Screening: Hyperbilirubinemia in Infants

Screening of Infants for Hyperbilirubinemia to Prevent Chronic Bilirubin Encephalopathy

According to a new recommendation from the U.S. Preventive Services Task Force, there is insufficient evidence to assess the balance of benefits and harms of screening infants for hyperbilirubinemia to prevent chronic bilirubin encephalopathy. (I statement) The Task Force found that the evidence is currently insufficient regarding whether treating infants with high levels of bilirubin results in fewer children developing chronic bilirubin encephalopathy. There is a critical gap in the evidence regarding the relationship between screening infants without symptoms of hyperbilirubinemia and the desired outcome of reducing cases of chronic bilirubin encephalopathy.

The recommendation is published in the October issue of Pediatrics and is available on the AHRQ Web site at http://www.ahrq.gov/clinic/uspstf/uspshyperb.htm.

abrir aquí para acceder al documento AHRQ (O BIEN VER DEBAJO):
Screening: Hyperbilirubinemia in Infants

Screening of Infants for Hyperbilirubinemia to Prevent Chronic Bilirubin Encephalopathy
Release Date: October 2009

Summary of Recommendation / Supporting Documents
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Summary of Recommendation
The U.S. Preventive Services Task Force (USPSTF) concludes that the evidence is insufficient to recommend screening infants for hyperbilirubinemia to prevent chronic bilirubin encephalopathy (select "Clinical Considerations" for suggestions for practice when evidence is insufficient).
Grade: I Statement.
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Supporting Documents
Screening of Infants for Hyperbilirubinemia to Prevent Chronic Bilirubin Encephalopathy, October 2009
Recommendation Statement (PDF File, 650 KB; PDF Help, 6 PÁGINAS)
http://www.ahrq.gov/clinic/uspstf09/hyperbilirubinemia/hyperbrs.pdf

Supporting Article (PDF File, 315 KB; PDF Help, 10 PÁGINAS)
http://www.ahrq.gov/clinic/uspstf09/hyperbilirubinemia/hyperbart.htm

Evidence Synthesis (PDF File, 1.6 MB; PDF Help, 91 PÁGINAS)
http://www.ahrq.gov/clinic/uspstf09/hyperbilirubinemia/hyperbes.pdf

Clinical Summary (PDF File, 65 KB; PDF Help)
http://www.ahrq.gov/clinic/uspstf09/hyperbilirubinemia/hyperbsum.htm

Current as of October 2009
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Internet Citation:

Screening of Infants for Hyperbilirubinemia to Prevent Chronic Bilirubin Encephalopathy, Topic Page. U.S. Preventive Services Task Force. October 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/clinic/uspstf/uspshyperb.htm