Page 301 - 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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