Total Serum Bilirubin Exceeding Exchange Transfusion Thresholds in the Setting of Universal Screening

Objective To describe the incidence and predictors of total serum bilirubin (TSB) levels that meet or exceed American Academy of Pediatrics (AAP) exchange transfusion (ET) thresholds in the setting of universal screening. Study design We conducted a retrospective cohort analysis of electronic data o...

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Veröffentlicht in:	The Journal of pediatrics 2012-05, Vol.160 (5), p.796-800.e1
Hauptverfasser:	Flaherman, Valerie J., MD, MPH, Kuzniewicz, Michael W., MD, MPH, Escobar, Gabriel J., MD, Newman, Thomas B., MD, MPH
Format:	Artikel
Sprache:	eng
Schlagworte:	bilirubin Bilirubin - blood Biological and medical sciences blood serum California Cohort Studies complications (disease) Databases, Factual Exchange Transfusion, Whole Blood - standards Exchange Transfusion, Whole Blood - trends Female Follow-Up Studies General aspects Guidelines as Topic hospitals Humans Infant, Newborn Infant, Premature Jaundice, Neonatal - blood Jaundice, Neonatal - diagnosis Jaundice, Neonatal - therapy Male Medical sciences Neonatal Screening - standards neonates Pediatrics phototherapy prediction Predictive Value of Tests pregnancy Prevention and actions Public health. Hygiene Public health. Hygiene-occupational medicine Reference Standards Retrospective Studies risk Risk Assessment screening Treatment Outcome
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Beschreibung
Zusammenfassung:	Objective To describe the incidence and predictors of total serum bilirubin (TSB) levels that meet or exceed American Academy of Pediatrics (AAP) exchange transfusion (ET) thresholds in the setting of universal screening. Study design We conducted a retrospective cohort analysis of electronic data on 18 089 newborns ≥35 weeks gestation born at Northern California Kaiser Permanente Medical Care Program hospitals implementing universal TSB screening in 2005 to 2007, with chart review for subjects with TSB levels reaching the AAP threshold for ET. Results The outcome developed in 22 infants (0.12%); 14 (63.6%) were
ISSN:	0022-3476 1097-6833
DOI:	10.1016/j.jpeds.2011.09.063