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Neonatal Hyperbilirubinemia: Likelihood Ratios

Introduction: aka neonatal jaundice. Use the Bhutani nomogram ( http://www.bilitool.org ) to evaluate the risk of progression to kernicterus and requirement for phototherapy.

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Tags: Metabolic Tag this Diagnosis.

Prevalence

Population / CalculatorPrevalence Comments / Study / Link
Term newborns 60% Clinical jaundice

Clin Pediatr (Phila). 2003 Mar;42(2):153-8. PMID: 12659389

Term newborns 10% Hyperbilirubinemia requiring phototherapy

Clin Pediatr (Phila). 2003 Mar;42(2):153-8. PMID: 12659389

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The likelihood ratios of findings for Neonatal Hyperbilirubinemia are listed below. See the left navigation bar to change the display.

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Finding +LR-LR Comments, Study
Jaundice Edit 2.80.3

"clinical jaundice" by neonatologists, at ~70 hours of life. For TBili > 12mg/dl

Study: Clin Pediatr (Phila). 2003 Mar;42(2):153-8. PMID: 12659389

Jaundice at the Abdomen Edit 1.20.2

between the nipple line and the umbilicus, for TBili >=12.0mg/dl. Mean age = 2 days.

Study: Arch Pediatr Adolesc Med. 2000 Apr;154(4):391-4. PMID: 10768679