BiliTool™

Patient Summary
Age at sampling:		24 hours
Total Bilirubin:		7.3 mg/dL
Bilirubin trend:		Not available (learn more)
Gestational Age (GA):		39 weeks
Neurotoxicity Risk Factors:		Yes

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Hyperbilirubinemia management summary (1,2) for a newborn at 39 weeks gestation with a total bilirubin of 7.3 mg/dL collected at 24 hours of age with the presence of neurotoxicity risk factors.

Treatment thresholds:
The baby is *below* the threshold for reflex testing with total serum bilirubin (TSB) if using transcutaneous bilirubin (TcB) (7.6 mg/dL); *below* the phototherapy threshold (10.5 mg/dL); *below* the escalation of care threshold (15.6 mg/dL) and *below* the exchange transfusion threshold (17.6 mg/dL).

Postdischarge Follow Up:
For the baby 3.2 mg/dL below the phototherapy threshold (delta-TSB) at 24 hours of age  (during birth hospitalization with no prior phototherapy):
 Check TSB or TcB in 4 to 24 hours. Use clinical judgment and shared decision making to determine when to repeat the bilirubin measure within this 4 to 24 hour period.

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 06:20:40 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.
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Recommendations
	Recommendation	Threshold
If using TcB, confirm with TSB?	No	7.6 mg/dL
Phototherapy?	No	10.5 mg/dL
Escalation of Care? (learn more)	No	15.6 mg/dL
Exchange Transfusion?	No	17.6 mg/dL

Postdischarge Follow Up
For the baby 3.2 mg/dL below the phototherapy threshold (Δ-TSB) at 24 hours of age (during birth hospitalization with no prior phototherapy): Check TSB or TcB in 4 to 24 hours. Use clinical judgment and shared decision making to determine when to repeat the bilirubin measure within this 4 to 24 hour period.