Evidence map›Paper›PMID 29713209›Full record

ArticleJournal of blood medicine2018

Adoption of the American Academy of Pediatrics' neonatal hyperbilirubinemia guidelines and its effect on blood exchange transfusion rate in a tertiary care center in Amman, Jordan.

Manar Al-Lawama, Eman Al-Rimawi, Rawan Al-Shibi, Eman Badran

Abstract read
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Article in Journal of blood medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Manar Al-LawamaDepartment of Pediatrics, The University of Jordan, School of Medicine, Amman, Jordan.
Eman Al-RimawiDepartment of Pediatrics, The University of Jordan, School of Medicine, Amman, Jordan.
Rawan Al-ShibiDepartment of Pediatrics, The University of Jordan, School of Medicine, Amman, Jordan.
Eman BadranDepartment of Pediatrics, The University of Jordan, School of Medicine, Amman, Jordan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSevere neonatal hyperbilirubinemia can cause mortality and serious morbidities. When phototherapy fails, neonates with severe hyperbilirubinemia should undergo double volume blood exchange transfusion (BET). As this procedure carries a significant risk of mortality and morbidity, adopting guidelines for the treatment of neonatal hyperbilirubinemia is critical to avoid hyperbilirubinemia toxicity and also the complication of an unindicated procedure.

methodsThis study investigated the causes, complications, and trend of BET rate in our unit over a 13-year period. The medical charts and laboratory databases of all infants who underwent BET in Jordan University Hospital between 2003 and 2015 were retrospectively reviewed.

resultsThe rate of exchange cases decreased significantly after adopting the guidelines of American Academy of Pediatrics (

conclusionsThis study showed a clear decline in the rate of BET after implementing the guidelines of American Academy of Pediatrics. In addition to improving the strategies for the identification and follow-up of at-risk newborns, we should intensify our efforts to prevent the progression of neonatal hyperbilirubinemia to the exchange level by enhancing parents' awareness of this potentially harmful neonatal condition.

Indexed as

exchange transfusionguidelineshyperbilirubinemiaJordanneonate

Identifiers

PMID29713209
PMCPMC5908209

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