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A study of the impact of treating seizures that can be seen and those that can be seen only on a brain monitor in newborn babies, who are having seizures or at high risk of seizures.

Not Applicable
Conditions
eonatal Encephalopathy
Neonatal seizures
Hypoxic-ischemic encephalopathy (HIE)
Neonatal Encephalopathy
Neurological - Other neurological disorders
Reproductive Health and Childbirth - Complications of newborn
Registration Number
ACTRN12611000327987
Lead Sponsor
Murdoch Childrens Research Institute
Brief Summary

There were no significant differences between the two groups. Infants who had all electrographic seizures treated did not have improved mortality or neurodevelopment when compared to those infants who received standard care.

Detailed Description

Not available

Recruitment & Eligibility

Status
Stopped early
Sex
All
Target Recruitment
212
Inclusion Criteria

Infants greater than or equal to 35 weeks' gestation (term or near term) admitted to a participating Neonatal Intensive Care Unit.
Less than or equal to 48 hours old:
A diagnosis of either:
-Neonatal encephalopathy including coma, stupor or depressed mental state (based on modified Sarnat classification II-III).
-Hypoxic-ischaemic encephalopathy or at risk for hypoxic-ischaemic encephalopathy (ie. 2 of the following - Apgar score less than 5 at 5 minutes); cord blood gas or postnatal blood gas within 1 hour of birth with a pH less than 7.1 or base excess < -12 within 1 hour of birth; need for ongoing respiratory support at 10 minutes after birth)
-suspected neonatal seizures

Exclusion Criteria

Infants less than 35 weeks gestation;

Greater than 48 hours old;

Infants in non-convulsive status (as confirmed by conventional electroencephalography taken for one hour as soon as practical);

Infants diagnosed with Cerebral dysgenesis

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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