Clinical and laboratory characteristics and associated risk factors of infants hospitalized in newborn unit for indirect hyperbilirubinemia
İlhan Tan 1 * , Özgül Salihoğlu, Yaşar Demirelli, Sami Hatipoğlu
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1 Dicle Üniversitesi Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Diyarbakır, Turkey* Corresponding Author

Abstract

Objectives: The aim of this study was to investigate characteristics of neonates hospitalized to Neonatal Unit due to indirect hyperbilirubinemia and to determine risk factors for indirect hyperbilirubinemia.
Materials and methods: Totally 222 newborns, aged ≥35 weeks of gestational age and hospitalized in neonatal unit with indirect hyperbilirubinemia, were investigated. Physical examination and laboratory studies of children were performed. Decision of phototherapy and exchange transfusion was done according to total serum bilirubin (TSB) level that notified in the Guidelines of American Academy of Pediatrics.
Results: Study group consisted of 131 (60%) male and 91 (30%) female newborns. No significant difference was found in TSB values between male and female neonates. There was 71.2% term and 19.8% late preterm newborn babies. Babies born with spontaneous vaginal delivery had borderline higher TSB values compared with cesarean section deliveries (p=0.051). ABO blood group incompatibility was found in 30.1% and Rh incompatibility in 6.7%. Insufficient nutrition and inadequate caloric intake were found in 49 (22.7%) of neonates, urinary tract infection in 19 (8.5%), hypernatremic dehydration in 9 (4.5%) and hypothyroidism in 4 (2.0%). Exchange transfusion was performed in 10 newborns and kernicterus occurred in two. A significant negative correlation was found between TSB values at hospitalization and baby’s birth (p<0.05) and a positive correlation between initial TSB value and percent of patient weight loss (p<0.05).
Conclusions: According to our results, the most frequent etiological causes of jaundice in newborns were ABO blood group incompatibility, insufficient nutrition and being late preterm.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Research Article

J Clin Exp Invest, 2012, Volume 3, Issue 1, 38-43

https://doi.org/10.5799/ahinjs.01.2012.01.0108

Publication date: 13 Mar 2012

Article Views: 2436

Article Downloads: 1233

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