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- W2500286754 abstract "To evaluate the impact of statewide learning collaboratives that used national guidelines to manage jaundice on the serial prevalence of extreme hyperbilirubinemia (EHB, total bilirubin ⩾25 mg dl−1) and exchange transfusions introduced in California Perinatal Quality Care Collaborative (CPQCC) hospitals in 2007. Adverse outcomes were retrieved from statewide databases on re-admissions for live births ⩾35 weeks’ gestation (2007 to 2012) in diverse CPQCC hospitals. Individual and cumulative select perinatal risk factors and frequencies were the outcomes measures. For 3 172 762 babies (2007 to 2012), 92.5% were ⩾35 weeks’ gestation. Statewide EHB and exchange rates decreased from 28.2 to 15.3 and 3.6 to 1.9 per 100 000 live births, respectively. From 2007 to 2012, the trends for TB>25 mg dl−1 rates were −0.92 per 100 000 live births per year (95% CI: −3.71 to 1.87, P=0.41 and R2=0.17). National guidelines complemented by statewide learning collaboratives can decrease or modify outcomes among all birth facilities and impact clinical practice behavior." @default.
- W2500286754 created "2016-08-23" @default.
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- W2500286754 date "2016-07-21" @default.
- W2500286754 modified "2023-10-13" @default.
- W2500286754 title "Extreme hyperbilirubinemia and rescue exchange transfusion in California from 2007 to 2012" @default.
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- W2500286754 doi "https://doi.org/10.1038/jp.2016.106" @default.
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