18) | (n=11) | <0.001 |
 Normal/Mild, n (%) | 11 (17.7%)a | 0 (0.0%) | 0 (0.0%) |  |
 1B | 7 (11.3%) | 2 (11.1%) | 1 (9.1%) |  |
 2A | 9 (14.5%) | 2 (11.1%) | 1 (9.1%) |  |
 2B | 34 (54.8%) | 12 (66.7%) | 7 (63.6%) |  |
 3 | 1 (1.6%) | 2 (11.1%) | 2 (18.2%) |  |
Hypothermia withdrawn, n (%) | 2 (2.6%) b | 5 (20%)a | 1 (7.8%) | 0.004 |
Hospitalization time, day (SD) | 12.3 (8.4) | 10.1(4.3) | 11.1 (5.5) | 0.56 |
Death during hospitalization | 3 (3.9%) | 2 (8.0%) | 0(0%) | 0.39 |
Death before 1 year old, n (%) | (n=60) | (n=17) | (n=12) | Â |
 | 3 (5.0%) | 3 (17.6%) | 2 (16.7%) | 0.12 |