A few weeks ago we reviewed the pediatric hyperbilirubinemia app, Jaundice. Since I completed that review, I noticed that the author of one of my favorite pediatric apps, Pedi QuikCalc by Dr Kent Bonney, had recently released his own hyperbilirubinemia app, Bili QuikCalc. I immediately downloaded it to check out what it could do.
Since the famous Bhutani article in 1999 on the predictive ability of a predischarge serum bilirubin level for hyperbilirubinemia, providers have shifted from the traditional physical exam (which has been proven unreliable) to blood work for screening for hyperbilirubinemia. The 2004 American Academy of Pediatrics clinical practice guideline remains the current gold standard for the assessment and management of hyperbilirubinemia in the newborn. Since publication of the guideline, numerous medical apps have been produced to aid clinicians in the management of newborn hyperbilirubinemia. BiliTool was one of the first available and remains a web app for iOS/Android devices. A number of other apps previously discussed here, have filled the gap. Bili QuikCalc is the latest addition and brings as an added bonus, an Apple Watch version of the app.
You just delivered your term continuity obstetric patient yesterday. The pregnancy was uncomplicated and the infant was born at 40 3/7 weeks gestation. Your hospital protocol follows the American Academy of Pediatrics guideline for the management of hyperbilirubinemia so a total bilirubin level is drawn at 24 hours of life.
How would you manage this patient if the level was 3.5 mg/dL? What if the result was 12.5 mg/dL? What is the threshold for phototherapy? Exchange transfusion? Let’s take a look at Bili QuikCalc in action.
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Evidence based medicine
Bili QuikCalc incorporates the original information from the Bhutani article and follows the current AAP hyperbilirubinemia guideline. The app does not contain links to the original Bhutani article or the AAP guideline but does list them in the references section of the app.
What providers would benefit from this App?
Students, residents, mid-levels, Family Medicine, Pediatrics, Neonatologists and mother baby unit/NICU providers.
Disclaimer: The views expressed are those of the author(s) and do not reflect the official policy of the Department of the Army, the Department of Defense or the U.S. Government.
- Clever, colorful, efficient interface.
- Apple Watch version available and included in price.
- Includes a management algorithm not found easily in similar apps.
- Limited functionality aside from bilirubin calculations.
- No links or built in PDFs of the complete Bhutani article or AAP guideline.
- Not available for Android.
An outstanding hyperbilirubinemia app that leads the pack of currently available newborn hyperbilirubinemia apps. Although not as fully functional compared to its sister app, Pedi QuikCalc, Bili QuikCalc does one thing and does it exceptionally well for a great price that includes a companion Apple Watch app.
- Overall Score
- User Interface
4.5 Stars – Easy to use, colorful, efficient interface plus Apple Watch version
- Multimedia Usage
3.5 Stars – No ability to view the original hyperbilirubinemia article or AAP hyperbilirubinemia guideline, but robust graphing capabilities built into app.
4.5 Stars – App is only $0.99 and includes a companion Apple Watch app. The more functional Pedi QuickCalc app is $1 more.
- Real World Applicability
A simple app that does exactly what it claims to do and is a true bargain.
- Device Used For Review
iPhone 6 running iOS 8.4. Apple Watch App not tested.
- Available for DownloadiPhoneiPad