Sunday, May 29, 2016

BIND Score in severe hyperbilirubinemia


Bilirubin-induced neurologic dysfunction (BIND) Score is used to assess bilirubin induced encephalopathy in neonates with severe hyperbilirubinemia. Johnson et al developed the BIND score to help identify an infant who requires more aggressive monitoring and management.
Parameters:  3 Parameters are assessed and scoring is done based on the parameters.
(1) cry pattern
(2) behavior and mental status
(3) muscle tone

Click to enlarge

BIND score = total score (points for all 3 parameters scored separately and added)
Tick all that apply, but total score is based on the highest in each category or 9.
Interpretation:  minimum score: 0  , maximum score: 9
BIND Score
Stage
1 to 3
Stage 1A
4 to 6
Stage 1B
7 to 9
Stage II

Stage of BIND
Features
IA
minimal signs; totally reversible with therapy
IB
progressive signs but reversible with therapy
II
irreversible signs but severity decreased with prompt and aggressive therapy

References: 
Johnson L, Brown AK, Bhutani VK. BIND - A clinical score for bilirubin induced neurologic dysfunction in newborns. Pediatrics. 1999; 104 (Supplement): 746-747.
http://www.meducator3.net/algorithms/content/clinical-severity-acute-bilirubin-induced-neurologic-dysfunction-bind-score
Resource for reading
http://pediatrics.aappublications.org/content/134/5/e1330 

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