Avaliação da hiperbilirrubinemia neonatal em lactentes nascidos com 35 semanas ou mais de gestação (atualização de 2022)

 
Entrada
 
Nível de bilirrubina total  
Idade do recém-nascido  
Idade gestacional (semanas concluídas)  

Fatores de risco para neurotoxicidade
 
Instabilidade clínica dentro de 24 horas?    Sim     Não
Preocupação com sepse?    Sim     Não
Condição hemolítica?    Sim     Não     Desconhecido
Albumina sérica menor que 3,0 g/dL?    Sim     Não     Desconhecido

 
Resultados
 
 
   
 
   
 

 
 

 
ser confirmados com um nível de TSB. As decisões de manejo dos níveis altos devem ser orientadas pelos valores de TSB.

 
Observações
  • Os resultados não estão disponíveis para lactentes recém-nascidos com <12 horas de vida ou >14 dias de vida. Esta calculadora não deve ser usada para neonatos prematuros em <35 semanas de gestação.
  • Para recém-nascidos com <96 horas de vida, inserir a idade pós-natal em horas.
  • A preocupação com sepse bacteriana ou viral é baseada nos sinais e sintomas.
  • Exemplos de condições hemolíticas incluem doença hemolítica isoimune e deficiência de G6PD.
  • Os nomogramas de diretrizes de prática clínica da American Academy of Pediatrics (AAP) de 2022[1] são usados para determinar quando a fototerapia ou a exsanguinotransfusão deve ser iniciada e quando o cuidado deve ser escalonado. Quando a fototerapia é usada, a AAP recomenda o uso de fototerapia intensiva, definida como irradiância de ≥30 microW/cm2 por nm no espectro azul–verde (comprimento de onda entre 430 e 490 nM).
  • Se o teste foi realizado com um dispositivo de bilirrubina transcutânea (TcB), os valores alto devem
  • Os resultados da calculadora baseados nos nomogramas da AAP fornecem orientação baseada no risco para intervenção na hiperbilirrubinemia neonatal. Eles se baseiam no julgamento do médico, além do nível de bilirrubina e de outros fatores listados acima.
  • G6PD: glicose-6-fosfato desidrogenase; TSB: bilirrubina total sérica ou plasmática.

 
Referências
  1. Kemper AR, Newman TB, Slaughter JL, et al. Clinical Practice Guideline Revision: Management .

 
Apêndice

 
Limiares de bilirrubina total [mg/dL] para fototerapia em recém-nascidos SEM fatores de risco para neurotoxicidade
 
Idade pós-natal
em horas
Idade gestacional em semanas\

 
Limiares de bilirrubina total [mg/dL] para fototerapia em recém-nascidos COM fatores de risco para neurotoxicidade
 
