WebFalse-negative rates were <10% with all decision rules; none identified all 31 newborns with a TSB level at/above the phototherapy threshold. The percentage of blood draws avoided ranged from 79.4% to 90.7%. In sample 2, each rule correctly identified all 8 newborns with TSB levels at/above the phototherapy threshold. WebThe predicted probability of exceeding the phototherapy threshold after discharge ranged from 56% for a predischarge Δ-TSB 0 to 1 mg/dL below the threshold to 0.008% for Δ-TSB >7 mg/dL below the threshold. Discrimination was better for the Δ-TSB model (AUC 0.93) and the Δ-TSB-Plus model (AUC 0.95) than for the Bhutani Nomogram (AUC 0.88).
FOR HEALTHCARE PROVIDERS NNJ MANAGEMENT OF …
WebFor well infants 35 - 37 6/7 wk, can adjust TSB levels for intervention around the medium risk line. It is an option to intervene at lower TSB levels for infants closer to 35 wks and at … WebDownload scientific diagram The graph shows the thresholds for phototherapy. Total bilirubin was plotted against age in hours. The groups of GA were represented with different lines. from ... undulating waves meaning
Predicting the Need for Phototherapy After Discharge - PubMed
WebObjective: Adherence to guidelines for phototherapy initiation in preterm infants was 39% in our academic NICU (61% of phototherapy was initiated at total bilirubin (TB) levels below recommended thresholds). We hypothesized that adoption of an electronic health record integrated clinical decision support (CDS) tool would improve adherence to phototherapy … WebINSTRUCTIONS. Use in otherwise healthy neonates ≥35 weeks gestational age (GA) at the time of discharge. Do not use in neonates with positive direct Coombs test, or in those … WebPredischarge TSB or TcB close to phototherapy threshold. Hemolysis from any cause if rapid rate of increase of bilirubin >0.3 mg/dL/hour in first 24h or >0.2 mg/dL/hour thereafter. Phototherapy before discharge. … undulating twill pattern