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- W2316430081 abstract "<h3>Background</h3> Readmission rates for healthy term neonates with severe hyperbilirubinaemia has increased in recent years. In 2011, we implemented a comprehensive risk assessment based integrated care pathway situated in the community to monitor all jaundiced babies. The pathway comprises intensive feeding support; monitoring bilirubin levels at home with transcutaneous bilirubinometers (TcB) and total serum bilirubin (TsB); prompt referral to hospital when thresholds for treatment set at 340µmol/l was reached and a standardised weaning strategy for phototherapy dosage. <h3>Aims</h3> To evaluate the impact of this pathway on variations in decision to treat, readmission rates for jaundiced babies and length of stay (LoS) before and after implementation. <h3>Methods</h3> We analysed the case records and compared the outcomes for all healthy term babies who were readmitted to receive phototherapy between 1 June and 30 September 2010 with those of babies admitted during the same period in 2011. We used SPSS software for statistical analysis. <h3>Results</h3> 2921 term babies were delivered during the two time epochs. 28/1468 (0.02 %) received phototherapy in 2010 compared with 19/1453 (0.013%) in 2011. The mean maximum bilirubin levels in 2010 was significantly lower at 292±64 µmol/l (range: 193–457) compared with 362+26.3 µmol/l (range: 323–433) in 2011. The LoS was significantly reduced at 45.5±26.7hr in 2011 compared with 87.2±53.8 hr in 2010. <h3>Conclusions</h3> This study showed reduced readmission rate and a statistically significant reduction in the length of stay during readmission in the post intervention group despite a significantly increased maximum bilirubin level. In addition, there was improved consistency amongst professionals on when to refer babies for phototherapy." @default.
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- W2316430081 date "2012-10-01" @default.
- W2316430081 modified "2023-09-27" @default.
- W2316430081 title "1734 Improving Quality of Care for Healthy term Jaundiced Babies: Community Based Integrated Care Pathway Reduce Readmissions and Length of Stay" @default.
- W2316430081 doi "https://doi.org/10.1136/archdischild-2012-302724.1734" @default.
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