Evidence map›Paper›PMID 33245400›Full record

SynthesisEuropean journal of pediatrics2021

Heart rate variability as possible marker of brain damage in neonates with hypoxic ischemic encephalopathy: a systematic review.

Iliana Bersani, Fiammetta Piersigilli, Diego Gazzolo, Francesca Campi, Immacolata Savarese, Andrea Dotta, Pietro Paolo Tamborrino, Cinzia Auriti, Corrado Di Mambro

Erratum issued Registry-linked trialOpen access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in European journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06744244 (Olfactory Memory in Infants With Signs of Asphyxia), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
10.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06744244 recruitingnot on this mapstarted 2024, after this paper: background citation

Olfactory Memory in Infants With Signs of Asphyxia: An Early Indicator of Neurodevelopmental Outcomes

TypeobservationalSponsorUniversity of ParmaRan2024 to 2026Enrolled30ConditionsMild Birth Asphyxia, Moderate Birth AsphyxiaArmsOlfactory Testing, Heart rate (HR), Heart Rate Variability (HRV), Respiratory Rate (RR), peripheral oxygen saturation (SpO2), Video-EEG, fMRI, Neurodevelopment assessment
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
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  8. Observational
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  11. Fusion Model Using Resting Neurophysiological Data to Help Mass Screening of Methamphetamine Use Disorder.IEEE journal of translational engineering in health and medicine · 2025
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  12. Article
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  14. Neonatal Seizure Detection Using a Wearable Multi-Sensor System.Bioengineering (Basel, Switzerland) · 2023
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  15. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Iliana BersaniDepartment of Medical and Surgical Neonatology, Bambino Gesù Children's Hospital, Rome, Italy. ilianabersani@gmail.com.ORCID http://orcid.org/0000-0002-3020-2274
Fiammetta PiersigilliCliniques Universitaires Saint Luc, Université Catholique de Louvain, Bruxelles, Belgium.
Diego GazzoloNeonatal Intensive Care Unit, G. d'Annunzio University, Chieti, Italy.
Francesca CampiDepartment of Medical and Surgical Neonatology, Bambino Gesù Children's Hospital, Rome, Italy.
Immacolata SavareseDepartment of Medical and Surgical Neonatology, Bambino Gesù Children's Hospital, Rome, Italy.
Andrea DottaDepartment of Medical and Surgical Neonatology, Bambino Gesù Children's Hospital, Rome, Italy.
Pietro Paolo TamborrinoPediatric Cardiology and Cardiac Arrhythmia/Syncope Complex Unit, Department of Pediatric Cardiology and Cardiac Surgery, Bambino Gesù Children's Hospital, Rome, Italy.
Cinzia AuritiDepartment of Medical and Surgical Neonatology, Bambino Gesù Children's Hospital, Rome, Italy.
Corrado Di MambroPediatric Cardiology and Cardiac Arrhythmia/Syncope Complex Unit, Department of Pediatric Cardiology and Cardiac Surgery, Bambino Gesù Children's Hospital, Rome, Italy.
Bambino Gesù Children's Hospital · ITCliniques Universitaires Saint-Luc · BEUniversity of Chieti-Pescara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart rate variability (HRV) is currently considered the most valuable non-invasive test to investigate the autonomic nervous system function, based on the fact that fast fluctuations might specifically reflect changes of sympathetic and vagal activity. An association between abnormal values of HRV and brain impairment has been reported in the perinatal period, although data are still fragmentary. Considering such association, HRV has been suggested as a possible marker of brain damage also in case of hypoxic-ischemic encephalopathy following perinatal asphyxia. The aim of the present manuscript was to review systematically the current knowledge about the use of HRV as marker of cerebral injury in neonates suffering from hypoxic-ischemic encephalopathy. Findings reported in this paper were based on qualitative analysis of the reviewed data. Conclusion: A growing body of research supports the use of HRV as non-invasive, bedside tool for the monitoring of hypoxic-ischemic encephalopathy. The currently available data about the role of HRV as prognostic tool in case of hypoxic ischemic encephalopathy are promising but require further validation by future studies. What is Known: • Heart rate variability (HRV) is a non-invasive monitoring technique to assess the autonomic nervous system activity. • A correlation between abnormal HRV and cerebral injury has been reported in the perinatal period, and HRV has been suggested as possible marker of brain damage in case of hypoxic-ischemic encephalopathy. What is New: • HRV might provide precocious information about the entity of brain injury in asphyxiated neonates and be of help to design early, specific, and personalized treatments according to severity. • Further investigations are required to confirm these preliminary data.

Indexed as

Asphyxia NeonatorumBrain InjuriesHypoxia-Ischemia, BrainBrainFemaleHeart RateHumansInfant, NewbornPregnancyAsphyxiaBrain damageHeart rateHeart rate variabilityHypoxic ischemic encephalopathyNeonateTherapeutic hypothermia

Identifiers

PMID33245400
PMCPMC7691422
OpenAlexW3110056594

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.