Predicting the Need for Exchange Transfusion in Newborn Infants: A Comparison of Five Methods

The need for exchange transfusion was analyzed retrospectively using several different meth ods (total bilirubin binding capacity, birth weight, plasma protein level, and two published charts). These predictive methods were applied to 175 jaundiced infants for whom all the data were available and to...

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Bibliographic Details
Published in:Clinical pediatrics 1983-08, Vol.22 (8), p.533-536
Main Authors: Robertson, Alex F., Karp, Warren B., Davis, Harry C., Zack Catterton, W., Bunyapen, Chantrapa
Format: Article
Language:English
Subjects:
Bilirubin - blood
Bilirubin - metabolism
Binding, Competitive
Birth Weight
Blood Proteins - analysis
Exchange Transfusion, Whole Blood
Humans
Hyperbilirubinemia - therapy
Infant, Newborn
Infant, Premature, Diseases - therapy
Jaundice, Neonatal - therapy
Probability
Retrospective Studies
Time Factors
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Summary:The need for exchange transfusion was analyzed retrospectively using several different meth ods (total bilirubin binding capacity, birth weight, plasma protein level, and two published charts). These predictive methods were applied to 175 jaundiced infants for whom all the data were available and to 19 infants who were actually exchanged. Most of the patients were sick, premature infants. This study demonstrates the lack of agreement among the predictive methods.
ISSN:0009-9228
1938-2707
DOI:10.1177/000992288302200801