Page 373 - 16Neonatal Jaundice_compressed
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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


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