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Table 1 BIND score [5]

From: Can bilirubin/albumin ratio predict neurodevelopmental outcome in severe neonatal hyperbilirubinemia? A 3-month follow up study

Scores

Clinical signs

Mental status

 0

Normal

 1

Sleepy, poor feeding

 2

Lethargic, irritable, jittery

 3

Unable to feed, apnea, seizures, coma

Muscle tone

 0

Normal flexed tone (awake)

 1

Hypertonia alternating with hypotonia

 2

Neck stiffness, flexor spasm, beginning of neck and back arching, hypertonia

 3

Persistent retrocollis and opisthotonos, bicycling, twitching of hands and feet, fisting, severe hypotonia with limp posture

Cry pattern

 0

Normal

 1

High pitched cry

 2

Shrill cry even if intermittent

 3

Weak or absent cry, inconsolable cry

Total score

Sum of highest score in each category

  1. Scores 1–3: mild ABE; probably reversible without sequelae
  2. Scores 4–6: moderate ABE
  3. Scores 7–9: severe ABE; highly associated with death or kernicterus