{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T02:20:37Z","timestamp":1787797237513,"version":"build-2784847793"},"reference-count":7,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Arch Dis Child Fetal Neonatal Ed"],"accepted":{"date-parts":[[2018,5,3]]},"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p>We examined claims made against the National Health Service (NHS) involving neonatal jaundice in order to determine whether there were lessons that could be learnt from common themes.<\/jats:p>\n                  <jats:p>This was a retrospective anonymised study using information from the NHS Resolution database for 2001\u20132011.<\/jats:p>\n                  <jats:p>Twenty cases (16 males) had sufficient information for analysis. Fifteen had confirmed cerebral palsy and two young children had damage to the globus pallidus without confirmed CP. In three cases, the outcome was uncertain. Two were extremely preterm, five were born at 34\u201336 weeks\u2019 gestation. Jaundice was typically present very early in life; in four cases, it was noted at less than 24hours of age, and in 14 cases, it was first noted on the second to third day. There was a lag between recognition and readmission, with a range of 26\u2013102 hours. The peak serum bilirubin level was over 600 \u00b5mol\/L in all the babies born at term. An underlying diagnosis was found in all but two; six had glucose-6-phosphatase deficiency (one also had Gilbert\u2019s syndrome); five were diagnosed with ABO incompatibility; three with Rh haemolytic disease; one with spherocytosis and three preterm. The total cost of these claims by August 2017 was almost \u00a3150.5 million. This figure is likely to rise.<\/jats:p>\n                  <jats:p>These data show that, in the group who litigate, babies who develop kernicterus generally have an underlying diagnosis. We recommend adherence to theNational Institute for Health and Care Excellence guideline that recommends measuring the bilirubin level within 6 hours in all babies who are visibly jaundiced.<\/jats:p>","DOI":"10.1136\/archdischild-2017-314622","type":"journal-article","created":{"date-parts":[[2018,5,25]],"date-time":"2018-05-25T12:15:24Z","timestamp":1527250524000},"page":"F202-F204","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":24,"title":["Learning from claims: hyperbilirubinaemia and kernicterus"],"prefix":"10.1136","volume":"104","author":[{"given":"Janet M","family":"Rennie","sequence":"first","affiliation":[{"name":"Neonatal Unit, University College Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanette","family":"Beer","sequence":"additional","affiliation":[{"name":"Obstetrics, NHS Resolution, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Upton","sequence":"additional","affiliation":[{"name":"Maternity and Newborn, NHS Improvement, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,5,25]]},"reference":[{"key":"2025090503204576000_104.2.F202.1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2017-016050","article-title":"Term admissions to neonatal units in England: a role for transitional care? A retrospective cohort study","volume":"7","author":"Battersby","year":"2017","journal-title":"BMJ Open"},{"key":"2025090503204576000_104.2.F202.2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c2409"},{"key":"2025090503204576000_104.2.F202.3","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-2896"},{"key":"2025090503204576000_104.2.F202.4","doi-asserted-by":"crossref","unstructured":"Kuzniewicz M , Escobar M , Newman T . The impact of universal bilirubin screening on severe hyperbilirubinemia and phototherapy use in a managed care organization. Pediatrics 2009.","DOI":"10.1542\/peds.2008-2980"},{"key":"2025090503204576000_104.2.F202.5","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2006.105361"},{"key":"2025090503204576000_104.2.F202.6","doi-asserted-by":"crossref","first-page":"S61","DOI":"10.1038\/jp.2008.213","article-title":"A proposal to prevent severe neonatal hyperbilirubinemia and kernicterus","volume":"29 Suppl 1","author":"Bhutani","year":"2009","journal-title":"J Perinatol"},{"key":"2025090503204576000_104.2.F202.7","doi-asserted-by":"crossref","unstructured":"Gale C , Statnikov Y , Jawad S , et al . Neonatal brain injuries in England: population-based incidence derived from routinely recorded clinical data held in the National Neonatal Research Database. Arch Dis Child Fetal Neonatal Ed 2017. doi: 10.1136\/fetalneonatal-2017-313707 [Epub ahead of print]. doi:10.1136\/archdischild-2017-313707","DOI":"10.1136\/archdischild-2017-313707"}],"container-title":["Archives of Disease in Childhood - Fetal and Neonatal Edition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/archdischild-2017-314622","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T10:20:54Z","timestamp":1757067654000},"score":1,"resource":{"primary":{"URL":"https:\/\/fn.bmj.com\/lookup\/doi\/10.1136\/archdischild-2017-314622"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5,25]]},"references-count":7,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2019,2,19]]},"published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1136\/archdischild-2017-314622"],"URL":"https:\/\/doi.org\/10.1136\/archdischild-2017-314622","relation":{},"ISSN":["1359-2998","1468-2052"],"issn-type":[{"value":"1359-2998","type":"print"},{"value":"1468-2052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,5,25]]}}}