The predictive value of first-day bilirubin levels in the early discharge of newborns

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dc.contributor.authorÜnsür, Mustafa Tolga
dc.contributor.authorKabakoğlu Ünsür, Emel
dc.contributor.authorİnan, Neşe
dc.contributor.authorİpek, İlke Özahi
dc.contributor.authorBozaykut, Abdülkadir
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:37:12Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:37:12Z
dc.date.issued2015
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.description.abstractBackground: TORCH Early discharge of newborns due to social, economic and medical reasons increases the rate of readmissions, especially for hyperbilirubinemia. Therefore, identification of high-risk neonates for subsequent hyperbilirubinemia is paramount. This study aimed to investigate the level of total serum bilirubin (TSB), which could be used to predict neonatal hyperbilirubinemia at the first day of birth. Methods: Venous blood samples were obtained from 300 newborns during the postpartum period (i.e. 24±6 hours) to determine the blood group, direct Coombs test, TSB and direct bilirubin levels (DBL). Neonates were followed-up for 5 days, and TSB and DBL were recorded in 90 newborns presented with jaundice according to the Kramer's scale within 120±6 hours of birth. Results: In total, 23.3% of the studied newborns (N=90) required phototherapy. The cut-off value of TSB to determine high-risk newborns for subsequent hyperbilirubinemia at the first day of birth was 6.50 mg/dl with positive and negative predictive values of 19.75% and 97.72%, respectively. At this point, the sensitivity and specificity were 76.19% and 76.70%, respectively. Conclusion: According to the results of this study, TSB cut-off point of 6.5 mg/dl at the first day of birth could predict the risk of subsequent hyperbilirubinemia in healthy, term infants with early discharge. Since TSB cut-off point is economic and available, use of this method is recommended in all healthcare centers.
dc.identifier.citationÜnsür, M. T., Kabakoğlu Ünsür, E., İnan, N., İpek, İ. Ö. ve Bozaykut, A. (2015). The predictive value of first-day bilirubin levels in the early discharge of newborns. Iranian Journal of Neonatology, 6(3), 1-5.
dc.identifier.endpage5
dc.identifier.issn2251-7510
dc.identifier.issue3
dc.identifier.scopusqualityQ3
dc.identifier.startpage1
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1354
dc.identifier.volume6
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherMashhad University of Medical Sciences
dc.relation.ispartofIranian Journal of Neonatologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectEarly Discharge
dc.subjectHyperbilirubinemia
dc.subjectNewborn
dc.titleThe predictive value of first-day bilirubin levels in the early discharge of newborns
dc.typeArticle

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