PMID: 11343502May 18, 2001Paper

Home health nurse clinical assessment of neonatal jaundice: comparison of 3 methods

Archives of Pediatrics & Adolescent Medicine
D J Madlon-Kay

Abstract

To compare 3 methods of clinical assessment of jaundice in newborns by home health nurses. Prospective clinical trial. Homes of newborns living within 10 miles of a 340-bed community hospital where they were delivered. Home health nurses and newborn patients (< or =2 weeks old). The nurses examined the newborns and documented whether they detected jaundice. In newborns thought to have jaundice, the nurses estimated bilirubin levels, documented the extent of caudal progression of the jaundice, and determined the Ingram (Cascade Health Care Products, Salem, Ore) icterometer readings from the newborns' noses. Total serum bilirubin tests were obtained from all newborns studied. Nurse assessment of the presence of jaundice and its caudal progression, nurse estimates of bilirubin levels, icterometer readings, and bilirubin levels. The nurses determined that 82 (50%) of the 164 newborns had jaundice. Their estimates of bilirubin levels were most highly correlated with serum bilirubin levels (Pearson correlation, 0.61). All 3 newborns with bilirubin levels greater than or equal to 291 micromol/L (> or =17 mg/dL) were recognized by the nurses as having jaundice. These newborns had icterometer readings greater than or equal to 3.5 and ha...Continue Reading

Citations

Oct 31, 2009·The Journal of Pediatrics·Arieh RiskinDavid Bader
Oct 6, 2012·Journal of Tropical Pediatrics·D Simkiss, R Martin
Apr 2, 2010·Journal of Perinatology : Official Journal of the California Perinatal Association·L HatzenbuehlerG L Darmstadt
Sep 30, 2020·Paediatrics and International Child Health·Visanu KittiarpornponSaipin Plumjit
Dec 16, 2020·Seminars in Perinatology·Charles I Okwundu, Shiv Sajan Saini

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