TN 0387 PRETERM BABY/HYALINE MEMBRANE DISEASE/CLINICAL OR CULTURE POSITIVE SEPSIS/HYPERBILIRUBINEMIA MECHANICAL VENTILATION | ||||||
---|---|---|---|---|---|---|
MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup score - claims | WEIGHTAGE(%) IN CLAIMS AMOUNT | SPECIAL MENTION |
LETHARGY, HYPO/HYPERTHERMIA, JAUNDICE+-, SEIZURES+- | CLINICAL PHOTO, PRETERM BABY, CBC, CXR,ANTHROPOMETRICAL DATA | TOTAL BED DAYS | >5 | 20 | ||
DAYS IN ICU | discretion of treating doctor | |||||
DAYS UNDER VENTILATOR SUPPORT | ||||||
INVESTIGATIONS | GENERAL WORK UP + S.BILIRUBIN + CRP | 30 | MANDATORY | |||
BLOOD +/- OTHER CULTURES | MANDATORY | |||||
COAGULATION STUDY | ||||||
CSF STUDY | ||||||
ABG AND REPEAT ABG + CXR | MANDATORY | |||||
TREATMENT | SUPPORTIVE CARE | 50 | MANDATORY | |||
ANTIBIOTICS | MANDATORY | |||||
PHOTOTHERAPY SOS | ||||||
EXCHANGE TRANSFUSION SOS | ||||||
SURFACTANT INHALATION | ||||||
MECHANICAL VENTILLATION | MANDATORY |