Tip 27b: HIE prognosis

Good prognostic features

  • Stage I encephalopathy
  • Absence of fits in first 24 hours
  • Resolution of fits, off anticonvulsants, by 7 days.
  • Ability to suck and feed by 7 days

Poor prognostic features

  • Stage II/III encephalopathy
  • Encephalopathy >5 days
  • Unreactive or discontinuous EEG
  • Ultrasound evidence of thalamic or extensive parenchymal involvement

External links: Yorkshire and Humber ODN Pan Network Clinical Guideline (2015). Management of Hypoxic Ischaemic Encephalopathy Including Total Body Cooling.

Previously published: 01/11/13, 15/09/14, updated 16/03/16

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