TY - JOUR AU - Demir, Sebiha AU - Groteklaes, Anne AU - Dresbach, Till AU - Müller, Andreas AU - Sabir, Hemmen TI - Abnormal Amplitude-Integrated Electroencephalography and Acidosis as Key Criteria Initiating Therapeutic Hypothermia in Asphyxiated Newborns - Data From the German Hypothermia Registry. JO - Acta paediatrica VL - 115 IS - 2 SN - 0001-656X CY - Oxford PB - Wiley-Blackwell M1 - DZNE-2026-00066 SP - 482 - 490 PY - 2026 N1 - ISSN 1651-2227 not unique: **2 hits**. AB - There is a wide treatment heterogeneity for asphyxiated newborn infants between hospitals in Germany. This study aimed to identify the leading entry criteria initiating therapeutic hypothermia (TH) using data from the German Hypothermia Registry.We retrospectively analyzed 262 asphyxiated newborn infants treated with TH across 74 neonatal units in Germany. Clinical and metabolic parameters and neurological assessments were recorded before the initiation of TH using a standardised electronic form in REDCap, a secure web-based platform for clinical research. Correlations between metabolic indicators (pH, base deficit, lactate) and neurological assessments, including Sarnat score, Thompson score and initial amplitude-integrated electroencephalography (aEEG) were examined.Mean gestational age was 39.4 ± 1.7 weeks. Acidosis and abnormal aEEG patterns were the most frequent criteria initiating treatment. Lower pH was strongly associated with abnormal aEEG (odds ratio 0.02, 95 KW - Humans KW - Hypothermia, Induced KW - Infant, Newborn KW - Asphyxia Neonatorum: therapy KW - Asphyxia Neonatorum: complications KW - Asphyxia Neonatorum: physiopathology KW - Electroencephalography KW - Acidosis: etiology KW - Retrospective Studies KW - Registries KW - Male KW - Germany KW - Female KW - amplitude‐integrated electroencephalography (Other) KW - hypoxic–ischemic encephalopathy (Other) KW - inclusion criteria for therapeutic hypothermia (Other) KW - perinatal asphyxia (Other) KW - therapeutic hypothermia (Other) LB - PUB:(DE-HGF)16 C6 - pmid:41162838 C2 - pmc:PMC12794757 DO - DOI:10.1111/apa.70360 UR - https://pub.dzne.de/record/283187 ER -