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    Attention COACH STUDY participants:

    The principal investigators of the study request that you use the official version of the modified score here.

    Hour-Specific Risk for Neonatal Hyperbilirubinemia

    Predicts risk of hyperbilirubinemia in neonates.

    INSTRUCTIONS

    • Use in otherwise healthy neonates ≥35 weeks gestational age (GA) at the time of discharge. Do not use in neonates with positive direct Coombs test, or in those requiring phototherapy before 60 hours of age. Do not use to determine need for exchange transfusion.

    • The recommendations listed here for starting phototherapy are based on AAP guidelines. Always use clinical judgment, in addition to considering evidence-based clinical guidelines, in making treatment decisions. 

    When to Use
    Pearls/Pitfalls
    Why Use

    • Neonates ≥35 weeks GA at the time of discharge.

    • Do not use in neonates with positive direct Coombs test, or in those requiring phototherapy before 60 hours of age.

    • The recommendations listed here for starting phototherapy are based on AAP guidelines. Always use clinical judgment, in addition to considering evidence-based clinical guidelines, in making treatment decisions.

    • Do not use to determine need for exchange transfusion.

    • Predicts risk of subsequent severe hyperbilirubinemia in neonates ≥35 weeks GA at the time of discharge.

    • Only total serum bilirubin should be used (i.e., not direct or indirect).

    hours
    mg/dL
    ≥38
    35 to <38

    Result:

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    Next Steps
    Evidence
    Creator Insights
    Dr. Vinod K. Bhutani

    About the Creator

    Vinod K. Bhutani, MD, is a professor of pediatrics (neonatology) at Stanford University School of Medicine and a researcher at the Maternal and Child Health Research Institute in Stanford, CA. He is also the chair and founder of the Global Prevention of Kernicterus. Dr. Bhutani’s primary research is focused on neonatal jaundice biology and management.

    To view Dr. Vinod K. Bhutani's publications, visit PubMed

    Are you Dr. Vinod K. Bhutani? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
    About the Creator
    Dr. Vinod K. Bhutani
    Are you Dr. Vinod K. Bhutani?