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Iranian Journal of Neonatology، جلد ۶، شماره ۳، صفحات ۱-۵
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عنوان فارسی |
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چکیده فارسی مقاله |
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کلیدواژههای فارسی مقاله |
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عنوان انگلیسی |
predictive value of first day bilirubin levels for early discharged newborns. |
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چکیده انگلیسی مقاله |
an>Objective: Early discharge of newborns is essential because of social, economic an medical reasons in our area, but it increases readmission rates especially for hyperbilirubinemia. Hence, predicting the high risk neonates for subsequent hyperbilirubinemia is required. This study was designed to investigate which level of total serum bilirubin (TSB) at the first day could be used to predict hyperbilirubinemia .Methods: The venous blood samples obtained from 300 newborns at post-partum 24±6 hours for blood group, direct coomb's, TSB and direct bilirubin level (DBL). These newborns were followed up during 5- day and TSB and DBLwere detected in 90 newborns with jaundice again according to Kramer dermal zones at 120±6 hours of age.Results: In 23.3% of 90 newborns phototherapy was needed. The cut off value of TSB at the first day to define newborns at high risk for subsequent hyperbilirubinemia was 6.50 mg/dl with positive predictive value 19.75%, negative predictive value 97.72%. At that point sensitivity was 76.19%, specificity was 76.70%.Conclusion: The cut-off point of 6.5 mg/dl of TSB at the first day might be used to predict subsequent hyperbilirubinemia risk at healthy, full-term early discharged newborns as the test is economic and available in all healthcare units. |
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کلیدواژههای انگلیسی مقاله |
Early discharge, Hyperbilirubinemia, Newborn |
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نویسندگان مقاله |
مصطفی tolga ünsür | mustafa tolga ünsür kayseri asker hastanesi
امل ünsür | emel ünsür erciyes university
neşe inan | neşe inan istanbul bilim university
ilke özahi ipek | ilke özahi ipek istanbul medipol university
abdulkadir bozaykut | abdulkadir bozaykut zeynep kamil maternity and childrens disease education and research hospital
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نشانی اینترنتی |
http://ijn.mums.ac.ir/article_4887.html |
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زبان مقاله منتشر شده |
en |
موضوعات مقاله منتشر شده |
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نوع مقاله منتشر شده |
تحقیقی اصیل |
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