Diagnostic Accuracy of Kramer Visual Assessment of Jaundice in Term Neonates Taking Total Serum Bilirubin Levels as the Gold Standard
Objective: To determine the Diagnostic accuracy of Kramer's visual assessment of jaundice in term neonates by taking total serum bilirubin levels as a gold standard. Study Design: Cross-sectional study. Place and Duration of Study: Neonatology Department, Pak Emirates Military Hospital,...
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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2022-12-01
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| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://pafmj.org/index.php/PAFMJ/article/view/6252 |
| _version_ | 1797938521128828928 |
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| author | Shaista Mumtaz Muhammad Faisal Shafiq Kenan Anwar Khan Murtaza Hussain Asbah Rahman Sania Shafiq |
| author_facet | Shaista Mumtaz Muhammad Faisal Shafiq Kenan Anwar Khan Murtaza Hussain Asbah Rahman Sania Shafiq |
| author_sort | Shaista Mumtaz |
| collection | DOAJ |
| description |
Objective: To determine the Diagnostic accuracy of Kramer's visual assessment of jaundice in term neonates by taking total serum bilirubin levels as a gold standard.
Study Design: Cross-sectional study.
Place and Duration of Study: Neonatology Department, Pak Emirates Military Hospital, Rawalpindi Pakistan, Mar to Sep 2019.
Methodology: The study was based on examining and investigating 300 neonates. Kramer scale was used to examine jaundice in all neonates, and results were compared to total serum bilirubin levels.
Results: A total of 300 patients were included in this study. The mean bilirubin level was 229.1±74.5mol/L. The sensitivity and specificity of visual assessment of jaundice using the Kramer visual scale were 83.84% and 73.53%, respectively, for neonates who were not jaundiced below the abdomen and thighs included in Kramer zones 1 to 3.
Conclusion: Kramer visual assessment can be used as a noninvasive screening method in neonates jaundiced up to the abdomen and thighs, which is included in Kramer zones 1 to 3 but for markedly jaundiced neonates Kramer scale is not a reliable noninvasive method of bilirubin estimation.
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| first_indexed | 2024-04-10T19:02:06Z |
| format | Article |
| id | doaj.art-3aa92db99866476d801e714783a370de |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-04-10T19:02:06Z |
| publishDate | 2022-12-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-3aa92db99866476d801e714783a370de2023-01-31T08:20:20ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422022-12-0172610.51253/pafmj.v72i6.6252Diagnostic Accuracy of Kramer Visual Assessment of Jaundice in Term Neonates Taking Total Serum Bilirubin Levels as the Gold StandardShaista Mumtaz0Muhammad Faisal Shafiq1Kenan Anwar Khan2Murtaza Hussain3Asbah Rahman4Sania Shafiq5Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanCombined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanCombined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanCombined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanCombined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanPakistan Institute of Medical Sciences, Islamabad Pakistan Objective: To determine the Diagnostic accuracy of Kramer's visual assessment of jaundice in term neonates by taking total serum bilirubin levels as a gold standard. Study Design: Cross-sectional study. Place and Duration of Study: Neonatology Department, Pak Emirates Military Hospital, Rawalpindi Pakistan, Mar to Sep 2019. Methodology: The study was based on examining and investigating 300 neonates. Kramer scale was used to examine jaundice in all neonates, and results were compared to total serum bilirubin levels. Results: A total of 300 patients were included in this study. The mean bilirubin level was 229.1±74.5mol/L. The sensitivity and specificity of visual assessment of jaundice using the Kramer visual scale were 83.84% and 73.53%, respectively, for neonates who were not jaundiced below the abdomen and thighs included in Kramer zones 1 to 3. Conclusion: Kramer visual assessment can be used as a noninvasive screening method in neonates jaundiced up to the abdomen and thighs, which is included in Kramer zones 1 to 3 but for markedly jaundiced neonates Kramer scale is not a reliable noninvasive method of bilirubin estimation. https://pafmj.org/index.php/PAFMJ/article/view/6252Kramer visual assessmentNeonatesTotal serum bilirubin |
| spellingShingle | Shaista Mumtaz Muhammad Faisal Shafiq Kenan Anwar Khan Murtaza Hussain Asbah Rahman Sania Shafiq Diagnostic Accuracy of Kramer Visual Assessment of Jaundice in Term Neonates Taking Total Serum Bilirubin Levels as the Gold Standard Pakistan Armed Forces Medical Journal Kramer visual assessment Neonates Total serum bilirubin |
| title | Diagnostic Accuracy of Kramer Visual Assessment of Jaundice in Term Neonates Taking Total Serum Bilirubin Levels as the Gold Standard |
| title_full | Diagnostic Accuracy of Kramer Visual Assessment of Jaundice in Term Neonates Taking Total Serum Bilirubin Levels as the Gold Standard |
| title_fullStr | Diagnostic Accuracy of Kramer Visual Assessment of Jaundice in Term Neonates Taking Total Serum Bilirubin Levels as the Gold Standard |
| title_full_unstemmed | Diagnostic Accuracy of Kramer Visual Assessment of Jaundice in Term Neonates Taking Total Serum Bilirubin Levels as the Gold Standard |
| title_short | Diagnostic Accuracy of Kramer Visual Assessment of Jaundice in Term Neonates Taking Total Serum Bilirubin Levels as the Gold Standard |
| title_sort | diagnostic accuracy of kramer visual assessment of jaundice in term neonates taking total serum bilirubin levels as the gold standard |
| topic | Kramer visual assessment Neonates Total serum bilirubin |
| url | https://pafmj.org/index.php/PAFMJ/article/view/6252 |
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