EVALUATION OF PATTERNS OF NEONATAL BILIRUBIN ENCEPHALOPATHY USING BILIRUBIN INDUCED NEUROLOGIC DYSFUNCTION {BIND SCORE} RELATED TO GESTATIONAL AGE AND BODY WEIGHT

Ahmed Aboelreesh, Ramy Abd El-Monem; Taha Al Keiy, Mohsen; Ahmed Mohamed Ali, Hesham; Mohamed Ibrahim, Mosaad

doi:10.21608/azjp.2018.77250

EVALUATION OF PATTERNS OF NEONATAL BILIRUBIN ENCEPHALOPATHY USING BILIRUBIN INDUCED NEUROLOGIC DYSFUNCTION {BIND SCORE} RELATED TO GESTATIONAL AGE AND BODY WEIGHT

Document Type : Original Article

Authors

10.21608/azjp.2018.77250

Abstract

Introduction: Jaundice is the most common condition that requires medical attention in newborns. Kernicterus means "yellow kern," with kern indicating the most commonly affected region of the brain. Identifying neonates with intermediate to advanced acute bilirubin encephalopathy {ABE}.
Aim of work: Early detection of neonatal encephalopathy using BIND score.
Patients and methods: This prospective study was carried out in NICU of Sayed Galal University Hospitals on 100 neonates; divided into two groups: first group of 50 full-term neonates and second group of 50 preterm neonates. Serum bilirubin was determined.
Results of the study: The full-term group consisted of 36 males (72%) and 14 females (28%) with mean age ± SD of 7.5 ± 2.4 days (range, 5-14 days), while the preterm group consisted of 34 males (68%) and 16 females (32%) with mean age ± SD of 5.2 ± 1.4 days (range, 3-9 days). Statistically, there was a high significant difference between full-term and preterm groups regarding age, but there was a non-significant difference regarding sex. Also, there were non-significant differences between full-term and preterm groups regarding natal history including mode of delivery and complicated delivery. There were statistically high significant differences between full-term and preterm groups regarding weight, respiratory rate and heart rate, a significant difference regarding head circumference and non-significant differences regarding length and capillary refill. There were statistically high significant differences between full-term and preterm groups regarding hemoglobin concentration, red blood cell count, white blood cell count and total serum bilirubin and non-significant differences regarding platelet concentration, direct serum bilirubin, ABO and RH. There was statistically a high significant relation between BIND score and consultant diagnosis.