Since Bhutani, Johnson and Sivieri’s landmark 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. It took until 2004 for the American Academy of Pediatrics to publish a clinical practice guideline on the topic. For years, providers simply looked at the nomogram and other charts included in the guideline. With the advent of the Palm Pilot this switched to the app BiliTool. However, BiliTool remains just as a web app for iOS/Android devices.
A number of other apps now fill the gap left by BiliTool including Pedi QuickCalc, BiliCalc and more recently Jaundice. All four of these options appear to accurately utilize the data from the Bhutani nomogram/AAP guideline. But which of these would we recommend? We have previously reviewed Pedi QuickCalc and BiliCalc.
You just delivered your term continuity obstetric patient yesterday. The pregnancy was uncomplicated and the infant was born at 39 5/7 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 4.5 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 the Jaundice app in action and see how it compares to the competition.
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.
- Does exactly what it claims to do, but nothing more.
- Simple and efficient interface.
- Links to the complete original Bhutani article, nomogram and AAP guideline.
- Overpriced for the app’s capabilities.
- No additional functions other than bilirubin risk calculation.
- No ability to graph the results in the app on the nomogram.
- Not available for Android.
- Overall Score
- User Interface
Simple to use and efficient interface, but nothing fancy.
- Multimedia Usage
The app allows for viewing of the original hyperbilirubinemia article, nomogram and AAP hyperbilirubinemia guideline.
App is $2 more than BiliCalc and Pedi QuickCalc without the same capabilities.
- Real World Applicability
A simple app that does exactly what it claims to do, but nothing more and price is significantly more than the competition.
- Device Used For Review
iPhone 6 running iOS 8.3
- Available for DownloadiPhoneiPad