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Updating the 1999 Bhutani nomogram using a cohort of nearly 400 000 bilirubin results seems like a great idea; however, does it improve management of hyperbilirubinemia?
Bhutani Nomogram When using this nomogram, remember that "risk" refers to the risk of a subsequent bilirubin level in that infant >95th percentile for age. AAP 7-04
2022 AAP Hyperbilirubinemia Guidelines What's new? Highlights the challenge of identifying G6PD deficiency in infants. Bases follow-up testing on the difference between bilirubin level and the phototherapy threshold.
34 weeks GA, respectively (Table 1).12 Among the infants who died due to kernicterus, 100%, 89%, 54%, and 81% were of birthweight (BW) less than 1500 g, 1500 to 2000 g, 2001 to 2500 g, and >2500 g, respectively. Overall, 60 (2.8%) of 2181 survivors of 2608 admissions to the neonatal nursery sustained kernicterus. Mortality was 73% for these.
5 cze 2023 · This newborn hyperbilirubinemia assessment calculator is a practical tool for those wanting to quickly assess a child with jaundice – either physiologic neonatal jaundice or pathological jaundice. You will also find out right away if a baby is a candidate for infant jaundice treatment.
1 gru 2020 · To develop a statistically rigorous, hour-specific bilirubin nomogram for newborns based on a very large data set; and use it prospectively as a replacement for the 1999 Bhutani nomogram.
Bilitool (www.bilitool.org) is a web site that provides a free, user-friendly, interactive way to match infant bilirubin levels with the Bhutani nomogram and established phototherapy guidelines (for infants ≥35 weeks)
