Does cord blood bilirubin level help the physician in the decision of early postnatal discharge?

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dc.contributor.authorİpek, İlke Özahi
dc.contributor.authorBozaykut, Abdülkadir
dc.contributor.authorÇa?rıl, Serap Ceran
dc.contributor.authorSezer, Rabia Gönül
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:58:34Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:58:34Z
dc.date.issued2012
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.descriptionWOS: 000306439600036
dc.descriptionPubMed ID: 22128898
dc.description.abstractObjective: Early postnatal discharge of newborns leads to the risk of readmission to the hospital, mostly for neonatal hyperbilirubinemia. Increasing the length of hospital stay is not an acceptable solution for medical, social and economic constraints. Hence, predicting the high risk neonates for subsequent hyperbilirubinemia is required. This study was planned to investigate the predictive value of umbilical cord blood bilirubin (CBBil) level for significant neonatal hyperbilirubinemia. Methods: Cord blood bilirubin, serum total/direct bilirubin levels and newborn/mother's blood groups were obtained from 350 term neonates. Total/direct serum bilirubin levels were reevaluated in 95 newborns at 72 hours of age when jaundice appeared according to Kramer's dermal zones. Results: Phototherapy treatment was needed in 14.7% of 95 patients. For recognition the newborns at high risk for developing hyperbilirubinemia, using a CBBil cut-off level of 2.60 mg/dl, we found a positive predictive value of 41.18%, negative predictive value of 97.9% and sensitivity of 50%. Conclusion: Newborns with CBBil values below 2.6 mg/dl are at very low risk of developing hyperbilirubinemia and further need of phototherapy. Knowledge of low risk of hyperbilirubinemia in a newborn could encourage the physicians in the decision of early postnatal discharge.
dc.identifier.citationİpek, İ. Ö., Bozaykut, A., Ça?rıl, S. C. ve Sezer, R. G.(2012). Does cord blood bilirubin level help the physician in the decision of early postnatal discharge? Journal of Meternal-Fetal and Neonatal Medicine, 25(8), 1375-1378. https://dx.doi.org/10.3109/14767058.2011.636089
dc.identifier.doi10.3109/14767058.2011.636089
dc.identifier.endpage1378
dc.identifier.issn1476-7058
dc.identifier.issue8
dc.identifier.scopusqualityQ2
dc.identifier.startpage1375
dc.identifier.urihttps://dx.doi.org/10.3109/14767058.2011.636089
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3192
dc.identifier.volume25
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherInforma Healthcare
dc.relation.ispartofJournal of Meternal-Fetal and Neonatal Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectJaundice
dc.subjectHyperbilirubinemia
dc.subjectNeonatology
dc.subjectPhysician
dc.titleDoes cord blood bilirubin level help the physician in the decision of early postnatal discharge?
dc.typeArticle

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