Preventing

Acute Bilirubin Ench

Pilot Study Using a P
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Core Data
 Number of prenatal visit

Distance Km to TSB assa

Blood type of the Mothe

BIND score on admissio
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Preventing Acute Bilirubin Enchephalopathy an
Pilot Study Using a Point-of-Care Bil
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Core Data Sheet Saver - CIPTO

Institution
Patient #

Admission weight gr.

Sex

Patient Age Days

Hours

Mother Age Years

 Gravida

Number of living children

Number of prenatal visits

Delivery site

Delivery attendant

Referred from

Delayed admission?

Distance Km to TSB assay

Blood type of the Mother Type

Factor Rh

Blood type of the Baby Type

Factor Rh

Hematocrit %

TSB from outpatient mg/dL

TSB at admission mg/dL

 G6PD activity

BIND score on admission

Outcome
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lopathy and Kernicterus in Nigeria
of-Care Bilirubin Assay
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Saver - CIPTO

CIPTO
Store Data