BiliTool™

Patient Summary
Age at sampling:		22 hours
Total Bilirubin:		11.3 mg/dL
Bilirubin trend:		Not available (learn more)
Gestational Age (GA):		38 weeks
Neurotoxicity Risk Factors:		No

~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~
Hyperbilirubinemia management summary (1,2) for a newborn at 38 weeks gestation with a total bilirubin of 11.3 mg/dL collected at 22 hours of age with no known neurotoxicity risk factors.

Treatment thresholds:
The baby is *at or above* the threshold for reflex testing with total serum bilirubin (TSB) if using transcutaneous bilirubin (TcB) (9 mg/dL); *below* the phototherapy threshold (11.9 mg/dL); *below* the escalation of care threshold (19.2 mg/dL) and *below* the exchange transfusion threshold (21.2 mg/dL).

Postdischarge Follow Up:
For the baby 0.6 mg/dL below the phototherapy threshold (delta-TSB) at 22 hours of age  (during birth hospitalization with no prior phototherapy):
 Delay discharge and consider phototherapy. Measure TSB in 4 to 8 hours.

1. Recommendations derived from 'Clinical Practice Guideline Revision: Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation' [Pediatrics. 2022 Sep 1;150(3)] by the American Academy of Pediatrics (AAP).
2. Generated by BiliTool (https://bilitool.org) 2024 Apr 28 08:14:09 UTC. BiliTool serves only as a reference aid. It is not intended to be (nor should it be used as) a substitute for the exercise of professional judgment.
~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~

Recommendations
	Recommendation	Threshold
If using TcB, confirm with TSB?	Yes	9 mg/dL
Phototherapy?	No	11.9 mg/dL
Escalation of Care? (learn more)	No	19.2 mg/dL
Exchange Transfusion?	No	21.2 mg/dL

Postdischarge Follow Up
For the baby 0.6 mg/dL below the phototherapy threshold (Δ-TSB) at 22 hours of age (during birth hospitalization with no prior phototherapy): Delay discharge and consider phototherapy. Measure TSB in 4 to 8 hours.