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Table 2 Sub-score correlations of BIND-M scores: residents versus consultants

From: A modified Bilirubin-induced neurologic dysfunction (BIND-M) algorithm is useful in evaluating severity of jaundice in a resource-limited setting

a: Mental status sub-scores

Consultants

Weighted Kappa = 0.7692 (95% CI: 0.6977, 0.8407)

0

1

2

3

Total

Residents

Normal mental status.

0

246

11

3

1

261

Sleepy, Difficult to Awaken for Feeding

1

12

10

2

0

24

Very sleepy; Alternatively very irritable

2

3

1

27

1

32

Semi-Coma; Apnea; Convulsions

3

0

2

5

9

16

Total

261

24

37

11

333

b: Muscle tone sub-scores

Consultants

Weighted Kappa = 0.8430 (95% CI: 0.7809, 0.9051)

0

1

2

3

Total

Residents

Normal muscle tone

0

259

7

3

1

270

Persistent mild hypotonia

1

2

7

0

0

9

Moderate hypotonia; moderate hypertonia; increasing arching of neck and trunk on stimulation without spasms of arms & legs and without trismus

2

3

3

22

4

32

Persistent retrocollis; opisthotonus; crossing or scissoring of arms or legs but without spasms of arms & legs and without trismus

3

1

0

3

18

22

Total

265

17

28

23

333

c: Altered cry sub-scores

Consultants

Weighted Kappa = 0.8139 (95% CI: 0.7321, 0.8957)

0

1

2

3

Total

Residents

Normal cry

0

279

3

1

3

286

High-pitched cry

1

4

2

1

3

10

Shrill cry

2

1

0

6

0

7

Inconsolable crying, or cry weak or absent in child with previous history of high pitched or shrill cry

3

2

1

3

24

30

Total

286

6

11

30

333

d: Altered gaze sub-scores

Consultants

Simple Kappa = 0.5802 (95% CI: 0.4055, 0.7549)

0

3

Total

Residents

Normal Gaze

0

301

12

313

Sun-setting; paralysis of upward gaze

3

6

14

20

Total

307

26

333