Risk designation of term and near-term well newborns based on hour-specific serum bilirubin values; used to interpret discharge bilirubin levels to predict.

Slides:



Advertisements
Similar presentations
B.I.N.D. Center at Pennsylvania Hospital (Bilirubin Induced Neurologic Dysfunction) University of Pennsylvania, Philadelphia Pre-discharge bilirubin screening.
Advertisements

Neonatal Hyperbilirubinemia: An Update Bryan Burke, MD Arkansas Children’s Hospital University of Arkansas for Medical Sciences.
AAP Clinical Practice Guideline AAP Subcommittee on Hyperbilirubinemia. Pediatrics. 2004;114:297–316 Copyright © 2003, Rev 2005 American Academy of Pediatrics.
Copyright restrictions may apply JAMA Pediatrics Journal Club Slides: Total Serum Bilirubin Levels at or Above the ETT Wu YW, Kuzniewicz MW, Wickremasinghe.
Neonatal Hyperbilirubinemia
TM National Center on Birth Defects and Developmental Disabilities Kernicterus Surveillance Presented at the FDA Pediatric Advisory Committee Meeting on.
Implementation of a Flowsheet to Better Manage Bilirubin Levels in Newborns Dr. Alia Chauhan, MD, FAAP Assistant Professor of Pediatrics & Family Medicine.
Copyright © 2017 American Academy of Pediatrics.
Hyperbilirubinemia Web Conference April 26,
Neonatal Hemolytic Jaundice
Copyright © 2017 American Academy of Pediatrics.
Resource Guide for Nurses: Patient Teaching on Newborn Jaundice (Hyperbilirubinemia) Sarah Purcell Dr. Eileen Yost, PhD, MSN, RNC, CNE Sacred Heart University.
Risk designation of full-term and near-term newborns based on their hour-specific bilirubin values. (Reproduced, with permission, from Bhutani VK et al:
Copyright © 2017 American Academy of Pediatrics.
Copyright © 2017 American Academy of Pediatrics.
Guidelines for phototherapy in hospitalized infants of 35 or more weeks' gestation. These guidelines are based on limited evidence and levels shown are.
Guidelines for phototherapy in hospitalized infants of 35 or more weeks’ gestation.Note: These guidelines are based on limited evidence and the levels.
Nighttime parent experience.
Diagnosis, risk classification, and recommended management of a BRUE
Percentage of nursing assessments with NEWS documented for patients 21 years and older from March to October Percentage of nursing assessments with.
Guidelines for phototherapy in hospitalized infants of 35 or more weeks’ gestation.Note: These guidelines are based on limited evidence and the levels.
Hospital-level variation in diagnostic testing for children with AGE evaluated in the ED and discharged from (A) or admitted to (B) the hospital. Hospital-level.
Hospital guidelines for reporting live births, infant deaths, fetal deaths, and induced terminations of pregnancy. a For most states, a report of fetal.
Monthly rates of antibiotic administration.
Monthly rates of antibiotic administration.
Association between hospital-level diagnostic testing and 3-day ED return visits at 34 US children’s hospitals. Association between hospital-level diagnostic.
Between-night treatment effects of VR, petrolatum, and no treatment on (A) cough frequency (P = .003, 3-way treatment comparison), (B) cough severity (P.
Hospital-level procedural sedation rates among pediatric patients in the earliest year, (2009, red circle) and the most recent year (2014, blue bar). Hospital-level.
Table 2 Rs number, gene, OR, 95% CI, and permutation p value for the statistical significant variants resulted from allelic association analysis association.
Catherine M. Pound et al. Hospital Pediatrics 2017;7:
A, Comparison of cortisol levels between the nonintervention group (n = 94) and the intervention group (n = 104). A, Comparison of cortisol levels between.
Example of an algorithm recommending timing for follow-up of newborns based on their predischarge bilirubin levels, gestation, and related risk factors.
Heat map of risk-adjusted diagnostic test, corticosteroid, and empirical antibiotic selection by hospital presented as variance from the median across.
Simplified Markov diagram of a patient admitted to the ward with no respiratory support. Simplified Markov diagram of a patient admitted to the ward with.
Number of hospitalizations for aspiration pneumonia (upper panel) and CAP (lower panel) per month across the 47 study hospitals. Number of hospitalizations.
Percentage of BMI decrease ≥0
Number of neonates with BPD-PH per hospital and the number of neonates per hospital who received sildenafil. Number of neonates with BPD-PH per hospital.
X-bar and S control charts of LOS
Specimens submitted, tested, and rejected during the postintervention period. aAfter ordering clinician discussion with the laboratory. bPatient treated.
Study institution’s PEWS
Linear regression model of skill degradation over time.
