title: Biochemical and clinical predictors of hypoxic-ischemic encephalopathy after perinatal asphyxia.
abstract: OBJECTIVE
  To determine the usefulness of measures, available shortly after birth, as predictors of hypoxic-ischemic encephalopathy (HIE) following perinatal asphyxia.
  
  
  METHODS
  All inborn patients at Southmead Hospital between January 2012 and March 2014 at ≥36 weeks gestation with a pH <7 or BE >16 on cord or baby's blood within one hour of birth or 10-minute Apgar score ≤5 or requiring intermittent positive pressure ventilation at 10 minutes were eligible for inclusion.
  
  
  METHODS
  ROC curves were derived for the perinatal clinical and biochemical measures to establish their predictive values for the development of HIE and the area under the curve (AUC) used as the measure of prediction.
  
  
  RESULTS
  We identified 79 eligible babies. Infants qualifying for therapeutic hypothermia (TH) based on aEEG abnormalities were considered to have HIE (n = 13; 16.5%), whereas babies with normal aEEG were classified as "non-HIE" (n = 66; 83.5%). The highest AUC measure was associated with the five-minute Apgar score (0.89 (0.79-0.99)). Troponin T (0.81 (0.64-0.98)) and ALT (0.78 (0.60-96)) also showed high values.
  
  
  CONCLUSIONS
  In this work, the Apgar score, troponin T and ALT were found to be strong and useful predictors of HIE.
authors.affiliation: a Neonatal Intensive Care Unit , Southmead Hospital, North Bristol NHS Trust , Bristol , UK.
authors.forename: Rebekka
authors.identifier: http://orcid.org/0000-0002-4254-1839
authors.initials: R
authors.lastname: Jones
authors.affiliation: a Neonatal Intensive Care Unit , Southmead Hospital, North Bristol NHS Trust , Bristol , UK.|b University of Bristol , Bristol , UK.
authors.forename: Axel
authors.identifier: http://orcid.org/0000-0002-2380-5157
authors.initials: A
authors.lastname: Heep
authors.affiliation: a Neonatal Intensive Care Unit , Southmead Hospital, North Bristol NHS Trust , Bristol , UK.|b University of Bristol , Bristol , UK.
authors.forename: David
authors.identifier: http://orcid.org/0000-0002-6416-4966
authors.initials: D
authors.lastname: Odd
mesh_terms: D000410:Alanine Transaminase / Q000097:blood*; D001034:Apgar Score; D001238:Asphyxia Neonatorum / Q000097:blood* / Q000150:complications; D015415:Biomarkers / Q000097:blood; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D007036:Hypothermia, Induced; D020925:Hypoxia-Ischemia, Brain / Q000097:blood* / Q000175:diagnosis / Q000209:etiology; D007231:Infant, Newborn; D008297:Male; D011237:Predictive Value of Tests; D011247:Pregnancy; D012372:ROC Curve; D012189:Retrospective Studies; D020107:Troponin T / Q000097:blood*
chemical_list: D015415:Biomarkers; D020107:Troponin T; D000410:Alanine Transaminase
keywords: Apgar score; Hypoxic–ischemic encephalopathy; birth asphyxia; neonatal encephalopathy; predictor