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تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Factors associated with increased risk of rebound hyperbilirubinemia after discontinuing phototherapy in term and late preterm newborns

Factors associated with increased risk of rebound hyperbilirubinemia after discontinuing phototherapy in term and late preterm newborns
  • Gestational age <38 weeks
  • Early need for phototherapy (within first 48 hours after birth)
  • Hemolytic conditions (eg, alloimmune HDN [ie, positive DAT], G6PD deficiency)
  • TSB close to the phototherapy threshold at the time of phototherapy discontinuation
This table summarizes key factors that are associated with increased risk of rebound hyperbilirubinemia after discontinuing phototherapy. Rebound hyperbilirubinemia is defined as a TSB level that reaches the phototherapy threshold within 72 to 96 hours of discontinuing phototherapy. These risk factors are used to guide decisions regarding the timing of phototherapy discontinuation. The usual duration of phototherapy is approximately 24 to 48 hours. Newborns with hemolytic conditions or severe bilirubin elimination disorders may have a more prolonged need for phototherapy. Refer to separate UpToDate content on management of neonatal hyperbilirubinemia for additional details.
HDN: hemolytic disease of the newborn; DAT: direct antiglobulin test; G6PD: glucose-6-phosphate dehydrogenase; TSB: total serum or plasma bilirubin.
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