December 2008. Volume 4. Number 4

Clinical assessment is not a good method for screening for significant neonatal jaundice

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Riskin A, Tamir A, Kugelman A, Hemo M, Bader D. Is visual assessment of jaundice reliable as a screening tool to detect significant neonatal hyperbilirubinemia? J Pediatr. 2008;152:782-7
Reviewers: Fernández Rodríguez M1, Martín Muñoz P2.
1Centro de Salud de Potes. Madrid. España.
2Director de Unidad Clínica en Atención Primaria, CS La Plata. Hospital Universitario Virgen del Rocí­o. Sevilla. España.
Correspondence: Mercedes Fernández Rodríguez. Email: mer763@hotmail.com
Reception date: 29/10/2008
Acceptance date: 06/11/2008
Publication date: 01/12/2008

Abstract

Authors' conclusions: clinical visual estimation of the level of bilirubin is unreliable as a screening method to rule out neonatal hyperbilirubinemia significantly before discharge.

Reviewers' comantary: the results of this study are consistent with other authors on the limitations of exploration in the estimation of bilirubin level before the 5 days of life; as inputs highlights the best rating for the term of more than 60 hours and the characteristic of being screening conducted by two thirds by nursing staff.

How to cite this article

Fernández Rodríguez M, Martín Muñoz P. La valoración clínica de la ictericia no es buen método para el cribado de hiperbilirrubinemia neonatal. Evid Pediar.2008;4:77.

AVC | Critically appraised articles

Riskin A, Tamir A, Kugelman A, Hemo M, Bader D. Is visual assessment of jaundice reliable as a screening tool to detect significant neonatal hyperbilirubinemia? J Pediatr. 2008;152:782-7
Reviewers: Fernández Rodríguez M1, Martín Muñoz P2.
1Centro de Salud de Potes. Madrid. España.
2Director de Unidad Clínica en Atención Primaria, CS La Plata. Hospital Universitario Virgen del Rocí­o. Sevilla. España.
Correspondence: Mercedes Fernández Rodríguez. Email: mer763@hotmail.com
Reception date: 29/10/2008
Acceptance date: 06/11/2008
Publication date: 01/12/2008

How to cite this article

Fernández Rodríguez M, Martín Muñoz P. La valoración clínica de la ictericia no es buen método para el cribado de hiperbilirrubinemia neonatal. Evid Pediar.2008;4:77.

References

  1. American Academy of Pediatrics, Subcommittee on Neonatal Hyperbilirubinemia. Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics. 2004;114:297-316.
  2. Guidelines for detection, management and prevention of hyperbilirubinemia in term and late preterm newborn infants (35 or more weeks’ gestation). Fetus and Newborn Committee, Canadian Paediatric Society (CPS). Paediatr Child Health. 2007;12:1B-12B. Reference No. FN07-02.
  3. Moyer VA, Ahn C, Sneed S. Accuracy of Clinical Judgment in Neonatal Jaundice. Arch Pediatr Adolesc Med. 2000;154:391-94.
  4. Keren R, Bhutani VK, Luan X, Nihtianova S, Cnaan A, Schwartz JS. Identifying newborns at risk of significanthyperbilirubinaemia: a comparison of two recommended approaches Arch Dis Child. 2005;90:415–21.
01/12/2008

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