@misc{10818/62236, year = {2024}, url = {http://hdl.handle.net/10818/62236}, abstract = {Introduction: Perinatal asphyxia, a leading cause of neonatal mortality and neurological sequelae, necessitates early detection of pathophysiological neurologic changes during hypoxic-ischaemic encephalopathy (HIE). This study aimed to review published data on rScO2 monitoring during hypothermia treatment in neonates with perinatal asphyxia to predict short- and long-term neurological injury. Methods: A systematic review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Study identification was performed through a search between November and December 2021 in the electronic databases PubMed, Embase, Lilacs, Scopus, Web of Science, and Cochrane Central Register of Controlled Trials (CENTRAL). The main outcome was short-term (Changes in brain magnetic resonating imaging) and long-term (In neurodevelopment) neurological injury. The study protocol was registered in PROSPERO (International Prospective Register of Systematic Reviews) with CRD42023395438. Results: 380 articles were collected from databases in the initial search. Finally, 15 articles were selected for extraction and analysis of the information. An increase in rScO2 measured by NIRS (Near-infrared spectroscopy) at different moments of treatment predicts neurological injury. However, there exists a wide variability in the methods and outcomes of the studies. Conclusion: High rScO2 values were found to predict negative outcomes, with substantial discord among studies. NIRS is proposed as a real-time bedside tool for predicting brain injury in neonates with moderate to severe HIE. © 2024 Sergio Agudelo-Pérez et al., published by Sciendo.}, publisher = {Journal of Mother and Child}, title = {Cerebral rsco2 measured by near-infrared spectroscopy (nirs) during therapeutic hypothermia in neonates with hypoxic-ischemic encephalopathy: a systematic review}, doi = {10.34763/jmotherandchild.20242801.d-24-00010}, author = {Agudelo-Pérez S and Troncoso G and Roa A and Ariza A.G and Doumat G and Reinoso N.M and Botero-Rosas D.}, }