Pediatrics. 2009 Oct;124(4):1172-7. doi: 10.1542/peds.2009-0128. Epub 2009 Sep 28.
Recommendation on screening newborn infants, based on a recent supplemental review of a 2003 Agency for Healthcare Research and Quality evidence report on the effectiveness of various screening strategies for preventing the development of chronic bilirubin encephalopathy, performed at the request of the US Preventive Services Task Force (USPSTF). This topic has not been previously considered by the USPSTF.
The USPSTF reviewed experimental and observational studies that included comparison groups. For harms associated with phototherapy, case reports or case series were also included.
The evidence is insufficient to assess the balance of benefits and harms of screening for hyperbilirubinemia to prevent chronic bilirubin encephalopathy (I statement).
应美国预防服务工作组(USPSTF)要求,基于对2003年医疗保健研究与质量局关于各种预防慢性胆红素脑病筛查策略有效性的证据报告的最新补充审查,提出对新生儿进行筛查的建议。USPSTF此前未考虑过该主题。
USPSTF审查了包括对照组的实验性和观察性研究。对于与光疗相关的危害,也纳入了病例报告或病例系列。
证据不足,无法评估筛查高胆红素血症以预防慢性胆红素脑病的利弊平衡(I声明)。