Page 368 - 16Neonatal Jaundice_compressed
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Appendix H: Evidence tables


            Evidence Table – Additional Tests




              Bibliographic details   Study type &   Patient characteristics                Results                           Reviewers Comments
                                  Evidence level
              Author:             Study type:     Inclusion criteria                        6 studies included.
              Hulzebos C          Systematic review   Studies of Preterm babies with hyperbilirubinaemia that used   Higher B/A ratio was associated with abnormal
                                                  the Bilirubin/Albumin ratio to predict BIND   ABR in 2 studies, lower IQ at 6 years in one study
              Year:               Evidence level: 1                                         and with Kernicterus in one study
                                             ++
             2008
                                                                                            One study found no difference
             Country:
              USA                                                                           One study found that binding capacities
                                                                                            (expressed a B/A molar ratio) were lower in
                   114
              Ref ID:                                                                       babies with kernicterus
              Author:             Study type:     Diagnosis: Jaundice                       Mean TsB levels
              Malik G             Case-series                                               227 ± 80 micromol/litre
                                                  Criteria: Not reported
              Year:               Evidence level:
             1986                 3               Exclusion: Respiratory distress,          Mean free bilirubin
                                                  Sepsis,                                   8.7 ± 5.6 nmol/l
             Country:                             Hypothermia,
              India                               Hypoglycaemia,                            Mean Albumin levels
                                                  Postasphysial seizure,                    3.6. ± 0. g/dl
                   115
              Ref ID:                             bleeding diathesis
                                                                                              Mean Bilirubin/Albumin ratio
                                                  Setting: Special baby care unit           3.7

                                                  Sample Size: 53
                                                  Gender M/F: Not reported                  Mean Molar B/A ratio
                                                                                            0.41
                                                  Mean GA: 37.9 ± 2.2 weeks
                                                  Mean BW: 2780 ± 620 g                     correlation between free bilirubin and B-A ratio
                                                                                            0.74 (P < 0.001)
                                                  Ethnicity: Not reported
              Author:             Study type:     Diagnosis:                                Mean TsB levels
              Chan G              Case series     Jaundice                                  Not reported

              Year:               Evidence level:   Criteria:                               Mean free bilirubin
             1980                 3               Jaundice                                  Not reported

             Country:                             Exclusion:                                Mean Albumin levels
              Canada                              Not reported                              Not reported

                   116
              Ref ID:                             Setting:                                  Mean B/A ratio
                                                  Neonatal Intensive Care Unit              Not reported

                                                  Sample Size: 46 (55 samples used)
                                                  Gender M/F: Not reported                  correlation between free bilirubin and


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