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Bilirubin Induced Neurologic Damage (BIND) Risk

Mnemonic:    [BIND RISK]
Name:    Bilirubin Induced Neurologic Damage (BIND) Risk
Specimen:    0.15 mL plasma from 1 Green PST microtainer (preferred) or Gold SST microtainer. Submit a BIND Risk Worksheet with the sample including the hours of age. The age MUST be between 24 - 96 hours to interpret the BIND Risk.
Minimum Spec:    0.15 mL
Note:    This procedure requires the measurement of the total bilirubin via the standard method (Vitros Bu/Bc) and an accurate determination of the age (in hours) of the neonate at the time of the sample collection. The bilirubin result may then be classified into one of three groups: Low, Medium, or High Risk for Bilirubin Induced Neurologic Damage (BIND). The interpretation of the Risk classification is performed on the Laboratory Information System using a Discern Rule to compute the location of the measured bilirubin on the graph. BIND Risk Scores are based on the statistical probability of worsening post-discharge hyperbilirubinemia to levels that require treatment to prevent bilirubin induced neurologic damage.

This test and risk score applies to term and near term infants without other known neonatal illness and not already under therapy for pathologic jaundice. Click below to see additional interpretive information.

Interpretive Information