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20250219134957.0 |
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|a pubmed25n0854.xml
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|a (DE-627)NLM256376360
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|a (NLM)26758321
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|a DE-627
|b ger
|c DE-627
|e rakwb
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|a chi
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|a Chinese Multicenter Study Coordination Group for Neonatal Hyperbilirubinemia
|e verfasserin
|4 aut
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|a Predictive value of hour-specific transcutaneous bilirubin nomogram for neonatal hyperbilirubinemia
|b a national multicenter study
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|c 2015
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|a Text
|b txt
|2 rdacontent
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|a ohne Hilfsmittel zu benutzen
|b n
|2 rdamedia
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|a Band
|b nc
|2 rdacarrier
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|a Date Completed 15.09.2016
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|a Date Revised 02.12.2018
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|a published: Print
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|a Citation Status MEDLINE
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|a OBJECTIVE: To assess the predictive value of hour-specific transcutaneous bilirubin (TcB) nomogram for subsequent neonatal hyperbilirubinemia
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|a METHOD: Thirteen tertiary class-A hospitals (including two hospitals respectively in the northeastern, northern, eastern, south, northwest, southwestern regions of China, and one in central region) participated in this multicenter study between January 1 and December 31, 2013. All TcB measurements were obtained from healthy term and near-term newborns (gestational age ≥ 35 weeks, birth weight ≥ 2 000 g) by the JM-103 bilirubinometer between 0 and 168 postnatal hours.Developed an hour-specific TcB bilirubin nomogram with these data.Newborns were divided into 4 groups based on the predischarge bilirubin "risk zone" (≤ P40, >P40-P75, >P75-P95, and > P95 as low, low-intermediate, high-intermediate and high risk zones on the hour-specific bilirubin nomogram) to predict subsequent hyperbilirubinemia.Selected bilirubin measurements of three time quantums (25-48 h, 49-72 h, 73-96 h) as a predictor for the respective danger zone, and adopted ROC curve to assess the predictive ability of the TcB nomogram
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|a RESULT: Data from 19 601 healthy term and near-term newborns, and 2 673 cases with neonatal hyperbilirubinemia were collected. The prevalence was 13.6%. The P40, P75, and P95 peak percentile value of the hour-specific TcB nomogram was 167, 206, 253 µmol/L, respectively. The rate of rise in TcB was highest during the first 24 h of age, and the 95(th) percentile curve was faster than the P40 and P75 percentile curves. The areas under the ROC curves of 25-48 h, 49-72 h and 73-96 h were respectively 0.752 0, 0.834 4, 0.856 1. During 25-48 h, 49-72 h and 73-96 h after birth, the TcB before discharge were in the high-risk zone, its prevalence was 49.4%, 67.3%, 80.4%, its likelihood ratio was 6.20, 13.0, and 27.8, respectively
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|a CONCLUSION: The constructed TcB nomogram shows a good predictivity for hyperbilirubinemia
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|a Journal Article
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|a Multicenter Study
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|a Bilirubin
|2 NLM
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| 650 |
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|a RFM9X3LJ49
|2 NLM
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| 700 |
1 |
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|a Han, Shuping
|e investigator
|4 oth
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|i Enthalten in
|t Zhonghua er ke za zhi = Chinese journal of pediatrics
|d 1960
|g 53(2015), 11 vom: 05. Nov., Seite 830-4
|w (DE-627)NLM136249191
|x 0578-1310
|7 nnns
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| 773 |
1 |
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|g volume:53
|g year:2015
|g number:11
|g day:05
|g month:11
|g pages:830-4
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|d 53
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|h 830-4
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