Evidence · Research paper
Adoption of the American Academy of Pediatrics' neonatal hyperbilirubinemia guidelines and its effect on blood exchange transfusion rate in a tertiary care center in Amman, Jordan.
- Anaemia and transfusion
- Jaundice and haematology
- Jaundice and phototherapy
- Medical
- Nursing
- Quality improvement
- Thrombocytopenia and bleeding
This paper is from 2018, more than five years ago. Newer evidence may have been published since.
Summary
Retrospective single-centre study from Jordan University Hospital reviewing all neonates who underwent double volume blood exchange transfusion for severe hyperbilirubinaemia between 2003 and 2015. It examines causes, complications and trends in exchange transfusion rates before and after adoption of the American Academy of Pediatrics hyperbilirubinaemia guidelines. Exchange rates fell significantly after guideline implementation. The authors emphasise better identification and follow-up of at-risk newborns and improved parental awareness to prevent progression to exchange-level jaundice.
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