Evidence map›Paper›PMID 31193593›Full record

ArticleEClinicalMedicine2018

Diagnostic Performance Analysis of the Point-of-Care Bilistick System in Identifying Severe Neonatal Hyperbilirubinemia by a Multi-Country Approach.

Chiara Greco, Iman F Iskander, Salma Z El Houchi, Rinawati Rohsiswatmo, Lily Rundjan, Williams N Ogala, Akinyemi O D Ofakunrin, Luciano Moccia, Nguyen Thi Xuan Hoi, Giorgio Bedogni and 3 more

Abstract read
In one paragraph

Article in EClinicalMedicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Chiara GrecoBilimetrix s.r.l., Area Science Park, 34149 Trieste, Italy.
Iman F IskanderDepartment of Pediatrics, Cairo University Children Hospital, Cairo, Egypt.
Salma Z El HouchiDepartment of Pediatrics, Cairo University Children Hospital, Cairo, Egypt.
Rinawati RohsiswatmoNeonatology Division, Child Health Department, Cipto Mangunkusumo Hospital - University of Indonesia, Jakarta, Indonesia.
Lily RundjanNeonatology Division, Child Health Department, Cipto Mangunkusumo Hospital - University of Indonesia, Jakarta, Indonesia.
Williams N OgalaNeonatal Unit, Department of Paediatrics, Ahmadu Bello University/Teaching Hospital, Zaria, Nigeria.
Akinyemi O D OfakunrinDepartment of Paediatrics, University of Jos/Jos University Teaching Hospital, Jos, Nigeria.
Luciano MocciaDay One Health, California, USA.
Nguyen Thi Xuan HoiDay One Heath, Hanoi, Viet Nam.
Giorgio BedogniFondazione Italiana Fegato-Onlus, Area Science Park, 34149 Trieste, Italy.
Claudio TiribelliBilimetrix s.r.l., Area Science Park, 34149 Trieste, Italy.
Carlos D Coda ZabettaBilimetrix s.r.l., Area Science Park, 34149 Trieste, Italy.
study team

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

importanceThe real prevalence and clinical burden of severe neonatal jaundice are undefined due to difficulties in measuring total serum bilirubin (TSB) outside secondary and tertiary clinical centers.

objectiveTo assess the diagnostic performance of the point-of care Bilistick System (BS) in identifying neonatal jaundice patients requiring treatment.

designBetween April 2015 and November 2016, 1911 neonates, were recruited to participate in the study. Blood samples were simultaneously collected for the TSB determination by BS and by hospital laboratory (Lab). Data were collected and sent to the Bilimetrix headquarter in Trieste where statistical analysis was performed. Newborns with neonatal jaundice were treated with phototherapy according to each center's guidelines.

setting17 hospitals from Nigeria, Egypt, Indonesia, and Viet Nam.

participants1911 newborns were included, of which 1458 (76·3%) fulfilled the inclusion criteria.

resultsTSB level measured by BS agreed (p < .0001) with the lab result in all four countries. The diagnostic performance of BS showed a positive predictive value (PPV) of 92·5% and a negative predictive value (NPV) of 92·8%. CONCLUSIONS AND RELEVANCE: BS is a reliable system to detect neonatal jaundice over a wide range of bilirubin levels. Since Bilistick is a point-of-care test, its use may provide appropriate and timely identification of jaundiced newborns requiring treatment.

Indexed as

BilirubinBilistick SystemDiagnostic accuracy studyLow-medium income countriesNeonatal jaundiceNeonatal screeningPoint-of-care systemSevere hyperbilirubinemiaSTARD

Identifiers

PMID31193593
PMCPMC6537563

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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.