000 03210cam a2200349 a 4500
003 EG-GiCUC
005 20250223031648.0
008 170208s2016 ua dh f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.11.28.M.Sc.2016.Am.E
100 0 _aAmna Yhea Ahmed Alradem
245 1 0 _aEgyptian kernicterus registry :
_bA pilot in cairo university hospitals {u2019}neonatal intensive care units /
_cAmna Yhea Ahmed Alradem ; Supervised Nahed Fahmy Helal , Eman Abdelghany Abdelghany , Walaa Alsharany Abuelhamed
246 1 5 _aدراسه تجريبيه لتسجيل حالات اليرقان النووي بوحدات العنايه المركزه للأطفال حديثي الولاده بمستشفيات جامعه القاهره
260 _aCairo :
_bAmna Yhea Ahmed Alradem ,
_c2016
300 _a198 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520 _a 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
530 _aIssued also as CD
653 4 _aKernicterus
653 4 _aNeonatal hyperbilirubinemia
653 4 _aRisk factors
700 0 _aEman Abdelghany Abdelghany ,
_eSupervisor
700 0 _aNahed Fahmy Helal ,
_eSupervisor
700 0 _aWalaa Alsharany Abuelhamed ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShaima
_eCataloger
942 _2ddc
_cTH
999 _c59752
_d59752