Page 369 - 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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