Neonatal Hyperbilirubinemia: Recommendations for Diagnosis and Management in the Emergency Department | Points & Pearls
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Neonatal Hyperbilirubinemia: Recommendations for Diagnosis and Management in the Emergency Department

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  • Using age in hours and a TSB level, the AAP recommends using the hour-specific nomogram (see Figure 3, page 5) to determine appropriate management and follow-up to reduce the risk of severe hyperbilirubinemia.
  • The presence of hyperbilirubinemia risk factors is used to help interpret the results of the hour-specific nomogram. Hyperbilirubinemia risk factors include:
    • A newborn nursery predischarge TSB in the high-risk zone
    • Jaundice observed in the first 24 hours
    • ABO incompatibility or other known hemolytic disease
    • Gestational age 35 to 36 weeks
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Publication Information
Authors

Abdullah Khan, MD; Tommy Y. Kim, MD

Peer Reviewed By

Jennifer Bellis, MD, MPH; Mary Jane Piroutek, MD

Publication Date

January 2, 2022

CME Expiration Date

February 1, 2025

Pub Med ID: 34919365

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