Document Detail


Bilirubin, intraventricular hemorrhage, and phenobarbital in very low birth weight babies.
MedLine Citation:
PMID:  3405664     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The relationships among serum bilirubin concentration on days 5 and 7, birth weight, the presence of intraventricular hemorrhage, and the receipt of phenobarbital were examined in a group of 232 newborns weighing less than 1,751 g who were intubated, mechanically ventilated by 12 hours after birth, and whose parents had given permission for a randomized trial of phenobarbital prophylaxis of intraventricular hemorrhage. The ratio of serum bilirubin concentration to birth weight (the bilirubin divided by birth weight index [BBI]) was used to examine the impact of 25 variables on a clinical guideline for therapy of hyperbilirubinemia in newborn infants. A linear regression model was used; the most powerful covariate was a birth weight less than 1.0 kg. The only other variable that reduced the BBI was phenobarbital receipt. The presence of intraventricular hemorrhage and ecchymoses had a significant influence increasing the BBI.
Authors:
M F Epstein; A Leviton; K C Kuban; M Pagano; C Meltzer; H N Skouteli; E R Brown; K F Sullivan
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Pediatrics     Volume:  82     ISSN:  0031-4005     ISO Abbreviation:  Pediatrics     Publication Date:  1988 Sep 
Date Detail:
Created Date:  1988-09-22     Completed Date:  1988-09-22     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  350-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Newborn Medicine, Brigham and Women's Hospital, Boston, MA.
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MeSH Terms
Descriptor/Qualifier:
Bilirubin / blood*
Birth Weight
Cerebral Hemorrhage / blood*,  prevention & control
Humans
Infant, Low Birth Weight*
Infant, Newborn
Phenobarbital / therapeutic use*
Grant Support
ID/Acronym/Agency:
NS 20807/NS/NINDS NIH HHS
Chemical
Reg. No./Substance:
50-06-6/Phenobarbital; 635-65-4/Bilirubin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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