National Institute of Child Health and Human Development (NICHD) conference on kernicterus: a population perspective on prevention of kernicterus.
National Institute of Child Health and Human Development (NICHD) conference on kernicterus: a population perspective on prevention of kernicterus.
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国家儿童健康和人类发展研究所 (NICHD) 关于核黄疸的会议：预防核黄疸的人口观点。
DOI：
10.1038/sj.jp.7211153
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
Yeargin-Allsopp,Marshalyn
中科院分区：
文献类型：
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作者：
Palmer,RHeather;Keren,Ron;Maisels,MJeffrey;Yeargin-Allsopp,Marshalyn
本文综述了核黄疸的预防障碍。核黄疸病例的报告仍在继续。我们不知道为什么核黄疸持续发生，也不知道如何最好地预防它。我们需要证据来提供关键建议，使临床指南可供新生儿护理从业者使用，特别是在出生后第一周提供门诊护理的从业者。关于患病率和发病率、死亡率和发病率的数据对于发起核黄疸公共卫生运动至关重要。建模成本效益需要数据的成本和效益的替代策略，以管理高胆红素血症和预防核黄疸和父母的喜好有关的后续在生命的第一天。要了解现有的保健模式如何阻碍预防保健，就需要探讨临床医生、保健组织、父母以及保健的支付者和购买者的作用。最后，发现如何激励改变现有的做法可以提供必要的指导，以防止核黄疸在美国。
This paper reviews barriers to the prevention of kernicterus. Reports of kernicterus cases persist. We do not know why kernicterus continues to occur or how best to prevent it. We need evidence for key recommendations that make clinical guidelines usable by practitioners caring for newborns, especially for practitioners providing ambulatory care in the first week of life. Data on prevalence and incidence, mortality and morbidity are essential for launching a kernicterus public health campaign. Modeling cost-effectiveness requires data on costs and benefits of alternative strategies for managing hyperbilirubinemia and preventing kernicterus and on parental preferences concerning follow-up in the first days of life. Understanding how existing patterns of care obstruct preventive care involves exploration of the roles of clinicians, health-care organizations, parents, and payers and purchasers of health care. Lastly, discovering how to motivate change in existing practices can provide the guidance needed to prevent kernicterus in the US.