March 2015. Volume 11. Number 1

¿Qué valor tiene una escala zonal en el diagnóstico de ictericia del recién nacido?

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Maisels MJ, Clune S, Coleman K, Gendelman B, Kendall A, McManus S, et al. The natural history of jaundice in predominantly breastfed infants. Pediatrics. 2014;134:e340-5.
Reviewers: Orejón de Luna G1, Cuestas Montañés E2.
1CS General Ricardos. Madrid. España.
2Servicio de Pediatría y Neonatología. Hospital Privado. Centro Formador. Facultad de Ciencias Médicas. Universidad Nacional de Córdoba. Córdoba. Argentina.
Correspondence: Gloria Orejón de Luna. Email: gloriaglo04@gmail.com
Reception date: 04/01/2015
Acceptance date: 14/01/2015
Publication date: 25/02/2015

Abstract

Author’s conclusions: practitioners can be reassured that it is normal for 20 to 30% of predominantly breastfed newborns to be jaundiced at age 3 to 4 weeks and for 30 to 40% of these infants to have bilirubin levels ≥ 5 mg/dl. The jaundice zone score does not provide an accurate assessment of the bilirubin level, but a score of zero (complete absence of jaundice) suggests that the level is unlikely to be > 12.9 mg/dl, whereas a score of ≥4 usually predicts a level of ≥10 mg/dl.

Reviewers’ commentary: this study reafirms that pediatricians should be aware that between 20 and 30% of normal white newborns present prolonged jaundice, especially breastfed infants. The score of Kramer, according to the study, is not predictive to establish levels of risk for encephalopathy. Close clinical control and TCB levels will be required to treat these patients appropriately.

How to cite this article

Orejón de Luna G, Cuestas Montañés E. ¿Qué valor tiene una escala zonal en el diagnóstico de ictericia del recién nacido? Evid Pediatr. 2015;11:11.

AVC | Critically appraised articles

Maisels MJ, Clune S, Coleman K, Gendelman B, Kendall A, McManus S, et al. The natural history of jaundice in predominantly breastfed infants. Pediatrics. 2014;134:e340-5.
Reviewers: Orejón de Luna G1, Cuestas Montañés E2.
1CS General Ricardos. Madrid. España.
2Servicio de Pediatría y Neonatología. Hospital Privado. Centro Formador. Facultad de Ciencias Médicas. Universidad Nacional de Córdoba. Córdoba. Argentina.
Correspondence: Gloria Orejón de Luna. Email: gloriaglo04@gmail.com
Reception date: 04/01/2015
Acceptance date: 14/01/2015
Publication date: 25/02/2015

How to cite this article

Orejón de Luna G, Cuestas Montañés E. ¿Qué valor tiene una escala zonal en el diagnóstico de ictericia del recién nacido? Evid Pediatr. 2015;11:11.

References

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  2. Aparicio Rodrigo M, Aparicio Sánchez JL. La hiperbilirrubinemia neonatal grave sin encefalopatía significativa precoz no afecta al desarrollo psicomotor. Evid Peditr. 2013;9:5.
  3. Carbonell Estrany X, Botet Mussons F, Figueras Aloy J, Riu Godó A. Hiperbilirrubinemia en recién nacidos a término. Factores predictivos. An Esp Pediatr.1999;50:389-92.
  4. Trobbiani JI. Examen clínico en el diagnóstico de hiperbilirrubinemia neonatal, ¿una estrategia de cribado válida en Atención Primaria? Evid Pediatr. 2014;10:3.
25/02/2015

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