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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