Evidence map›Paper›PMID 20814696›Full record

ArticleEuropean journal of pediatrics2011

Transcutaneous bilirubin nomogram for predicting neonatal hyperbilirubinemia in healthy term and late-preterm Chinese infants.

Zhang-Bin Yu, Xiao-Yue Dong, Shu-Ping Han, Yu-Lin Chen, Yu-Fang Qiu, Li Sha, Qing Sun, Xi-Rong Guo

Abstract read
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In one paragraph

Article in European journal of pediatrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Guideline
  4. Multidisciplinary guidelines for the care of late preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2013
    Guideline
  5. Trial
  6. Review
  7. Article
  8. Natural history of early neonatal bilirubinemia: a global perspective.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
  9. Observational
  10. Article
  11. Israel transcutaneous bilirubin nomogram predicts significant hyperbilirubinemia.Journal of perinatology : official journal of the California Perinatal Association · 2017
    Article
  12. Article
  13. Observational
  14. [Value of hour-specific transcutaneous bilirubin nomogram for prediction of hyperbilirubinemia in healthy neonates].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2016
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Zhang-Bin YuDepartment of Pediatrics, Nanjing Maternal and Child Health Hospital, Nanjing Medical University, Nanjing, China. zhangbinyu@njmu.edu.cn
Xiao-Yue Dong
Shu-Ping Han
Yu-Lin Chen
Yu-Fang Qiu
Li Sha
Qing Sun
Xi-Rong Guo

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Identifying infants that will develop significant hyperbilirubinemia with the risk of kernicterus, and planning appropriate follow-up strategies, is particularly challenging. In this study, 36,921 transcutaneous bilirubin (TcB) measurements were obtained from 6,035 healthy neonates (gestational age ≥ 35 weeks and birth weight ≥ 2,000 g) between January 1 and December 31, 2009. All measurements were performed with the JM-103 bilirubinometer at designated times between 0 and 168 postnatal hours. TcB percentiles were calculated and used to develop an hour-specific nomogram. The rate of increase in TcB was higher during the first 72 h of age, after which levels declined to a plateau by 72-108 h of age. We constructed a TcB nomogram by using the 40th, 75th, and 95th percentile values of TcB for every 12 h of the studied interval. The 75th percentile curve of the nomogram may be an ideal cutoff point for intensive follow-up of the neonate for hyperbilirubinemia as it carries very high sensitivity (78.7%) and negative predictive value (98.5%). The specificity (45.7%) and positive predictive value (15.5%) decreased to reach their lowest levels at the 40th percentile. Of the neonates in the high-risk zone, 167 (48.8%) infants had persistent subsequent hyperbilirubinemia post-discharge, compared with 292 (27.0%) infants in the high-intermediate-risk zone at discharge. One-hundred and seventeen (5.5%) infants in the low-intermediate-risk zone moved into the high-risk zone during follow-up. No newborn infants in the low-risk zone became high-risk during follow-up. We provide an hour-specific TcB nomogram to predict neonatal hyperbilirubinemia in healthy term and late-preterm Chinese infants.

Indexed as

NomogramsBilirubinBirth WeightChinaCohort StudiesFemaleGestational AgeHumansHyperbilirubinemia, NeonatalInfantInfant, NewbornInfant, PrematureMalePredictive Value of TestsSensitivity and SpecificitySkinBilirubin

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.