Serum Bilirubin and Bilirubin/Albumin Ratio as Predictors of Bilirubin Encephalopathy
Abstract:WHAT'S KNOWN ON THIS SUBJECT: Jaundiced newborns without additional risk factors rarely develop kernicterus if the total serum bilirubin is ,25 mg/dL. Measuring the bilirubin/albumin ratio might improve risk assessment, but the relationships of both indicators to advancing stages of neurotoxicity are poorly documented.WHAT THIS STUDY ADDS: Both total serum bilirubin and bilirubin/albumin ratio are strong predictors of advancing stages of acute and post-treatment auditory and neurologic impairment. However, bil… Show more
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