STrIP Score for Neonatal Jaundice: From Bench to Bedside

Q4 Medicine
Srinivasa Murthy D, S. Krishnegowda, Deepti Thandaveshwara
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Abstract

Background: Non-invasive assessment of neonatal hyperbilirubinemia is done clinically with the Kramer scale and transcutaneous bilirubinometer. Recently, the Stool color for Triage of Infants needing Phototherapy (STrIP) score was studied and found to be better than both of the above methods in predicting measured serum bilirubin. This study sheds light on the clinical utility of the STrIP score in making therapeutic decisions. Method: This was a prospective study done in a tertiary-level neonatal unit. Breastfed term babies with clinical jaundice were recruited. The Kramer scale and STrIP score were performed on them and compared with respect to the therapeutic decision of commencing phototherapy based on measured serum bilirubin. Results: One hundred and twenty-eight infants were studied. The Kramer scale correctly aided the therapeutic decision on phototherapy (either to start or not to start) in 47 (36.7%) and the STrIP score in 119 (93%) of our subjects ( p = .0001). In 81 (63.2%) of the subjects, the Kramer scale underestimated the need for phototherapy. In contrast, the STrIP score overestimated the need for phototherapy in 11 (9%). Conclusion: The STrIP score helps in making more accurate therapeutic decisions in neonatal hyperbilirubinemia compared to the Kramer scale alone with respect to commencing phototherapy.
新生儿黄疸 STrIP 评分:从工作台到床边
背景:临床上使用克拉默量表和经皮胆红素计对新生儿高胆红素血症进行无创评估。最近,研究人员对需要光疗的婴儿分诊粪便颜色(STRIP)评分进行了研究,发现该评分在预测血清胆红素测量值方面优于上述两种方法。本研究揭示了 STrIP 评分在做出治疗决定方面的临床实用性。研究方法这是一项在三级甲等医院新生儿科进行的前瞻性研究。研究招募了患有临床黄疸的母乳喂养足月婴儿。对他们进行克拉默量表和 STrIP 评分,并根据测量的血清胆红素与开始光疗的治疗决策进行比较。结果共研究了 128 名婴儿。在我们的研究对象中,有 47 人(36.7%)的克拉默量表和 119 人(93%)的 STrIP 评分能正确帮助做出光疗决定(开始或不开始)(p = .0001)。在 81 名受试者(63.2%)中,克拉默量表低估了光疗的需求。而 STrIP 评分则高估了 11 名受试者(9%)的光疗需求。结论与单独使用克拉默评分法相比,STrIP 评分有助于对新生儿高胆红素血症做出更准确的治疗决定,从而开始光疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Neonatology
Journal of Neonatology Medicine-Pediatrics, Perinatology and Child Health
CiteScore
0.30
自引率
0.00%
发文量
55
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