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Effect of neonatal jaundice and phototherapy on the frequency of first-year outpatient visits.
[child syndrome]
The
objective
of
this
study
was
to
determine
whether
either
hyperbilirubinemia
or
inpatient
phototherapy
is
associated
with
increased
subsequent
outpatient
visit
rates
,
a
possible
effect
of
the
"
vulnerable
child
syndrome
.
"
We
compared
3
groups
of
otherwise
well
term
and
late
-preterm
infants
who
were
born
between
1995
and
2004
in
Northern
California
Kaiser
hospitals
:
group
1
never
had
a
documented
total
serum
bilirubin
(
TSB
)
level
>
or
=
12
mg
/
dL
(
n
=
128
417
)
;
group
2
had
a
TSB
level
>
or
=
17
and
<
23
mg
/
dL
as
outpatients
between
48
hours
and
7
days
of
age
and
did
not
receive
inpatient
phototherapy
(
n
=
6777
)
;
and
group
3
met
criteria
for
group
2
but
did
receive
inpatient
phototherapy
(
n
=
1765
)
.
We
compared
outpatient
visit
rates
from
15
to
364
days
of
age
adjusting
for
other
predictors
of
visit
rates
by
using
Poisson
and
linear
regression
.
The
mean
total
number
of
visits
between
15
and
364
days
was
9
.
83
.
Compared
with
group
1
,
adjusted
total
first
-
year
visit
rates
were
slightly
increased
in
group
2
(
adjusted
incidence
rate
ratio
:
1
.
04
[
95
%
confidence
interval
:
1
.
02
-
1
.
05
]
)
and
group
3
(
incidence
rate
ratio
:
1
.
07
[
95
%
confidence
interval
:
1
.
05
-
1
.
10
]
)
.
The
increases
in
visit
rates
were
greatest
for
visits
from
15
to
59
days
of
age
,
for
specialty
visits
,
and
for
unspecified
diagnoses
.
These
rates
correspond
to
adjusted
increases
in
total
first
-
year
visits
(
compared
with
group
1
)
of
0
.
36
visits
in
group
2
and
0
.
73
visits
in
group
3
.
Neonatal
jaundice
and
inpatient
phototherapy
are
associated
with
only
small
increases
in
first
-
year
outpatient
visit
rates
,
consistent
with
mild
or
infrequent
contribution
to
the
vulnerable
child
syndrome
in
this
population
.
Diseases
Validation
Diseases presenting
"inpatient phototherapy is associated with increased subsequent outpatient visit rates"
symptom
child syndrome
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