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Neonatal hyperbili/phototherapy and long-term risks?

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Stefan Johansson
in Hematological Conditions

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Just read this editorial in JAMA Peds - about screening/tx against neonatal hyperbili phototherapy and reported long-term risks (excess risk of childhood epilepsy, at least in boys)

Although confounding (factor X related to both risk of phototherapy and risk of epilepsy) may well be operating, the First Do No Harm-argument is valid IMHO.

Of course, highly elevated s-bili is also something that we fear.

Anyone discussing/handling these questions in clinical practise and how to balance?

https://jamanetwork.com/journals/jamapediatrics/fullarticle/2733861

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