Prospective research on infants with mild encephalopathy: The PRIME study

C. Prempunpong, L. F. Chalak, J. Garfinkle, B. Shah, V. Kalra, N. Rollins, R. Boyle, K. A. Nguyen, I. Mir, A. Pappas, P. Montaldo, S. Thayyil, P. J. Sánchez, S. Shankaran, A. R. Laptook, G. Sant'anna

Research output: Contribution to journalReview articlepeer-review

61 Scopus citations


Objective:To determine short-term outcomes of infants with evidence of hypoxia-ischemia at birth and classified as mild neonatal encephalopathy (NE) at <6 h of age.Study Design:Prospective multicenter study. Mild NE was defined as 3/41 abnormal category in modified Sarnat score. Primary outcome was any abnormality on early amplitude integrated electroencephalogram (aEEG) or seizures, abnormal brain magnetic resonance imaging (MRI) or neurological exam at discharge.Results:A total of 54/63 (86%) of enrolled infants had data on components of the primary outcome, which was abnormal in 28/54 (52%): discontinuous aEEG (n=4), MRI (n=9) and discharge exam (n=22). Abnormal tone and/or incomplete Moro were the most common findings. MRI abnormalities were confined to cerebral cortex but two infants had basal ganglia and/or thalamus involvement. The 18 to 24 months follow-up is ongoing.Conclusions:A larger than expected proportion of mild NE infants with abnormal outcomes was observed. Future research should evaluate safety and efficacy of neuroprotection for mild NE.

Original languageEnglish (US)
Pages (from-to)80-85
Number of pages6
JournalJournal of Perinatology
Issue number1
StatePublished - Jan 1 2018

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology


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