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American Academy of Pediatrics
Perinatal Pediatrics

Accuracy of Visual Assessment of Jaundice

AAP Grand Rounds February 2010, 23 (2) 13; DOI: https://doi.org/10.1542/gr.23-2-13
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Source: Keren R, Tremont K, Luan X, et al. Visual assessment of jaundice in term and late preterm infants. Arch Dis Child Fetal Neonatal Ed. 2009; 94:( 5) F317– F322; doi: 10.1136/adc.2008.150714OpenUrlAbstract/FREE Full Text

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Question: Among term and late preterm infants, can a visual analogue scale predict either the bilirubin level or risk of developing concerning hyperbilirubinemia?

Question type: Prognosis

Study design: Prospective cohort study

Investigators from the University of Pennsylvania conducted a prospective cohort study to assess the correlation of visual assessment of jaundice and measured bilirubin concentration, and its accuracy in predicting subsequent development of concerning hyperbilirubinemia. Nurses used a five-point scale to grade the maximum cephalocaudad extent of jaundice prior to discharge of healthy late preterm (≥35 weeks) and term infants cared for and discharged from the Well Newborn Nursery. Enrolled infants had transcutaneous bilirubin (TcB) measurements obtained at least once per day until discharge, with total serum bilirubin (TSB) measured if …

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AAP Grand Rounds
Vol. 23, Issue 2
1 Feb 2010
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Accuracy of Visual Assessment of Jaundice
AAP Grand Rounds Feb 2010, 23 (2) 13; DOI: 10.1542/gr.23-2-13

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Accuracy of Visual Assessment of Jaundice
AAP Grand Rounds Feb 2010, 23 (2) 13; DOI: 10.1542/gr.23-2-13
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