Idade pós-natal
em horas
Idade gestacional em semanas
35 a <3636 a <3737 a <38≥38
126,897,437,978,46
137,067,608,158,64
147,247,788,328,82
157,417,958,509,00
167,578,138,689,18
177,748,308,859,35
187,918,469,029,52
198,078,639,199,69
208,238,809,369,86
218,398,969,5310,03
228,559,139,7010,20
238,719,299,8610,36
248,879,4510,0310,53
259,029,6110,1910,69
269,179,7610,3510,85
279,329,9210,5111,01
289,4810,0710,6711,16
299,6210,2210,8211,32
309,7710,3710,9811,47
319,9210,5211,1311,63
3210,0610,6711,2811,78
3310,2010,8211,4311,93
3410,3410,9611,5812,07
3510,4811,1111,7312,22
3610,6211,2511,8712,37
3710,7611,3912,0212,51
3810,8911,5312,1612,65
3911,0311,6612,3012,79
4011,1611,8012,4412,93
4111,2911,9312,5813,07
4211,4212,0712,7213,20
4311,5512,2012,8513,34
4411,6712,3312,9813,47
4511,8012,4613,1213,60
4611,9212,5813,2513,73
4712,0412,7113,3813,86
4812,1612,8313,5013,98
4912,2812,9613,6314,11
5012,4013,0813,7614,23
5112,5113,2013,8814,35
5212,6313,3114,0014,47
5312,7413,4314,1214,59
5412,8513,5414,2414,71
5512,9613,6614,3614,83
5613,0713,7714,4714,94
5713,1713,8814,5915,05
5813,2813,9914,7015,16
5913,3814,1014,8115,27
6013,4814,2014,9215,38
6113,5814,3115,0315,49
6213,6814,4115,1315,59
6313,7814,5115,2415,69
6413,8814,6115,3415,80
6513,9714,7115,4415,90
6614,0614,8015,5515,99
6714,1514,9015,6416,09
6814,2414,9915,7416,19
6914,3315,0915,8416,28
7014,4215,1815,9316,37
7114,5115,2716,0316,46
7214,5915,3516,1216,55
7314,6715,4416,2116,64
7414,7515,5216,3016,73
7514,8315,6116,3816,81
7614,9115,6916,4716,90
7714,9915,7716,5516,98
7815,0615,8516,6417,06
7915,1315,9316,7217,14
8015,2116,0016,8017,21
8115,2816,0816,8717,29
8215,3416,1516,9517,36
8315,4116,2217,0317,44
8415,4816,2917,1017,51
8515,5416,3617,1717,58
8615,6016,4217,2417,64
8715,6716,4917,3117,71
8815,7316,5517,3817,77
8915,7816,6217,4517,84
9015,8416,6817,5117,90
9115,9016,7317,5717,96
9215,9516,7917,6418,02
9316,0016,8517,7018,07
9416,0516,9017,7518,13
9516,1016,9617,8118,18
9616,1517,0117,8718,24
9716,1617,0217,8818,24
9816,1617,0217,8818,24
9916,1717,0317,8918,24
10016,1717,0317,8918,24
10116,1817,0417,9018,24
10216,1817,0417,9018,24
10316,1917,0517,9118,24
10416,1917,0517,9118,24
10516,2017,0617,9218,24
10616,2017,0617,9218,24
10716,2117,0717,9318,24
10816,2117,0717,9318,24
10916,2217,0817,9418,24
11016,2217,0817,9418,24
11116,2317,0917,9518,24
11216,2317,0917,9518,24
11316,2417,1017,9618,24
11416,2417,1017,9618,24
11516,2517,1117,9718,24
11616,2517,1117,9718,24
11716,2617,1217,9818,24
11816,2617,1217,9818,24
11916,2717,1317,9918,24
12016,2717,1317,9918,24
12116,2817,1418,0018,24
12216,2817,1418,0018,24
12316,2917,1518,0118,24
12416,2917,1518,0118,24
12516,3017,1618,0218,24
12616,3117,1618,0218,24
12716,3117,1718,0318,24
12816,3217,1818,0418,24
12916,3217,1818,0418,24
13016,3317,1918,0518,24
13116,3317,1918,0518,24
13216,3417,2018,0618,24
13316,3417,2018,0618,24
13416,3517,2118,0718,24
13516,3517,2118,0718,24
13616,3617,2218,0818,24
13716,3617,2218,0818,24
13816,3717,2318,0918,24
13916,3717,2318,0918,24
14016,3817,2418,1018,24
14116,3817,2418,1018,24
14216,3917,2518,1118,24
14316,3917,2518,1118,24
14416,4017,2618,1218,24
14516,4017,2618,1218,24
14616,4117,2718,1318,24
14716,4117,2718,1318,24
14816,4217,2818,1418,24
14916,4217,2818,1418,24
15016,4317,2918,1518,24
15116,4317,2918,1518,24
15216,4417,3018,1618,24
15316,4417,3018,1618,24
15416,4517,3118,1718,24
15516,4517,3118,1718,24
15616,4617,3218,1818,24
15716,4617,3218,1818,24
15816,4717,3318,1918,24
15916,4717,3318,1918,24
16016,4817,3418,2018,24
16116,4817,3418,2018,24
16216,4917,3518,2118,24
16316,4917,3518,2118,24
16416,5017,3618,2218,24
16516,5017,3618,2218,24
16616,5117,3718,2318,24
16716,5117,3718,2318,24
16816,5217,3818,2418,24
16916,5317,3918,2418,24
17016,5317,3918,2418,24
17116,5417,4018,2418,24
17216,5417,4018,2418,24
17316,5517,4118,2418,24
17416,5517,4118,2418,24
17516,5617,4218,2418,24
17616,5617,4218,2418,24
17716,5717,4318,2418,24
17816,5717,4318,2418,24
17916,5817,4418,2418,24
18016,5817,4418,2418,24
18116,5917,4518,2418,24
18216,5917,4518,2418,24
18316,6017,4618,2418,24
18416,6017,4618,2418,24
18516,6117,4718,2418,24
18616,6117,4718,2418,24
18716,6217,4818,2418,24
18816,6217,4818,2418,24
