Efficacy of Subthreshold Newborn Phototherapy During the Birth Hospitalization in Preventing Readmission for Phototherapy

JAMA Pediatrics
Andrea C WickremasingheThomas B Newman

Abstract

Treatment of jaundiced newborns with subthreshold phototherapy (phototherapy given to newborns with bilirubin levels below those recommended in American Academy of Pediatrics [AAP] guidelines) is common. However, the use of subthreshold phototherapy may have risks and increase costs, and, to date, it has not been systematically studied in newborns. To estimate the efficacy of subthreshold phototherapy for newborns with total serum bilirubin (TSB) levels from 0.1 to 3.0 mg/dL below the appropriate AAP phototherapy threshold during the birth hospitalization in preventing readmissions for phototherapy, and to identify predictors of readmission for phototherapy. Retrospective cohort study of 25 895 newborns born at 35 or more weeks' gestation, born in 1 of 16 Kaiser Permanente Northern California hospitals from January 1, 2010, through December 31, 2014, with at least 1 TSB level from 0.1 to 3.0 mg/dL below the appropriate AAP phototherapy threshold and not exceeding the threshold during the birth hospitalization. Data were analyzed from November 1, 2015, to November 28, 2017. Subthreshold phototherapy during the birth hospitalization. Readmission for phototherapy. Among 25 895 newborns with qualifying TSB levels from 0.1 to 3.0 mg...Continue Reading

Citations

Oct 9, 2019·International Journal of Cancer. Journal International Du Cancer·Nathalie AugerThuy Mai Luu
May 6, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Thomas HegyiAlan Kleinfeld
Dec 7, 2018·Pediatric Research·Rowena Cayabyab, Rangasamy Ramanathan
Jul 18, 2020·Journal of Perinatology : Official Journal of the California Perinatal Association·Malini MahendraR Adams Dudley
Nov 25, 2020·American Journal of Perinatology·Hanaa AlmohammadiIslam Nour
Jun 30, 2021·Paediatric and Perinatal Epidemiology·Jean C DigitaleThomas B Newman
Aug 7, 2021·Clinics in Perinatology·Cathy Hammerman, Michael Kaplan
Oct 21, 2021·Hospital Pediatrics·Michael J TchouRicardo Quinonez
Sep 27, 2018·Pediatrics·James A Taylor
Dec 11, 2021·Pediatrics·Sara C HandleyHeather H Burris
Apr 28, 2021·Pediatrics·Laura R Kair, Carrie A Phillipi
Sep 27, 2018·Pediatrics·Thomas B NewmanCharles E McCulloch

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