Table 2 Clinical indicators of avoidable brain injury associated to hypoxic ischaemic encephalopathy (HIE): potentially relevant data items that were identified in one or more of the data sources.

From: Improving UK data on avoidable perinatal brain injury: review of data dictionaries and consultation

 

MSDS version 2.0

HES APC

NNRD

NMPA 2015–2017

NMPA 2017–2019

Baby alive or dead at birth

Y

Y

N

Y

Y

Apgar score at one and five minutes

Y

N

Y

Y

Y

Time to first spontaneous breathing

N

N

Y

Y

N

Resuscitation

Y

Y

Y

Y

Y

Resuscitation method (bag and mask, intubation)

Y

Y

Y

Y

Y

Umbilical cord blood pH, arterial, venous, base deficit/lactate

N

N

Y

Y

N

Seizures

Y

Ya

Y

Y

Y

Transfer to neonatal unit

Y

Y

Y

Y

Y

Therapeutic hypothermia

N

N

Y

Y

N

Neurology – Central tone

N

Ya

Y

Y

Ya

Neurology – Consciousness

N

Ya

Y

Y

Ya

Magnetic resonance imaging (MRI) scan

N

N

Y

Y

N

Cerebral function monitoring (CFM) or electroencephalogram (EEG)

N

N

Y

Y

N

Hypoxic-ischaemic encephalopathy (HIE)

N

Ya

Y

Y

Ya

  1. HIE hypoxic ischaemic encephalopathy, MSDS Maternity Services Data Set (MSDS),28,31,40 HES APC Hospital Episode Statistics for Admitted Patient Care,29,41,42 NNRD National Neonatal Research Database,19,43,44 NMPA National Maternity and Perinatal Audit.20,30,45
  2. aDerived from ICD-10 code. #Available via ICD-10 code if sepsis confirmed.