Run chart showing the number of specimens submitted during the study period. Run chart showing the number of specimens submitted during the study period.
Percent of repeat CBCs and BMPs within 1 calendar day on the HM service: control p-chart showing the secondary outcome measure with annotations of small.
A, The posterior-anterior view of the chest radiograph demonstrating the large right-sided pleural effusion with consolidation in the right lung base.
Weeks T1 to T15 correspond to data collection in 2015 (January 5–April 18). Weeks T1 to T15 correspond to data collection in 2015 (January 5–April 18).
Association between hospital-level diagnostic testing and admission percentage for patients with AGE at 34 US children’s hospitals. Association between.
Frequencies of diagnoses (% of all previous inpatient visits) of inpatient visits before abuse hospitalizations. Frequencies of diagnoses (% of all previous.
Cohort diagram. Cohort diagram. General pediatric and short-stay attending physicians reported communication problems as part of a series of quality questions.
Distribution of responses to the knowledge questions.
Box plot of acquisition times across the various study cohorts.
Increase in adults treated at children's hospitals, 1999–2012, according to age group. Increase in adults treated at children's hospitals, 1999–2012, according.
Increase in adults treated at children's hospitals, 1999–2012, according to age group and disease. Increase in adults treated at children's hospitals,
SHM-CWC pediatric recommendations.
Algorithm, risk category assessment and prophylaxis for VTE in children. Algorithm, risk category assessment and prophylaxis for VTE in children. Altered.
Percentage of all inborn infants ≥34 weeks’ gestation who (A) received ampicillin or (B) had CRP measured during the first 3 days surrounding the practice.
Changes in inspired oxygen tension (PiO2), Alveolar-arterial oxygen gradient (A-a DO2), arterial oxygen tension (PaO2), and carbon dioxide tension (PaCO2)
Mortality predictability of the difference of the percentiles of the changes in dietary protein intake, represented by nPNA (nPCR), and serum P concentration.
Percentage of compliant HH encounters on 2 inpatient units: p-chart shows the primary outcome measure with annotations of test of change. Percentage of.
Incidence of feeding-related AEs
Kaplan-Meier plots of the duration of continuous albuterol, time until q4 albuterol, and hospital LOS for each of the 4 treatment groups. Kaplan-Meier.
A, Representative sample drawer of syringes, needles, and defibrillation pads in the old version of the resuscitation cart. A, Representative sample drawer.
Integrating evidence quality appraisal with an assessment of the anticipated balance between benefits and harms leads to designation of a policy as a strong.
Control chart demonstrating percent of patients up to date on PPSV23 out of total number of eligible clinic patients. Control chart demonstrating percent.
Guidelines for exchange transfusion in infants 35 or more weeks’ gestation.Note that these suggested levels represent a consensus of most of the committee.
Mean BMI z scores in 6- to 9-year-old white girls with and without breast development, based on the PROS study data reported by Kaplowitz et al.13 The.
Nomogram for designation of risk in 2840 well newborns at 36 or more weeks’ gestational age with birth weight of 2000 g or more or 35 or more weeks’ gestational.
Autoantibodies to amylase at CD diagnosis and after gluten-free diet, compared with autoantibody concentration detected in healthy and celiac control groups.
Percentages of infants sleeping or not through the night in the MAVAN cohort. Percentages of infants sleeping or not through the night in the MAVAN cohort.
Error bar graphs show significant differences between no and low prenatal alcohol exposure for Aggressive behavior and between no and moderate/heavy group.
Hospitalization rates of children diagnosed with a single CCC and children diagnosed with more than 1 CCC. Hospitalization rates were adjusted for race,
Presentation transcript:

Risk designation of term and near-term well newborns based on hour-specific serum bilirubin values; used to interpret discharge bilirubin levels to predict babies at risk for levels that rise above the 95th percentile. Risk designation of term and near-term well newborns based on hour-specific serum bilirubin values; used to interpret discharge bilirubin levels to predict babies at risk for levels that rise above the 95th percentile. (Reproduced with permission from the AAP and Bhutani VK, Johnson L, Sivieri EM. Predictive ability of a predischarge hour-specific serum bilirubin for subsequent significant hyperbilirubinemia in healthy term and near-term newborns. Pediatrics. 1999;103[1]:6–14)‏ Vasudha L. Bhavaraju et al. Hospital Pediatrics 2016;6:420-425 ©2016 by American Academy of Pediatrics