03210cam a2200349 a 4500 EG-GiCUC 20250223031648.0 170208s2016 ua dh f m 000 0 eng d EG-GiCUC eng EG-GiCUC eng Deposite M.Sc Cai01.11.28.M.Sc.2016.Am.E Amna Yhea Ahmed Alradem Egyptian kernicterus registry : A pilot in cairo university hospitals {u2019}neonatal intensive care units / Amna Yhea Ahmed Alradem ; Supervised Nahed Fahmy Helal , Eman Abdelghany Abdelghany , Walaa Alsharany Abuelhamed دراسه تجريبيه لتسجيل حالات اليرقان النووي بوحدات العنايه المركزه للأطفال حديثي الولاده بمستشفيات جامعه القاهره Cairo : Amna Yhea Ahmed Alradem , 2016 198 P. : charts , facsimiles ; 25cm Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics Objective: to detect the prevalence, risk factors, response to various modalities of treatment and outcome among cases of kernicterus admitted in Cairo University Children hospital NICU. Methods: a one year prospective analysis of all cases of acute bilirubin encephalopathy admitted to NICU of CUPH during the period from the first of September 2014 to the end of August 2015. Results: eighty one newborns, having severe hyperbilirubinemia with signs or symptoms suggestive of acute bilirubin encephalopathy, were recorded. They represented 12% of the total number of the neonates admitted to the NICU with jaundice. The mean gestational age was 38.1 ± 1.1 weeks; the mean age of onset of jaundice was 2.8 ± 1.7 days. Admission TSB value was ranged from17.5 to 75.2mg/dl. The presence of hemolysis was detected in 40.7%.ABO incompatibility was found in 50.6% of cases, Rh incompatibility in 27.2% and neonatal sepsis in 21%.Their outcome showed a mortality in 9.9% of cases, the living cases with parietal recovery accounted for 58%. Admission BIND score showed significant positive correlation with: TSB at admission and significant negative correlation with hemoglobin and hematocrit. BIND score at discharge showed significant positive correlation with TSB at onset, TSB at admission, TSB after treatment, BIND score at admission, BIND score after treatment and significant negative correlation with hemoglobin and hematocrit. The linear (standard) regression model showed that only TSB at admission and maternal illiteracy were the significant predictors of BIND score at admission. Similarly, only BIND score at admission could significantly determine the variation in BIND score at discharge Issued also as CD Kernicterus Neonatal hyperbilirubinemia Risk factors Eman Abdelghany Abdelghany , Supervisor Nahed Fahmy Helal , Supervisor Walaa Alsharany Abuelhamed , Supervisor http://172.23.153.220/th.pdf Nazla Revisor Shaima Cataloger ddc TH 59752 59752 ddc 0 CUCL cl210 2024-02-11 Cai01.11.28.M.Sc.2016.Am.E 01010110070840000 2023-09-22 00:00:00 TH ddc 0 CUCL cl2u8 2024-02-11 Cai01.11.28.M.Sc.2016.Am.E 01020110070840000 2023-09-22 00:00:00 70840.CD CD