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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.
Bhutani nomogram (≥ 35 weeks gestation): Bhutani et al. nomogram for well newborns at >36 weeks’ gestational age with birth weight of >2000 g or more or >35 weeks’ gestational age and birth weight of >2500 g based on hour-specific serum bilirubin values.
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
Calculator and clinical decision support for the AAP 2022 guidelines for the management of hyperbilirubinemia in newborns 35 or more weeks of gestation. Features. Neurotoxicity risk factors absent, present, or both. Plot multiple time points to assess trends.
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?
5 sie 2022 · The 2004 guideline made recommendations for primary prevention (eg, maternal Rh typing and treatment) and secondary prevention (eg, risk- factor assessment and close monitoring for the development of hyperbilirubinemia, and, when necessary, treatment).
plotted against the Bhutani predictive nomo-gram13 to determine the risk zone. The nomo-gram is devised primarily for those using mg/ dl as units of TSB measurement. In countries where SI units (µmol/L) are used, it is nearly impossible to use the predictive nomogram accurately and conveniently. The adaptation
