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Acta Neurológica Colombiana
Print version ISSN 0120-8748
Abstract
SERRANO TABARES, Carolina; PAREJA BETANCUR, Isabel Cristina; GUTIERREZ AMAYA, Karem Dayanna and CONTRERAS ORTIZ, Javier Orlando. Clinical and integrated amplitude electroencephalogram characteristics of newborns with hypoxic-ischemic encephalopathy under the protocol of total body hypothermia. Acta Neurol Colomb. [online]. 2020, vol.36, n.1, pp.3-10. ISSN 0120-8748. https://doi.org/10.22379/24224022271.
Hypoxic-ischemic encephalopathy (HIE) is an important cause of mortality in the neonatal population and neurological disability. The evidence shows that hypothermia therapy is capable of impacting these outcomes. This study was carried out with the objective of describing the clinical characteristics and the diagnostic aids made to newborns with HIE undergoing total body hypothermia therapy and the use of criteria for admission to therapy in a sample of two institutions in the city of Medellin.
METHODS:
A descriptive retrospective study was conducted, including all patients with HIE admitted to hypothermia therapy during 2017 and 2018.
RESULTS:
The data of 256 patients (males 182; 71.1 %) were obtained. There were flaws in the registry and subjectivity in the application of the entry criteria to the hypothermia protocol in both institutions. In 197 (77 %) patients there was no report of sentinel event and the prolonged labour was considered by the clinicians as a significant finding when defining the entrance to the therapy. There were also admitted patients who did not meet the criterion of APGAR ≤ 5 at 10 minutes (n = 136). The results suggest the need to improve adherence to the protocol for admission to therapy; but at the same time, it points out the importance of the clinician's concept when dealing with each patient individually.
Keywords : APGAR score; hypoxic-ischemic encephalopathy; infant, newborn; Birth Asphyxia, hypothermia (MeSH)..
