{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T00:49:40Z","timestamp":1793321380261,"version":"4.5.0"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The American Academy of Pediatrics (AAP) provides guidelines for managing hyperbilirubinemia in term newborns \u226535 weeks' gestation to prevent kernicterus. In 2022, the AAP revised these guidelines by raising thresholds for serum bilirubin testing and phototherapy. This study compares newborn outcomes before and after implementing the 2022 guidelines.<\/jats:p>\n                  <jats:p>A retrospective chart review of 2,087 newborns, with 1,058 in the \u201cbefore\u201d group, using the 2004 guidelines, and 1,029 in the \u201cafter\u201d group, using the 2022 guidelines. Data collected included demographics, number of heel sticks for serum bilirubin, incidence of phototherapy, and incidence of readmission for hyperbilirubinemia.<\/jats:p>\n                  <jats:p>There was a 64% reduction in serum bilirubin draws, a 51% decrease in phototherapy sessions, and a 35% reduction in readmissions for phototherapy in the \u201cafter\u201d group.<\/jats:p>\n                  <jats:p>The 2022 AAP guidelines streamlined the management of hyperbilirubinemia, leading to fewer interventions without affecting patient safety.<\/jats:p>","DOI":"10.1055\/a-2663-5668","type":"journal-article","created":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T00:29:34Z","timestamp":1753316974000},"page":"643-647","source":"Crossref","is-referenced-by-count":4,"title":["Effect of the 2022 AAP Guideline for Managing Hyperbilirubinemia in the Newborn"],"prefix":"10.1055","volume":"43","author":[{"given":"Ramya","family":"Balasubramanian","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Jefferson Einstein Philadelphia Hospital, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khang","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Division of Newborn Medicine, Maria Fareri Children's Hospital, Westchester, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanice","family":"Wells","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Jefferson Einstein Philadelphia Hospital, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David L.","family":"Schutzman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Jefferson Einstein Philadelphia Hospital, Philadelphia, 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Maisels","year":"1997","journal-title":"Pediatrics"},{"issue":"07","key":"ref10","doi-asserted-by":"crossref","first-page":"1280","DOI":"10.1373\/clinchem.2008.121889","article-title":"Hyperbilirubinemia and transcutaneous bilirubinometry","volume":"55","author":"S N el-Beshbishi","year":"2009","journal-title":"Clin Chem"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"e2022058859","DOI":"10.1542\/peds.2022-058859","article-title":"Clinical practice guideline revision: Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation","volume":"150","author":"A R Kemper","year":"2022","journal-title":"Pediatrics"},{"issue":"05","key":"ref12","doi-asserted-by":"crossref","first-page":"e2020019778","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":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"e2022058020","DOI":"10.1542\/peds.2022-058020","article-title":"Predicting the need for phototherapy after discharge: Update for 2022 phototherapy guidelines","volume":"150","author":"M W Kuzniewicz","year":"2022","journal-title":"Pediatrics"},{"issue":"09","key":"ref14","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1542\/hpeds.2022-007098","article-title":"Implementing higher phototherapy thresholds for jaundice in healthy infants 35 plus weeks","volume":"13","author":"C Cahill","year":"2023","journal-title":"Hosp Pediatr"},{"issue":"04","key":"ref15","doi-asserted-by":"crossref","first-page":"e2023063323","DOI":"10.1542\/peds.2023-063323","article-title":"Bilirubin measurement and phototherapy use after the AAP 2022 newborn hyperbilirubinemia guideline","volume":"153","author":"L Sarathy","year":"2024","journal-title":"Pediatrics"},{"issue":"05","key":"ref16","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1038\/jp.2015.206","article-title":"Carboxyhemoglobin levels as a predictor of risk for significant hyperbilirubinemia in African-American DAT(+) infants","volume":"36","author":"D L Schutzman","year":"2016","journal-title":"J Perinatol"},{"issue":"10","key":"ref17","doi-asserted-by":"crossref","first-page":"1513","DOI":"10.1038\/s41372-020-0652-y","article-title":"Comparison of end-tidal carbon monoxide measurements with direct antiglobulin tests in the management of neonatal hyperbilirubinemia","volume":"40","author":"A L Elsaie","year":"2020","journal-title":"J Perinatol"}],"container-title":["American Journal of 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