Article Text

PDF
Rebound bilirubin: on what should the decision to recommence phototherapy be based?
  1. O Erdeve1
  1. 1Ankara University, School of Medicine, Department of Pediatrics, Division of Neonatology, Ankara 06100, Turkey; omererdeve@yahoo.com

Statistics from Altmetric.com

I read with great interest the recent paper by Kaplan et al about post-phototherapy bilirubin rebound. The incidence of significant rebound bilirubin was reported as 13.3% (30/226); the large number of neonates who rebounded (26/30) were among those in whom phototherapy had been commenced ⩽72 hours.1 We have conducted a similar study with a total of 375 newborns; the proportion of neonates with significant rebound bilirubin who required phototherapy was 5.1% (19/375); 16 of 19 were from the birth hospitalisation group (⩽48 hours).2 The key factor to take into consideration (which is not standard and limits the value of evaluation of studies for meta-analysis or comparison), is the definition of rebound bilirubin level that may be presumed for reinstitution of phototherapy. Kaplan et al recommenced phototherapy at bilirubin values >256 μmol/l; their …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.