Document Detail


Value and limitations of bilirubin binding capacity in predicting the development of kernicterus.
MedLine Citation:
PMID:  6466218     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The serum bilirubin (SBR) and the bilirubin binding capacity (BBC) were determined on hospital admission in 181 consecutive neonates with neonatal jaundice. Twenty-three babies were less than 2500 g and two were of birth weight less than 2000 g. Fifteen babies were preterm. There were eight cases of kernicterus. Although the serum bilirubin was generally higher in infants with a BBC less than 34 mumol/l, there was no correlation between the bilirubin binding capacity and the presence of kernicterus (r = 0.28, P greater than 0.05). However, when both the serum bilirubin and the bilirubin binding capacity were used, a low value of BBC less than 34 mumol/l increased the risk of kernicterus. Higher values of BBC, on the other hand, did not mean that there was less risk of kernicterus, other factors being equal. This, while the bilirubin binding capacity may provide an additional source of information, its limitations should always be borne in mind.
Authors:
J S Tay; P S Low; H B Wong; W C Yip
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Australian paediatric journal     Volume:  20     ISSN:  0004-993X     ISO Abbreviation:  Aust Paediatr J     Publication Date:  1984 Mar 
Date Detail:
Created Date:  1984-09-06     Completed Date:  1984-09-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15420340R     Medline TA:  Aust Paediatr J     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  63-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Bilirubin / blood*
Birth Weight
Carrier Proteins / blood*
Female
Glucosephosphate Dehydrogenase Deficiency / blood
Humans
Infant, Newborn
Infant, Premature, Diseases / blood
Jaundice, Neonatal / blood
Kernicterus / blood*
Male
Risk
Chemical
Reg. No./Substance:
0/Carrier Proteins; 0/bilirubin binding protein, human; 635-65-4/Bilirubin

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


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