Paradigm shifts in neonatal hypoxic-ischemic encephalopathy therapeutics: a four-decade bibliometric exploration of emerging therapeutic dimensions (1985–2024)

AimNeonatal hypoxic-ischemic encephalopathy (HIE) remains a significant cause of neonatal morbidity and mortality worldwide, necessitating the exploration of effective therapeutic interventions. Current treatment strategies primarily involve therapeutic hypothermia (TH); however, its efficacy remain...

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Main Authors: Juntao Shu, Ling Liu, Mei Yuan, Mingbiao Ma, Jingjing Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Pediatrics
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Online Access:https://www.frontiersin.org/articles/10.3389/fped.2025.1611345/full
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author Juntao Shu
Ling Liu
Mei Yuan
Mingbiao Ma
Jingjing Yang
author_facet Juntao Shu
Ling Liu
Mei Yuan
Mingbiao Ma
Jingjing Yang
author_sort Juntao Shu
collection DOAJ
description AimNeonatal hypoxic-ischemic encephalopathy (HIE) remains a significant cause of neonatal morbidity and mortality worldwide, necessitating the exploration of effective therapeutic interventions. Current treatment strategies primarily involve therapeutic hypothermia (TH); however, its efficacy remains inconsistent. Research topics and trends in this area remain unclear as well. This study aimed to identify key research areas, collaboration networks, and emerging trends using bibliometric analysis tools.MethodsA comprehensive analysis was conducted on 1,165 records from the Web of Science Core Collection (WoSCC) database. Various bibliometric techniques were employed, including coauthor analysis, co-occurrence analysis, co-citation analysis, reference clustering, and topic modeling, to visualize the knowledge structure and research dynamics in the HIE field.ResultsThe findings revealed extensive collaboration networks among authors, institutions, and countries, highlighting global efforts to address this critical neonatal condition. Recent trends identified key research areas, including TH, mild systemic hypothermia, oxidative stress, biomarkers and signaling pathways, which are essential for advancing the understanding and treatment of HIE.ConclusionThis study provides valuable insights into the current TH for neonates with HIE. Future research should focus on optimizing treatment approaches and evaluating long-term efficacy to enhance clinical applications.
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spelling doaj-art-06d6d5443bda446dbfef3351a3cffa732025-08-20T02:48:54ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-07-011310.3389/fped.2025.16113451611345Paradigm shifts in neonatal hypoxic-ischemic encephalopathy therapeutics: a four-decade bibliometric exploration of emerging therapeutic dimensions (1985–2024)Juntao Shu0Ling Liu1Mei Yuan2Mingbiao Ma3Jingjing Yang4Department of Neonatology, The Children’s Hospital of Kunming City, The Affiliated Children’s Hospital of Kunming Medical University, Kunming, Yunnan, ChinaDepartment of Neonatology, The Children’s Hospital of Kunming City, The Affiliated Children’s Hospital of Kunming Medical University, Kunming, Yunnan, ChinaDepartment of Clinical Laboratory, The Children’s Hospital of Kunming City, The Affiliated Children’s Hospital of Kunming Medical University, Kunming, Yunnan, ChinaDepartment of Clinical Laboratory, The Children’s Hospital of Kunming City, The Affiliated Children’s Hospital of Kunming Medical University, Kunming, Yunnan, ChinaDepartment of Geriatric, The First People’s Hospital of Yunnan Province, The Affiliated Hospital of Kunming University of Science and Technology, Kunming, Yunnan, ChinaAimNeonatal hypoxic-ischemic encephalopathy (HIE) remains a significant cause of neonatal morbidity and mortality worldwide, necessitating the exploration of effective therapeutic interventions. Current treatment strategies primarily involve therapeutic hypothermia (TH); however, its efficacy remains inconsistent. Research topics and trends in this area remain unclear as well. This study aimed to identify key research areas, collaboration networks, and emerging trends using bibliometric analysis tools.MethodsA comprehensive analysis was conducted on 1,165 records from the Web of Science Core Collection (WoSCC) database. Various bibliometric techniques were employed, including coauthor analysis, co-occurrence analysis, co-citation analysis, reference clustering, and topic modeling, to visualize the knowledge structure and research dynamics in the HIE field.ResultsThe findings revealed extensive collaboration networks among authors, institutions, and countries, highlighting global efforts to address this critical neonatal condition. Recent trends identified key research areas, including TH, mild systemic hypothermia, oxidative stress, biomarkers and signaling pathways, which are essential for advancing the understanding and treatment of HIE.ConclusionThis study provides valuable insights into the current TH for neonates with HIE. Future research should focus on optimizing treatment approaches and evaluating long-term efficacy to enhance clinical applications.https://www.frontiersin.org/articles/10.3389/fped.2025.1611345/fulltherapeutic hypothermiahypoxic-ischemic encephalopathybiomarkerssignaling pathwaysemerging treatmentsbibliometric analysis
spellingShingle Juntao Shu
Ling Liu
Mei Yuan
Mingbiao Ma
Jingjing Yang
Paradigm shifts in neonatal hypoxic-ischemic encephalopathy therapeutics: a four-decade bibliometric exploration of emerging therapeutic dimensions (1985–2024)
Frontiers in Pediatrics
therapeutic hypothermia
hypoxic-ischemic encephalopathy
biomarkers
signaling pathways
emerging treatments
bibliometric analysis
title Paradigm shifts in neonatal hypoxic-ischemic encephalopathy therapeutics: a four-decade bibliometric exploration of emerging therapeutic dimensions (1985–2024)
title_full Paradigm shifts in neonatal hypoxic-ischemic encephalopathy therapeutics: a four-decade bibliometric exploration of emerging therapeutic dimensions (1985–2024)
title_fullStr Paradigm shifts in neonatal hypoxic-ischemic encephalopathy therapeutics: a four-decade bibliometric exploration of emerging therapeutic dimensions (1985–2024)
title_full_unstemmed Paradigm shifts in neonatal hypoxic-ischemic encephalopathy therapeutics: a four-decade bibliometric exploration of emerging therapeutic dimensions (1985–2024)
title_short Paradigm shifts in neonatal hypoxic-ischemic encephalopathy therapeutics: a four-decade bibliometric exploration of emerging therapeutic dimensions (1985–2024)
title_sort paradigm shifts in neonatal hypoxic ischemic encephalopathy therapeutics a four decade bibliometric exploration of emerging therapeutic dimensions 1985 2024
topic therapeutic hypothermia
hypoxic-ischemic encephalopathy
biomarkers
signaling pathways
emerging treatments
bibliometric analysis
url https://www.frontiersin.org/articles/10.3389/fped.2025.1611345/full
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