{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T23:45:21Z","timestamp":1777419921750,"version":"3.51.4"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2026,2]]},"abstract":"Abstract<\/jats:title>\n This study was conducted to compare the Bhutani nomogram and the difference between the total serum bilirubin measurement at discharge and the AAP phototherapy threshold at the time of measurement (\u0394-TSB) for predicting the postdischarge bilirubin level that will exceed the phototherapy threshold.<\/jats:p>\n Healthy neonates born at \u226535 weeks of gestation, followed in the newborn nursery, who did not receive phototherapy during hospital stay after birth, and who followed up in the outpatient clinic at least for 1 month from 2019 to 2024 were included in the study. Four logistic models were compared (D-TSB-plus,which encompassed additional variables such as gestational age, delivery type, and blood incompatibility, and DAT positivity, the Bhutani risk zones, and Bhutani-plus which encompassed additional variables such as gestational age, delivery type, and blood incompatibility) to predict postdischarge phototherapy requirement.<\/jats:p>\n Of the 2,040 neonates included in the study, 208 were readmitted for phototherapy treatment after discharge. ABO and\/or Rh incompatibility, Bhutani risk zone, lower gestational age, and being born vaginally increased the need for phototherapy. \u0394-TSB was the strongest predictor of postdischarge phototherapy requirement (p\u2009<\u200910\u221250). Among the logistic models, the \u0394-TSB-plus model had the highest predictive power (AUC: 0.83), followed by \u0394-TSB alone (AUC: 0.82), Bhutani-plus (AUC: 0.80) and Bhutani alone (AUC: 0.74) models, respectively.<\/jats:p>\n \u0394-TSB models had higher predictive ability regarding postdischarge phototherapy requirement compared with Bhutani models. Combining Bhutani risk zones with risk factors, especially with gestational age, increased the discrimination but did not reach the success of \u0394-TSB models.<\/jats:p>","DOI":"10.1055\/a-2616-4116","type":"journal-article","created":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T20:05:30Z","timestamp":1747771530000},"page":"338-343","source":"Crossref","is-referenced-by-count":2,"title":["Comparison of Different Risk Assessment Models for Predicting Postdischarge Phototherapy Requirement in Term and Late Preterm Neonates"],"prefix":"10.1055","volume":"43","author":[{"given":"Selma","family":"Aktas","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, Faculty of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enes","family":"Dursun","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irem","family":"Yasa","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bala","family":"Asc\u0131oglu","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,6,6]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"F317","DOI":"10.1136\/adc.2008.150714","article-title":"Visual assessment of jaundice in term and late preterm infants","volume":"94","author":"R Keren","year":"2009","journal-title":"Arch Dis Child Fetal Neonatal Ed"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"2020019778","DOI":"10.1542\/peds.2020-019778","article-title":"Predicting the need for phototherapy after discharge","volume":"147","author":"M W Kuzniewicz","year":"2021","journal-title":"Pediatrics"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1542\/peds.114.1.297","article-title":"Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation","volume":"114","author":"American Academy of Pediatrics Subcommittee on Hyperbilirubinemia","year":"2004","journal-title":"Pediatrics"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"1193","DOI":"10.1542\/peds.2009-0329","article-title":"Hyperbilirubinemia in the newborn infant > or =35 weeks' gestation: an update with clarifications","volume":"124","author":"M J 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Keren","year":"2008","journal-title":"Pediatrics"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.jpeds.2021.05.039","article-title":"A new hour-specific serum bilirubin nomogram for neonates \u226535 weeks of gestation","volume":"236","author":"T M Bahr","year":"2021","journal-title":"J Pediatr"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1016\/j.jpeds.2012.08.022","article-title":"Predischarge screening for severe neonatal hyperbilirubinemia identifies infants who need phototherapy","volume":"162","author":"V K Bhutani","year":"2013","journal-title":"J Pediatr"},{"issue":"01","key":"ref11","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1186\/s12884-024-06352-y","article-title":"Factors associated with neonatal jaundice among neonates admitted at referral hospitals in northeast Ethiopia: a facility-based unmatched case-control study","volume":"24","author":"T Ayalew","year":"2024","journal-title":"BMC Pregnancy Childbirth"},{"issue":"02","key":"ref12","first-page":"128","article-title":"Evaluation of maternal risk factors in neonatal hyperbilirubinemia","volume":"23","author":"H Boskabadi","year":"2020","journal-title":"Arch Iran Med"}],"container-title":["American Journal of 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