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   Does fluid restriction improve outcomes in infants with hypoxic ischemic encephalopathy? A pilot randomized controlled trial  
   
نویسنده Tanigasalam Vasanthan ,Plakkal Nishad ,Bhat B. Vishnu ,Chinnakali Palanivel
منبع journal of perinatology - 2018 - دوره : 38 - شماره : 11 - صفحه:1512 -1517
چکیده    Objectiveto evaluate whether a strategy of restricted fluid intake in the first 4 days reduces mortality and morbidity among term neonates with moderate to severe hypoxic ischemic encephalopathy (hie) treated with therapeutic hypothermia.study designeighty neonates with hie were randomized between january 2016 and february 2018 to receive normal fluid intake (n = 40) or restricted fluid intake (two-third of normal intake; n = 40) in the first 4 days of life. the primary outcome was a composite of death or major neurodevelopmental disability at 6 months of age.resultsthe primary outcome occurred in 10 infants (26%) in the fluid-restricted group and 3 infants (8%) in the normal fluid intake group, but the difference was not statistically significant (p = 0.065). five infants in the fluid-restricted group had hypoglycemia (p = 0.055).conclusionrestricted fluid intake did not reduce the composite outcome of death or neurodevelopmental disability and was associated with a trend toward more hypoglycemia.
آدرس Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Department of Neonatology, India, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Department of Neonatology, India, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Department of Neonatology, India, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Department of Preventive and Social Medicine, India
 
     
   
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