Evidence map›Paper›PMID 32968378›Full record

ArticlePakistan journal of medical sciences

Acute bilirubin encephalopathy and its associated risk factors in a tertiary care hospital, Pakistan.

Munir Ahmad, Abdur Rehman, Mudasser Adnan, Muhammad Khalil Surani

Open access · goldAbstract read
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Article in Pakistan journal of medical sciences. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
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

5 citing papers in PubMed, 6 citations in OpenAlex.

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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

4 authors at 1 institution in 1 country.

Munir AhmadDr. Munir Ahmad (FCPS Pediatric Medicine), Medical Officer Pediatric Medicine, The Children's Hospital & The Institute of Child Health, Multan, Pakistan.
Abdur RehmanDr. Abdur Rehman (FCPS Pediatric Medicine, FCPS Neonatology), Assistant Professor, The Children's Hospital & The Institute of Child Health, Multan, Pakistan.
Mudasser AdnanDr. Mudasser Adnan (FCPS Pediatric Medicine), Senior Registrar Pediatric Medicine, The Children's Hospital & The Institute of Child Health, Multan, Pakistan.
Muhammad Khalil SuraniDr. Muhammad Khalil Surani (FCPS Pediatric Medicine), Senior Registrar Pediatric Medicine, The Children's Hospital & The Institute of Child Health, Multan, Pakistan.
Institute of Child Health · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the incidence of acute bilirubin encephalopathy (ABE) and its risk factors in neonates presenting with hyperbilirubinemia in a tertiary care children hospital.

methodsThis descriptive observational study was conducted from June 2018 to June 2019. A total of 300 infants who were admitted in neonatal ICU with diagnosis of hyperbilirubinemia in The Children's Hospital & The Institute of Child Health, Multan, Pakistan were included in this period. Incidence of ABE was noted. ABE was divided into two categories on the basis of severity of symptoms; mild ABE and moderate to severe ABE. Total serum bilirubin (TSB) in all neonates was measured in all patients in hospital laboratory using colorimetric method. ABO incompatibility and Rh factor incompatibility was also noted for each neonate.

resultsOut of 300 neonates who presented with hyperbilirubinemia, ABE was diagnosed in only 42 (14.0%) neonates (mild ABE in 17 (5.7%) and moderate in 25 (8.3%). Out of 42 neonates of ABE, total serum bilirubin levels were 20-29.9 mg/dL in 24 (40.5%) neonates, and >30 mg/dL in 18 (42.8%) neonates. Pre-term birth was a significant risk factor of ABE; 23.8% in ABE and 10.70% in non-ABE (p-value 0.01). During treatment, 02 (4.76%) neonates expired due to ABE.

conclusionIn present study, ABE was diagnosed in 14.0% neonates who presented with hyperbilirubinemia. We found pre-term delivery as a significant risk factor of ABE.

Indexed as

Acute bilirubin encephalopathyHyperbilirubinemiaMortalityPre-term birth

Identifiers

PMID32968378
PMCPMC7501022
OpenAlexW3045561847

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.