Table 1 Modified bilirubin-induced neurological dysfunction (BIND) score
Clinical sign | Score | Severity | Date/time |
|---|---|---|---|
Mental status | |||
⎕ Normal | 0 | None | |
⎕ Sleepy but arousable ⎕ Decreased feeding | 1 | Mild | |
⎕ Lethargy ⎕ Poor suck and/or ⎕ Irritable/jittery with short-term strong suck | 2 | Moderate | |
⎕ Semi-coma ⎕ Apnea ⎕ Seizures ⎕ Coma | 3 | Severe | |
Muscle tone | |||
⎕ Normal | 0 | None | |
⎕ Persistent mild hypotonia | 1 | Mild | |
⎕ Moderate hypotonia ⎕ Moderate hypertonia ⎕ Increasing arching of neck and trunk on stimulation without spasms of arms and legs and without trismus | 2 | Moderate | |
⎕ Persistent retrocolis ⎕ Opisthotonus ⎕ Crossing or scissoring of arms or legs but without spasms of arms and legs and without trismus | 3 | Severe | |
Cry pattern | |||
⎕ Normal | 0 | None | |
⎕ High pitched | 1 | Mild | |
⎕ Shrill | 2 | Moderate | |
⎕ Inconsolable crying or ⎕ Cry weak or absent in child with previous history of high pitched or shrill cry | 3 | Severe | |
Occulomotor or eye movements | |||
⎕ Normal | 0 | None, mild | |
⎕ Sun-setting ⎕ Paralysis of upward gaze | 3 | Severe | |
Total ABE score | |||