{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T06:21:36Z","timestamp":1770704496072,"version":"3.49.0"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"5-6","license":[{"start":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T00:00:00Z","timestamp":1699315200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,18]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Treatment of neonatal hyperbilirubinemia remains one of the most common reasons for readmission following delivery. Revised clinical practice guidelines (CPGs) for the treatment of neonatal hyperbilirubinemia were published on August 5, 2022. This report describes the preliminary outcomes following implementation of the new CPGs at Tripler Army Medical Center.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>A retrospective chart review was performed for the 12\u2009months prior to implementation and the 5\u2009months post implementation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Bilirubin admissions decreased from 15.6% of total admissions during the 12\u2009months prior to the new guidelines (69\/441) to 4.1% of admissions (8\/194) during the 5\u2009months after implementation of the new guidelines (P\u2009&amp;lt;\u20090.001). This corresponds to a 74% reduction (risk ratio\u2009=\u20090.26, 95% confidence interval [CI] 0.13 to 0.54). The decrease in admissions was found to correlate to greater than $140,000 in annual savings.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Adhering to the revised CPGs has the potential to increase resource availability at a time when nursing shortages and financial instability are impacting health care systems nationwide. No short-term adverse events were noted; however, long-term follow up will be needed.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/milmed\/usad427","type":"journal-article","created":{"date-parts":[[2023,11,17]],"date-time":"2023-11-17T13:31:19Z","timestamp":1700227879000},"page":"e1259-e1262","source":"Crossref","is-referenced-by-count":5,"title":["Neonatal Hyperbilirubinemia Admissions Following Clinical Practice Guideline Implementation"],"prefix":"10.1093","volume":"189","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4360-6266","authenticated-orcid":false,"given":"Morgan","family":"Smith","sequence":"first","affiliation":[{"name":"Pediatric Residency Program, Tripler Army Medical Center , Honolulu, HI 96859,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Austin","family":"Ridgway","sequence":"additional","affiliation":[{"name":"Pediatric Residency Program, Tripler Army Medical Center , Honolulu, HI 96859,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9562-0821","authenticated-orcid":false,"given":"Dolores","family":"Mullikin","sequence":"additional","affiliation":[{"name":"Pediatric Residency Program, Tripler Army Medical Center , Honolulu, HI 96859,","place":["USA"]},{"name":"Pediatric Faculty, The University of Uniformed Services , Bethesda, MD 20814,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,11,7]]},"reference":[{"issue":"12","key":"2025012315133463900_R1","doi-asserted-by":"publisher","first-page":"1357","DOI":"10.1001\/archpedi.155.12.1357","article-title":"Persistence of\u00a0maternal concerns surrounding neonatal jaundice: an exploratory study","volume":"155","author":"Hannon","year":"2001","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"1","key":"2025012315133463900_R2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo-2017-000105","article-title":"Burden of\u00a0severe neonatal jaundice: a systematic review and\u00a0meta-analysis","volume":"1","author":"Slusher","year":"2017","journal-title":"BMJ Paediatr Open"},{"issue":"1","key":"2025012315133463900_R3","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-019-1414-x","article-title":"Prevalence and\u00a0burden of\u00a0illness of\u00a0treated hemolytic neonatal hyperbilirubinemia in\u00a0a privately insured population in\u00a0the United States","volume":"19","author":"Yu","year":"2019","journal-title":"BMC Pediatr"},{"issue":"1","key":"2025012315133463900_R4","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1542\/peds.114.1.297","article-title":"Management of\u00a0hyperbilirubinemia in\u00a0the newborn infant 35 or more weeks of\u00a0gestation","volume":"114","author":"American Academy of Pediatrics Subcommittee on Hyperbilirubinemia","year":"2004","journal-title":"Pediatrics"},{"key":"2025012315133463900_R5","article-title":"Jaundice & Kernicterus Guidelines\/Tools for\u00a0Health Professionals","volume-title":"CDC. 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