{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T20:59:39Z","timestamp":1790456379004,"version":"4.1.0"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100003509","name":"\u00d6rebro University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003509","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>To examine how many patients received home phototherapy and describe the major reasons for admission to hospital for phototherapy. The study was performed as a retrospective population-based observational study. All newborns at \u00d6rebro University Hospital born in October 2019\u2013March 2023\u2009\u2265\u2009gestational week 36\u2009+\u20090 and having performed phototherapy were included. The primary outcome was the proportion of newborns receiving hospital vs home phototherapy. Secondary outcomes were the reasons for not performing home phototherapy. Further secondary outcomes were the number of readmissions (failed home treatments) and the number of infants with bilirubin\u2009&gt;\u2009425\u00a0\u00b5mol\/L. In total, 492 patients were included. Of these, 256 (52%) received home phototherapy (180 exclusively, and 76 for part of the treatment); 236 (48%) received phototherapy exclusively in hospital. Among the 302 (236\u2009+\u200966) patients in whom home phototherapy was not primarily performed, the most common reasons were haemolytic disease (35%) and the need for the use of multiple phototherapy devices (26%). In total, 14% received hospital phototherapy for various other reasons, such as concerns regarding breastfeeding or poor weight gain of the baby.<\/jats:p>\n          <jats:p>\n            <jats:italic> Conclusion<\/jats:italic>: In this retrospective study, we found that approximately 50% of full-term infants with neonatal hyperbilirubinaemia were suitable for home phototherapy. The most common reasons for not receiving home phototherapy in our population were haemolytic disease and severe hyperbilirubinaemia. These results indicate what may be expected when planning to start a home phototherapy programme.\n<jats:table-wrap>\n              <jats:table>\n                <jats:tbody>\n                  <jats:tr>\n                    <jats:td colspan=\"2\">\n                      <jats:bold>What is Known:<\/jats:bold>\u2022  <jats:italic>Phototherapy at home is considered a safe alternative to hospital treatment for well-selected patients, but the proportion of suitable patients has not been studied<\/jats:italic>.<\/jats:td>\n                  <\/jats:tr>\n                  <jats:tr>\n                    <jats:td colspan=\"2\">\n                      <jats:bold>What is New:<\/jats:bold>\u2022 <jats:italic>This study shows that approximately 50% of all full-term newborns with hyperbilirubinaemia can safely be treated at home<\/jats:italic>.\u2022 <jats:italic>The most common contraindications to home phototherapy are haemolytic disease and need for intensive phototherapy<\/jats:italic>.<\/jats:td>\n                  <\/jats:tr>\n                <\/jats:tbody>\n              <\/jats:table>\n            <\/jats:table-wrap>\n          <\/jats:p>","DOI":"10.1007\/s00431-025-06353-9","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T18:49:05Z","timestamp":1753987745000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["How to select the correct patients for home phototherapy of neonatal hyperbilirubinaemia\u2014a retrospective population-based implementation study"],"prefix":"10.1007","volume":"184","author":[{"given":"Miriam","family":"Pettersson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilia","family":"Lai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Ohlin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,7,31]]},"reference":[{"key":"6353_CR1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2022-058859","author":"AR Kemper","year":"2022","unstructured":"Kemper AR, Newman TB, Slaughter JL, Maisels MJ, Watchko JF, Downs SM et al (2022) Clinical practice guideline revision: management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics. https:\/\/doi.org\/10.1542\/peds.2022-058859","journal-title":"Pediatrics"},{"key":"6353_CR2","doi-asserted-by":"publisher","first-page":"c2409","DOI":"10.1136\/bmj.c2409","volume":"340","author":"J Rennie","year":"2010","unstructured":"Rennie J, Burman-Roy S, Murphy MS, Guideline DG (2010) Neonatal jaundice: summary of NICE guidance. BMJ 340:c2409","journal-title":"BMJ"},{"key":"6353_CR3","unstructured":"National Institute for Health and Care Excellence (NICE). Jaundice in newborn babies under 28 days London: National Institute for Health and Care Excellence (NICE); 2010 [updated 2023; cited 2025 March 21]. Available from: https:\/\/www.nice.org.uk\/guidance\/cg98\/chapter\/recommendations"},{"key":"6353_CR4","doi-asserted-by":"publisher","unstructured":"Mills JF, Tudehope D (2001) Fibreoptic phototherapy for neonatal jaundice. Cochrane Database Syst Rev (1):CD002060.\u00a0https:\/\/doi.org\/10.1002\/14651858.CD002060","DOI":"10.1002\/14651858.CD002060"},{"issue":"4","key":"6353_CR5","doi-asserted-by":"publisher","first-page":"515","DOI":"10.1542\/peds.73.4.515","volume":"73","author":"L Slater","year":"1984","unstructured":"Slater L, Brewer MF (1984) Home versus hospital phototherapy for term infants with hyperbilirubinemia: a comparative study. Pediatrics 73(4):515\u2013519","journal-title":"Pediatrics"},{"issue":"4","key":"6353_CR6","doi-asserted-by":"publisher","first-page":"607","DOI":"10.1016\/S0022-3476(94)70019-2","volume":"125","author":"KL Tan","year":"1994","unstructured":"Tan KL (1994) Comparison of the efficacy of fiberoptic and conventional phototherapy for neonatal hyperbilirubinemia. 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Approval was granted by the regional ethical review board in Uppsala, Sweden (registration number 2023\u201306406-01).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"This retrospective study originated as a quality improvement project approved at the Department of Paediatrics; all data in the study were extracted from the hospital\u2019s computer system and into an Excel file where names and social security numbers were erased to ensure the patient\u2019s anonymity. After an ethical approval (registration number 2023\u201306406-01) from the Swedish Ethical Review Authority, the data were used in this study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"515"}}