Risk Factors for Severe Hyperbilirubinemia in Neonate with Elevated Serum Bilirubin

Purpose: To identify a neonate with an elevated total serum bilirubin who is at risk for severe hyperbilirubiemia based on the risk factors of Kuzniewicz et al.

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Evaluation

Are you evaluating a neonate?

Yes

Gestational age at birth

weeks

Current age

Initial total serum bilirubin

Current total serum bilirubin

Number of hours between the bilirubin measurements

Does the neonate show bruising?

Yes

Has the neonate been exclusively breast fed?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Rate of increase in total serum bilirubin

Number of risk factors for severe hyperbilirubinemia

The risk of the neonate showing severe hyperbilirubinemia is

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Criteria For Diagnosis
Severity, Prognosis, Stage

Monitoring

Disease Progression
- Risk Factors Associated with Hyperbilirubinemia in Neonate
Complication Detection
- Clinical Severity of Acute Bilirubin-Induced Neurologic Dysfunction (BIND Score)
- Risk Factors for Failing to Detect Kernicterus in Neonate

Specialty

Pedatrics
Gastroenterology

Objective

risk factors
laboratory tests
severity
prognosis
stage

ICD-10

E80.7 - Disorder of bilirubin metabolism, unspecified

Info

Purpose: To identify a neonate with an elevated total serum bilirubin who is at risk for severe hyperbilirubiemia based on the risk factors of Kuzniewicz et al.

Specialty: Pedatrics, Gastroenterology

Objective: risk factors, laboratory tests, severity, prognosis, stage

ICD-10: E80.7,

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