Following our previous introduction to Pediatric applications, we have another great quick reference app. BiliCalc focuses on the newborn population and bilirubin monitoring. While bilirubin monitoring is often an inpatient related activity, these children can be seen and monitored during the first few days of life by their clinic pediatricians as well.
The opening screen allows the user to enter either an age by hours or by birth time as well as a bilirubin level. After the user clicks “calculate” the program creates an output of phototherapy guidelines on the same initial screen.
For example, Eddy, a 26 hour old infant born at 40 weeks has a bilirubin of 10. When this information is entered, the application shows that for both low and medium neurotoxicity risk levels this infant does not need treatment. Conveniently, right under the Level is the description of what constitutes a low, medium or high risk infant (Eddy is “Low” risk as he is 40 weeks and well).
If the user left swipes the bottom half of the screen, the display changes from the above mentioned answer to an actual display of phototherapy guidelines and risk stratification nomograms. A third left swipe takes you to a display of follow up recommendations. For Eddy, he did not meet phototherapy requirements but he is still “high risk” and thus needs a follow up bilirubin level in 6-12 hours.
A large benefit to the application is the easy access to the physiology. As shown above, further left swipes past the follow up recommendations take the user to the actual risk factor for development of severe hyperbilirubinemia as well as neurotoxicity risk factors.
I appreciated the split screen formatting of the application. The input information about your child (age and bilirubin level) are seen throughout the application while the recommendations and physiology behind bilirubin are accessed as needed. I have used it myself for calculating as well as for teaching purposes as I can teach the physiology and reasoning behind the recommendations for treatment and follow up.
Evidence based medicine:
Great references that are easily accessed via a touch button seen on all screens. The button takes you to a list of sources which, when clicked, take you to real citations. This level of citation is rare and easily makes this application one of the best.
- Information is presented in an easy to access and navigate manner with split screen and swipe functions.
- Surprisingly I do not have any recommendations, hence why this is one of the top task-specific apps.
- Simple and effective tool. I use it often in my practice and have recommended it to many of my physician colleagues.
- Overall Score
- User Interface
Easy to digest and navigate. Helpful for both personal use and for teaching
- Multimedia Usage
Great links to evidence and nice use of split screen and swipe functions
- Real World Applicability
I use the calculator often and do not mind that it is a stand-alone calculator rather than being built within a larger calculator tool
- Device Used For Review
- Available for DownloadiPhone