Abstract
Prospective study on cord bilirubin level as a predictor of Hyperbilirubinemia in term healthy neonates
Highlights
Neonatal jaundice or hyperbilirubinemia is a cause of concern for parents and pediatricians, with more than 60% being affected by this condition in the first few weeks
The current study aims to estimate the predictive value of umbilical cord blood bilirubin level for the development of significant hyperbilirubinemia in healthy, full term neonates in Kerala
Present study show that increased levels of cord blood bilirubin can define a group of neonates who are at risk of developing hyperbilirubinemia
Summary
Neonatal jaundice or hyperbilirubinemia is a cause of concern for parents and pediatricians, with more than 60% being affected by this condition in the first few weeks. Prediction of high risk neonates for hyperbilirubinemia will help in developing appropriate follow-up programs for managing the condition. It will help in reducing duration of hospital stay for low-risk neonates. Objective: To estimate the predictive value of umbilical cord blood bilirubin level for the development of significant hyperbilirubinemia in healthy, full term neonates. The study focused on predictive ability of cord blood bilirubin levels and subsequent development of hyperbilirubinemia. Cord bilirubin cut off value of 1.9 mg/dl predicted subsequent hyperbilirubinemia with sensitivity of 91.8% and specificity of 52.4%. Conclusion: Study highlights that risk stratification is an excellent method of tracking newborns with hyperbilirubinemia as newborns with hour-specific bilirubin value in low risk zone have reduced risk of developing subsequent significant hyperbilirubinemia. Manuscript received: 7th September 2017 Reviewed: 17th September 2017 Author Corrected: 25th September 2017 Accepted for Publication: 30th September 2017
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