Table 1 Characteristics of included studies.

From: Using heart rate variability to predict neurological outcomes in preterm infants: a scoping review

Study

Country

Design

N

HRV metric

HRV metric category

Neurological outcome

Neurological outcome category

Age at outcome assessment

Addison et al.46

USA

Retrospective cohort study

65b

cHRC

Heart rate characteristics

1. Cerebral palsy;

2. BSID-II

1. Long term;

2. Long term

12 (n = 58) or 18 (n = 7) months

Doussard-Roosevelt et al.48 a

USA

Prospective cohort study

41

RSA RSA Maturation

Frequency domain

Behavioural parameters determined by scores on Child Behaviour Checklist, Kaufman Assessment Battery for Children, Parenting Stress Index and California Preschool Social Competency Scale

Long term

3 years

Doussard-Roosevelt et al.47 a

USA

Prospective cohort study

20

RSA RSA Maturation

Frequency domain

Behavioural Parameters determined by scores on Child Behaviour Checklist, Kaufman Assessment Battery for Children, Parenting Stress Index and California Preschool Social Competency Scale

Long term

3 years and school age (mean 8.1 years)

Fairchild et al.45

USA

Retrospective cohort study

384c

aHRC28

Heart rate characteristics

1. Cranial ultrasound findings;

2. MRI head findings;

3. Bayley scales score

1. Short term;

2. Short term;

3. Long term

1. Twice in first 10 days of life and once after discharge;

2. Term corrected age;

3. 12–15 months of age

Gronlund et al.37

Finland

Prospective case-control study

42

RMSSD,

RMSM

coefficients of variation of RMSSD and RMSM

Time domain

1. IVH grades 1–2 or 3–4;

2. Periventricular leukomalacia

1. Short term;

2. Short term

Days 1–4 of life

Hanna et al.38

USA

Retrospective cohort study

19

SDANN index

SDNN index

Time domain

1. BSID-II MDI and PDI score;

2. Diagnosis of CP

3. IVH/PVL

1. Long term;

2. Long term;

3. Short term

1. 1 year;

2. 1 year;

3. During admission

Huvanandana et al.39

Australia

Prospective case-control study

27

Mean pulse interval

short-term and long-term scaling exponents of the pulse interval

Non-linear

IVH

Short term

Two, 12, 24, 36 h and then once daily until the end of the 1st week of life

Hadas et al.51

Israel

Prospective cohort study

46

NN,

SDNN,

RMSSD,

LF,

HF,

TP

Time and frequency domain

1. General movement assessment;

2. Motor optimality score for 3–5-month-old infants

1. Medium term

2. Medium term

1. 35 weeks;

2. 4 months

King et al.49

USA

Retrospective cohort study

598

cHRC

Heart Rate Characteristics

Neurodevelopmental impairment (based on blindness, deafness, gross motor function classification system level 2 or higher, or BSID-III cognitive score <85)

Long term

18–22 months corrected age

Lloyd et al.50

Ireland

Retrospective cohort study

43

SDNN

Skewness

Kurtosis

Time domain and non-linear

BSID-III

Long term

2 years of age

Prietsch et al.40

Germany

Prospective cohort study

105

Long-term variability and short-term variability

Time domain

IVH

Short term

NA

Shiono et al.41

Japan

Prospective case-control study

34d

NN

SDNN

LF

HF

TP

LF/HF

CVRR

Time and frequency domain

1. IVH;

2. Neurodevelopmental delay

1. Short term;

2. Long term

1. Within 24 h of birth and then at least every 24 h;

2. 18 months and 3 years corrected age

Sullivan et al.42

USA

Retrospective cohort study

566

aHRC-24 h

aHRC-7 d

Heart rate characteristics

IVH grades 3–4

Short term

During admission

Tuzcu et al.43

USA

Prospective case-control study

24

Detrended fluctuation analysis

Non-linear

IVH

Short term

First week of life

van Ravenswaaij-Arts et al.44

Netherlands

Prospective case-control study

50

RR-interval

four long-term variability and four short-term variability parameters

Time domain

IVH

Short term

NA

  1. Please refer to Supplementary Table 1 for HRV metric definitions.
  2. Min minutes, H hours, D days, NA not specified in report, HRV heart rate variability, BSID-II Bayley Scales for Infant and Toddler Development Second Edition, IVH intraventricular haemorrhage, MDI mental developmental index, PDI psychomotor developmental index, CP cerebral palsy, BSID-III Bayley Scales for Infant and Toddler Development Third Edition.
  3. aBoth studies were describing the same cohort of infants.
  4. bOne infant did not undergo neurological examination for cerebral palsy at follow-up.
  5. c384 was the total number of infants. 50 infants had brain MRI and 70 had BSID data.
  6. dOnly 23 infants were available for long-term follow-up.