Evidence map›Paper›PMID 41559651›Full record

ArticleBMC pediatrics2026

The influence of early intravenous immunoglobulin administration on the prognosis of severe hemolytic disorders in neonates.

Dongshu Zhu, Qian Zhou, Baihua Yu, Chen Chen

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Article in BMC pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Dongshu ZhuNeonatology Department, Susong County People's Hospital, No.1 Huanghu Road, Susong County, Anqing City, Anhui Province, 246500, China. zhudongshu@163.com.
Qian ZhouNeonatology Department, Susong County People's Hospital, No.1 Huanghu Road, Susong County, Anqing City, Anhui Province, 246500, China.
Baihua YuNeonatology Department, Susong County People's Hospital, No.1 Huanghu Road, Susong County, Anqing City, Anhui Province, 246500, China.
Chen ChenNeonatology Department, Susong County People's Hospital, No.1 Huanghu Road, Susong County, Anqing City, Anhui Province, 246500, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere hemolytic disorders in neonates can lead to anemia, jaundice, and potentially severe neurological impairment or death. Early intravenous immunoglobulin (IVIG) administration has gained attention for its potential to mitigate hemolysis and its complications. But the optimal timing of IVIG remains a topic of debate. Therefore, this study aims to investigate the influence of early IVIG administration on the prognosis of severe hemolytic disorders in neonates.

methodsA retrospective analysis of clinical data from 58 cases of neonatal severe hemolytic disease admitted to hospital (January 1, 2022-December 3, 2025) was conducted. The cases were divided into an early IVIG (n = 29) and control (n = 29) groups based on whether immunoglobulin was administered within 12 h of birth. Baseline characteristics, hemoglobin values, total bilirubin levels, cumulative phototherapy time, and incidence of complications were assessed.

resultsBaseline characteristics were well-matched between the two groups. Hemoglobin levels at 7 days after treatment in the early IVIG group was significantly decreased compared to control. The cumulative phototherapy duration in the early IVIG group was also significantly higher than control. Furthermore, the early IVIG group had a significantly higher incidence of severe jaundice. Correlation analysis showed significant associations between early IVIG administration and hemoglobin levels, cumulative phototherapy time, and the incidence of severe jaundice.

conclusionEarly IVIG administration in neonates with severe hemolytic disorders may be associated with a more rapid decline in hemoglobin levels, prolonged duration of phototherapy, and increased incidence of severe jaundice.

trial registrationNot applicable.

Indexed as

Erythroblastosis, FetalImmunoglobulins, IntravenousImmunologic FactorsFemaleHemoglobinsHumansInfant, NewbornJaundice, NeonatalMalePhototherapyPrognosisRetrospective StudiesSeverity of Illness IndexTime FactorsHemoglobinsImmunoglobulins, IntravenousImmunologic FactorsComplicationsEarly intravenous immunoglobulin administrationNeonatesPrognosisSevere hemolytic disorders

Identifiers

PMID41559651
PMCPMC12952104

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.