Application of &quot;Internet+&quot; remote jaundice monitoring in  neonatal jaundice follow up

SHI Yidan; ZHANG Xinhua

doi:10.11852/zgetbjzz2024-0416

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Chinese Journal of Child Health Care ›› 2025, Vol. 33 ›› Issue (3) : 329-334. DOI: 10.11852/zgetbjzz2024-0416

Clinical Research

Application of "Internet+" remote jaundice monitoring in neonatal jaundice follow up

SHI Yidan¹, ZHANG Xinhua²

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Abstract

Objective To compare the differences between the "Internet+" follow-up model and the traditional follow-up model in the follow-up of neonatal jaundice, and to explore the clinical significance of conducting "Internet+" remote jaundice monitoring in reducing the incidence of severe hyperbilirubinemia and kernicterus. Methods Newborns discharged from the obstetrics and neonatology departments of Shanxi Provincial Children's Hospital between January 2022 and October 2023 who required follow-up for jaundice were selected into this study, and were divided into two groups based on the follow-up method: The "Internet+" follow-up model group (experimental group, n=100) and the traditional follow-up model group (control group, n=100). The follow-up results of both groups were compared. Results A total of 146 participants the follow up, with 89 in the experimental group and 57 in the control group. The dropout rates were 11% in the experimental group and 43% in the control group, with the control group's dropout rate significantly higher than that of the experimental group (χ²=25.988, P<0.001). The age at which the first remote transcutaneous bilirubin (TcB) measurement was taken in the experimental group (4.0 days) was significantly earlier than the age at which the first return hospital TcB measurement was taken in the control group (8.0 days) (Z=-5.984, P<0.001). The initial TcB value in the experimental group (9.7mg/dL) was significantly lower than that in the control group (12.3mg/dL) (t=4.330, P<0.001). On average, the number of remote TcB measurements per person in the follow-up period was 44 times, significantly higher than the average of 4 times per person when coming to the hospital for re-examination in the control group (Z=-9.679, P<0.001). The incidence of hyperbilirubinemia in the experimental group (19,21.3%) was significantly higher compared to control group (22, 38.6%) (χ²=5.118, P=0.024); there were 3 cases (3.4%) of severe hyperbilirubinemia in the experimental group, significantly lower than that in the control group(7,12.2%) (χ²=4.323, P=0.038). Factors affecting follow-up compliance included maternal education level (OR=2.578, 95%CI:1.338 - 4.969, P＜0.01) and the follow-up model (OR=2.842, 95%CI:1.326 - 6.091, P＜0.01). Conclusion The "Internet+" remote follow-up model is non-invasive, simple, and reliable, capable of improving compliance with follow-ups and having significant importance in preventing hyperbilirubinemia.

Key words

neonatal jaundice / internet / percutaneous jaundice detection / neonatal hyperbilirubinemia / acute bilirubin encephalopathy

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SHI Yidan, ZHANG Xinhua. Application of "Internet+" remote jaundice monitoring in neonatal jaundice follow up[J]. Chinese Journal of Child Health Care. 2025, 33(3): 329-334 https://doi.org/10.11852/zgetbjzz2024-0416

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