Page 372 - 16Neonatal Jaundice_compressed
P. 372

Appendix H: Evidence tables


              Bibliographic details   Study type &   Patient characteristics                Results                           Reviewers Comments
                                  Evidence level
                                                                                            Congestive Heart failure = 5 (3.6%)
                                                                                            Multiple anomalies = 2 (1.3%)
                                                                                            Pyloric Stenosis = 2 (1.3%)
                                                                                            Extreme small for gestational age (possible
                                                                                            Rubella) = 1(0.7%)
                                                                                            Hypothyroid = 1(0.7%)
                                                                                            Choledochal cyst = 1(0.7%)
                                                                                            Slightly high aminotransferase levels (100
                                                                                            U/litre) = 3(2.0%)
                                                                                            Sludge in gallbladder = 1(0.7%)
              Author:             Study type:     Diagnosis:                                Routine hyperbilirubinaemia tests
              Newman T            Retrospective chart   Hyperbilirubinaemia                 Direct Bilirubin
                                  review                                                    Blood type,
              Year:                               Criteria:                                 Complete blood count,
             1990                 Evidence level:   Birthweight > 2500 g,                   Differential cell count,
                                  3               Hyperbilirubinaemia                       Reticulocyte count,
             Country:                                                                       Platelet count,
              USA                                 Exclusion:                                Morph, Urinalysis
                                                  Low birthweight
              Ref ID:                                                                       Usefulness of tests
                   119
                                                  Setting:                                  Possible cause of hyperbilirubinaemia identified
                                                  Hospital                                  from history, physical exam or routine
                                                                                            haematocrit done at 4 hours
                                                  Sample Size: 447                          145/447 (32.4%)
                                                  Gender M/F: Not reported
                                                  Mean GA: Not reported                     Other diagnosis related to hyperbilirubinaemia no
                                                  Mean BW: 3440 ± 485 g                     made due to routine hyperbil. investigations
                                                  Ethnicity: Not reported                   13/447 (2.9%)

                                                                                            No specific diagnosis related to
                                                                                            hyperbilirubinaemia:
                                                                                            214/447 (47.8%)

                                                                                            Diagnoses possibly from routine hyperbil
                                                                                            investigations not accompanied by other
                                                                                            diagnoses
                                                                                            58/447 (12.9%)

                                                                                            Diagnoses possibly from routine hyperbil
                                                                                            investigations accompanied by other diagnoses
                                                                                            17/447 (3.8%)
              Author:             Study type:     Diagnosis:                                Mean age at presentation
              Tiker F             Retrospective chart   Conjugated Hyperbilirubinaemia      240 hours
                                  review
              Year:                               Criteria:                                 Mean peak TsB levels
             2006                 Evidence level:   Direct bilirubin > 15% of total TsB     292 ± 193 micromol/litre
                                  3               Elevation in biliary enzymes (gamma glutamyl
             Country:                             transpeptidase (GGT), alkaline pjosphatse (ALP), asparttate


                                                                                                                                                     259
   367   368   369   370   371   372   373   374   375   376   377