Frequency of neonatal bilirubin testing and hyperbilirubinemia in a large health maintenance organization.
Pediatrics
; 104(5 Pt 2): 1198-203, 1999 Nov.
Article
em En
| MEDLINE
| ID: mdl-10545573
ABSTRACT
OBJECTIVE:
To determine the frequency and interhospital variation of bilirubin testing and identified hyperbilirubinemia in a large health maintenance organization.DESIGN:
Retrospective cohort study.SETTING:
Eleven Northern California Kaiser Permanente hospitals.SUBJECTS:
A total of 51,387 infants born in 1995-1996 at >/= 36 weeks' gestation and >/= 2000 g. MAIN OUTCOMEMEASURE:
Bilirubin tests and maximum bilirubin levels recorded in the first month after birth.RESULTS:
The proportion of infants receiving >/= 1 bilirubin test varied across hospitals from 17% to 52%. The frequency of bilirubin levels >/= 20 mg/dL (342 micromol/L) varied from .9% to 3.4% (mean 2.0%), but was not associated with the frequency of bilirubin testing (R(2) = .02). Maximum bilirubin levels >/= 25 mg/dL (428 micromol/L) were identified in.15% of infants and levels >/= 30 mg/dL (513 micromol/L) in .01%.CONCLUSIONS:
Significant interhospital differences exist in bilirubin testing and frequency of identified hyperbilirubinemia. Bilirubin levels >/=20 mg/dL were commonly identified, but levels >/= 25 mg/dL were not.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Programas de Rastreamento
/
Hiperbilirrubinemia
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Female
/
Humans
/
Male
/
Newborn
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Pediatrics
Ano de publicação:
1999
Tipo de documento:
Article
País de afiliação:
Estados Unidos