Table 3.
Mental status | Normal | 0 |
Sleepy but arousable, decreased feeding | 1 | |
Lethargic, poor suck, irritable, and/or jittery | 2 | |
Semi-coma, apnea, unable to feed, seizure, coma | 3 | |
Muscle tone | Normal | 0 |
Persistent mild to moderate hypotonia | 1 | |
Mild to moderate hypotonia alternating with hypertonia | 2 | |
Persistent retrocollis and opisthotonos | 3 | |
Cry pattern | Normal | 0 |
High-pitched when aroused | 1 | |
Shrill, hardly consolable | 2 | |
Inconsolable crying or weak/absent cry | 3 |
Score of 1–3: mild ABE. Score of 4–6: moderate ABE. Score of 7–9: advanced ABE. ABE: acute bilirubin encephalopathy.