Page 300 - 16Neonatal Jaundice_compressed
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Appendix H: Evidence tables


              Bibliographic details   Study type &   Patient characteristics   Test, Reference Standard,   Results                Reviewers Comments
                                Evidence level                            Threshold for a positive test
                                                                                                   > 205 micromol/litre (N = Not reported)
                                                                                                   Sensitivity: 75%
                                                                                                   Specificity: 72%


              Riskin A;         Study Type:   Full term babies (37–42 weeks) with   Visual observation by one of four   Correlation of estimated TSB levels with lab   Selected population with no
                                Diagnostic study   clinical jaundice in the nursery of a   attending neonatologists before   TSB (Pearson correlation coefficient)   exclusion criterion
              Year: 2003                     tertiary care hospital. Includes babies   discharge of baby from the nursery         Test & Reference test described
                                Evidence Level:   with ABO incompatibility and G6PD   regarding    All physicians (n = 283):      in detail
              Country:          II           deficiency.                  a) Assessment of clinical jaundice   r = 0.68, P < 0.001   Test and reference test carried
              Israel                                                      severe enough to draw blood                             out within one hour
                                             n = 283                      sample                   Physician 1 (n = 74)           Blinding – yes
              58                             mean age at assessment       b) Estimated TSB levels   r = 0.79, P < 0.001           Data not extractable for
                                             63.8 ± 21.6 hours                                                                    calculating TP, FP, TN & FN
                                                                          Reference standard: Laboratory   Physician 2 (n = 62)   values
                                             mean GA: 39.5 ± 1.5 weeks    TSB levels within 30 mins   r = 0.64, P < 0.001
                                             mean BW: 3223 ± 484 g
                                             Gender: Males = 51.2%                                 Physician 3 (n = 69)
                                                                                                   r = 0.70, P < 0.001

                                             Ethnicity                                             Physician 4 (n = 78)
                                             Majority reported as Jews (76%) or
                                             Arabs (24%)                                           r = 0.62, P < 0.001


                                             Exclusion: not defined





























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