AAP 2022 Hyperbilirubinemia management guidelines

Calculator and clinical decision support for the AAP 2022 guidelines for the management of hyperbilirubinemia in newborns 35 or more weeks of gestation.

Features

  • Neurotoxicity risk factors absent, present, or both
  • Plot multiple time points to assess trends
  • Original and easier to interpret custom plots
  • Zoomed in and full 0-336 hour plots
  • Phototherapy discontinuation decision support
  • Post-discharge follow-up decision support
  • Rate of increase between last two measurements
  • Flags when TcB should be confirmed with TSB
  • Calculate age from times of birth and measurement

(Comparison of AAP 2004 and 2022 thresholds)
(Tool for previous AAP 2004 bili guidelines)
(API access for EHR integration)


Age and Bilirubin
Gestation at birth
Age (hours)
Bilirubin (mg/dL)
Neurotoxicity risks
(required)
No risk factors
ANY risk factors
Show both
Plot scale
Automatic
Full-sized
Plot choice
PediTools custom
Original publication
Reset form


Optional age calculator
Date of birth
Date of measurement


Usage Notes

  • Can leave bilirubin blank to view thresholds
  • Enter a comma-separated list of ages and bilirubin levels to assess trends
    • Management recommendations will be based on the latest age

Neurotoxicity Risk Factors

  • albumin < 3 g/dL
  • isoimmune hemolytic disease
  • G6PD deficiency
  • other hemolytic conditions
  • sepsis
  • clinical instability in previous 24 hours
  • (prematurity accounted for by distinct threshold curves)

Based on