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Bases follow-up testing on the difference between bilirubin level and the phototherapy threshold. No more risk zones! Raises thresholds for phototherapy and exchange transfusion. Includes gestational age and risk factors for neurotoxicity in the thresholds.
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5 sie 2022 · Infants 7 days or older with a persistently elevated TSB within 2 mg/dL of the phototherapy threshold may have prolonged indirect hyperbilirubinemia, which can be confirmed by measuring serum direct-reacting or conjugated bilirubin (ie, a fractionated bilirubin measure) in addition to total bilirubin.
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.
1 cze 2007 · To predict the occurrence of severe hyperbilirubinemia, it is therefore recommended that either TSB or TcB concentration be measured in all infants between 24 h and 72 h of life; if the infant does not require immediate treatment, the results should be plotted on the predictive nomogram to determine the risk of progression to severe ...
1 maj 2021 · The American Academy of Pediatrics (AAP) recommends stratification of predischarge total serum bilirubin (TSB) levels by using the Bhutani Nomogram to help determine the appropriate timing of newborn follow-up.
1 gru 2020 · In this report, we present an hour-specific bilirubin nomogram based on first predischarge serum bilirubin of 397 395 newborn infants, including analysis of the effect of sex, gestational age, and race.
The new nomogram included 2 orders of magnitude more patient data and generally agreed with the 1999 nomogram. Differences included higher 75th and 90th percentile TSB values after 60 hours, higher values for lower gestational age, lower values for Black babies, and higher values for Asian babies.
