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Research ArticleOriginal Research

Clinician Adherence to Guideline for Phototherapy Use in Newborns

Diane J. Madlon-Kay
The Journal of the American Board of Family Medicine July 2012, 25 (4) 437-441; DOI: https://doi.org/10.3122/jabfm.2012.04.110307
Diane J. Madlon-Kay
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    Table 1. Infant Demographics (N = 1160)
    Female, n (%)571 (49)
    Mean gestational age, weeks (SD)39.2 (1.5)
    35.0 to 43.6
    Mean mother's age, years (SD)29.8 (6.1)
    15 to 50
    Mean birth weight, pounds (SD)7.5 (1.1)
        Range4.2–11.1
    Plurality, n (%)
        Single1130 (97)
        Multiple30 (3)
    Mean APGAR score (SD)8 (1.2)
    2–10
        1 minute8 (1.2)
            Range2–10
        5 minutes9 (0.3)
            Range6–10
    Method of birth, n (%)
        Vaginal765 (66)
        Assisted vaginal73 (6)
        Caesarean section322 (28)
    • View popup
    Table 2. Infants Receiving Phototherapy by Location
    PhototherapyHospital A (n = 186)Hospital B (n = 250)Total (n = 436)
    Recommended80 (43)80 (32)160 (37)
    Subthreshold96 (52)147 (59)243 (56)
    Not recommended10 (5)23 (9)33 (8)
    • Values provided as n (%). P = .0389 (Fisher's exact test).

    • View popup
    Table 3. Use of Phototherapy before and after Phototherapy Nomogram in Chart
    Before NomogramAfter Nomogram
    No phototherapy*
        Missed4 (1)4 (1)
        Appropriate363 (99)353 (99)
    Phototherapy given†
        Recommended86 (39)74 (34)
        Subthreshold112 (51)131 (60)
        Not recommended20 (9)13 (6)
    • Values provided as n (%).

    • ↵* P = 1.000 (Fisher's exact test).

    • ↵† P = .1570 (Fisher's exact test).

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The Journal of the American Board of Family     Medicine: 25 (4)
The Journal of the American Board of Family Medicine
Vol. 25, Issue 4
July-August 2012
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Clinician Adherence to Guideline for Phototherapy Use in Newborns
Diane J. Madlon-Kay
The Journal of the American Board of Family Medicine Jul 2012, 25 (4) 437-441; DOI: 10.3122/jabfm.2012.04.110307

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Clinician Adherence to Guideline for Phototherapy Use in Newborns
Diane J. Madlon-Kay
The Journal of the American Board of Family Medicine Jul 2012, 25 (4) 437-441; DOI: 10.3122/jabfm.2012.04.110307
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