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Effectiveness of universal hyperbilirubinemia screening on newborn health: a systematic review protocol

Faiza Khurshid1, Jennifer Medves2

  • 1Department of Pediatrics, Faculty of Health Sciences, Queen's University, Kingston, Canada.

JBI Database of Systematic Reviews and Implementation Reports
|February 9, 2018
PubMed

Insights

This review examines universal hyperbilirubinemia screening for newborns. It assesses impacts on severe jaundice, readmissions, and phototherapy use, aiming to improve infant health outcomes.

Area of Science:

  • Neonatal Health
  • Pediatric Screening Programs
  • Public Health Interventions

Background:

  • Neonatal jaundice is a common concern.
  • Effective screening is crucial for preventing severe outcomes.
  • Current screening practices vary, necessitating effectiveness assessment.

Purpose of the Study:

  • To evaluate the effectiveness of universal hyperbilirubinemia screening in newborns.
  • To analyze the impact of screening on severe hyperbilirubinemia, kernicterus, and exchange transfusions.
  • To assess readmission rates, hospital stay duration, phototherapy use, and emergency visits related to jaundice.

Main Methods:

  • Systematic review of studies on universal hyperbilirubinemia screening programs.
  • Analysis of data on incidence of severe hyperbilirubinemia, kernicterus, and exchange transfusion.
  • Evaluation of readmission rates, length of hospital stay, phototherapy utilization, and emergency visits.

Main Results:

  • Data on the incidence of severe hyperbilirubinemia and kernicterus.
  • Information on readmission rates due to jaundice.
  • Trends in phototherapy utilization and emergency visits for jaundice.

Conclusions:

  • Universal screening may influence the incidence of severe neonatal hyperbilirubinemia.
  • The program's impact on readmissions and healthcare utilization requires further investigation.
  • Evidence-based recommendations for optimizing newborn jaundice management.
Abstract

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