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Implementation of home phototherapy in newborns with hyperbilirubinemia
Örebro University, School of Medical Sciences.
2024 (English)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

Introduction:Hyperbilirubinemia is a prevalent condition among newborns. In 2019, region Örebro county implemented a novel treatment method, home phototherapy, enabling treatment at home instead of the ordinary phototherapy at the hospital. Aim:The primary aim:to describe the utilization rates of home phototherapy and hospital phototherapy among newborns, along with the factors behind choice of treatment. The secondary aim:to investigate differences in length of stay between the two phototherapy methods and sex differences.Methods:Retrospective review of patient records. The study period October 2019 to March 2023. Patients were identified using ICD-codes for jaundice and immunization in two different records systems and a registry.Results:494 patients wereincluded, 52% received home phototherapy (38% primarily and 13% secondarily). 48% received hospital phototherapy,mostly due to immunization and a need for intensive phototherapy. Home phototherapy resulted in a 61hour shorter length of stay compared to hospital phototherapy(p <0,001). Male newborns had a median bilirubin level of 349 μmol/L at admission and 354 μmol/L as peak level, in female newborns the values were 340 μmol/L and 348 μmol/L, respectively (p=0,017; p=0,034).Conclusions:52%of the newborns were eligible for treatment with home phototherapy. The most common causes for hospitalization were immunization and a need for intensive phototherapy.

Place, publisher, year, edition, pages
2024.
Keywords [en]
hyperbilirubinemia, newborn, phototherapy, home treatment
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:oru:diva-120622OAI: oai:DiVA.org:oru-120622DiVA, id: diva2:1952304
Subject / course
Medicine
Supervisors
Examiners
Available from: 2025-04-15 Created: 2025-04-15 Last updated: 2025-04-15Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
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Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
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