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Hypoxic ischaemic encephalopathy: accuracy of the reported incidence
  1. H L Yates,
  2. S McCullough,
  3. C Harrison,
  4. A B Gill
  1. Department of Neonatal Medicine, Leeds Neonatal Service, Leeds Teaching Hospitals NHS Trust, Leeds, UK
  1. Correspondence to Helen L Yates, Department of Paediatrics, Leeds Neonatal Service, Leeds Teaching Hospitals NHS Trust, LGI, Great George Street, Leeds LS1 3EX, UK; dave.helen{at}fsmail.net

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With national reporting and benchmarking of perinatal outcomes, it is essential that the criteria used to detect cases of hypoxic ischaemic encephalopathy (HIE) are robust.

The Neonatal Survey (TNS) is a validated survey collecting neonatal outcome data. Neonatal encephalopathy (NE) is used as a proxy measure of HIE; grade 2 NE cases require anticonvulsant therapy, grade 3 NE requiring either ventilation and anticonvulsant therapy (grade 3a) or ventilation following birth depression (grade 3b). Previous audits of the criteria suggest a false-positive rate of 10%.1

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