18916,6317,4918,2418,24
19016,6317,4918,2418,24
19116,6417,5018,2418,24
19216,6417,5018,2418,24
19316,6517,5118,2418,24
19416,6517,5118,2418,24
19516,6617,5218,2418,24
19616,6617,5218,2418,24
19716,6717,5318,2418,24
19816,6717,5318,2418,24
19916,6817,5418,2418,24
20016,6817,5418,2418,24
20116,6917,5518,2418,24
20216,6917,5518,2418,24
20316,7017,5618,2418,24
20416,7017,5618,2418,24
20516,7117,5718,2418,24
20616,7117,5718,2418,24
20716,7217,5818,2418,24
20816,7217,5818,2418,24
20916,7317,5918,2418,24
21016,7417,5918,2418,24
21116,7417,6018,2418,24
21216,7517,6118,2418,24
21316,7517,6118,2418,24
21416,7617,6218,2418,24
21516,7617,6218,2418,24
21616,7717,6318,2418,24
21716,7717,6318,2418,24
21816,7817,6418,2418,24
21916,7817,6418,2418,24
22016,7917,6518,2418,24
22116,7917,6518,2418,24
22216,8017,6618,2418,24
22316,8017,6618,2418,24
22416,8117,6718,2418,24
22516,8117,6718,2418,24
22616,8217,6818,2418,24
22716,8217,6818,2418,24
22816,8317,6918,2418,24
22916,8317,6918,2418,24
23016,8417,7018,2418,24
23116,8417,7018,2418,24
23216,8517,7118,2418,24
23316,8517,7118,2418,24
23416,8617,7218,2418,24
23516,8617,7218,2418,24
23616,8717,7318,2418,24
23716,8717,7318,2418,24
23816,8817,7418,2418,24
23916,8817,7418,2418,24
24016,8917,7518,2418,24
24116,8917,7518,2418,24
24216,9017,7618,2418,24
24316,9017,7618,2418,24
24416,9117,7718,2418,24
24516,9117,7718,2418,24
24616,9217,7818,2418,24
24716,9217,7818,2418,24
24816,9317,7918,2418,24
24916,9317,7918,2418,24
25016,9417,8018,2418,24
25116,9417,8018,2418,24
25216,9517,8118,2418,24
25316,9617,8218,2418,24
25416,9617,8218,2418,24
25516,9717,8318,2418,24
25616,9717,8318,2418,24
25716,9817,8418,2418,24
25816,9817,8418,2418,24
25916,9917,8518,2418,24
26016,9917,8518,2418,24
26117,0017,8618,2418,24
26217,0017,8618,2418,24
26317,0117,8718,2418,24
26417,0117,8718,2418,24
26517,0217,8818,2418,24
26617,0217,8818,2418,24
26717,0317,8918,2418,24
26817,0317,8918,2418,24
26917,0417,9018,2418,24
27017,0417,9018,2418,24
27117,0517,9118,2418,24
27217,0517,9118,2418,24
27317,0617,9218,2418,24
27417,0617,9218,2418,24
27517,0717,9318,2418,24
27617,0717,9318,2418,24
27717,0817,9418,2418,24
27817,0817,9418,2418,24
27917,0917,9518,2418,24
28017,0917,9518,2418,24
28117,1017,9618,2418,24
28217,1017,9618,2418,24
28317,1117,9718,2418,24
28417,1117,9718,2418,24
28517,1217,9818,2418,24
28617,1217,9818,2418,24
28717,1317,9918,2418,24
28817,1317,9918,2418,24
28917,1418,0018,2418,24
29017,1418,0018,2418,24
29117,1518,0118,2418,24
29217,1518,0118,2418,24
29317,1618,0218,2418,24
29417,1618,0218,2418,24
29517,1718,0318,2418,24
29617,1818,0418,2418,24
29717,1818,0418,2418,24
29817,1918,0518,2418,24
29917,1918,0518,2418,24
30017,2018,0618,2418,24
30117,2018,0618,2418,24
30217,2118,0718,2418,24
30317,2118,0718,2418,24
30417,2218,0818,2418,24
30517,2218,0818,2418,24
30617,2318,0918,2418,24
30717,2318,0918,2418,24
30817,2418,1018,2418,24
30917,2418,1018,2418,24
31017,2518,1118,2418,24
31117,2518,1118,2418,24
31217,2618,1218,2418,24
31317,2618,1218,2418,24
31417,2718,1318,2418,24
31517,2718,1318,2418,24
31617,2818,1418,2418,24
31717,2818,1418,2418,24
31817,2918,1518,2418,24
31917,2918,1518,2418,24
32017,3018,1618,2418,24
32117,3018,1618,2418,24
32217,3118,1718,2418,24
32317,3118,1718,2418,24
32417,3218,1818,2418,24
32517,3218,1818,2418,24
32617,3318,1918,2418,24
32717,3318,1918,2418,24
32817,3418,2018,2418,24
32917,3418,2018,2418,24
33017,3518,2118,2418,24
33117,3518,2118,2418,24
33217,3618,2218,2418,24
33317,3618,2218,2418,24
33417,3718,2318,2418,24
33517,3718,2318,2418,24
33617,3818,2418,2418,24

 
Limiares de bilirrubina total [mg/dL] para exsanguinotransfusão em recém-nascidos SEM fatores de risco para neurotoxicidade
 
Idade pós-natal
em horas
Idade gestacional em semanas
35 a <3636 a <3737 a <38≥38
1216,3717,5118,6619,72
1316,5017,6518,8019,86
1416,6417,7918,9520,01
1516,7717,9319,0920,15
1616,9018,0719,2320,29
1717,0318,2019,3720,42
1817,1618,3419,5120,56
1917,2918,4719,6520,70
2017,4218,6019,7920,83
2117,5418,7319,9220,96
2217,6718,8620,0621,09
2317,8018,9920,1921,22
2417,9219,1220,3221,35
2518,0419,2520,4521,48
2618,1719,3820,5821,61
2718,2919,5020,7121,73
2818,4119,6320,8421,85
2918,5319,7520,9721,97
3018,6519,8721,0922,10
3118,7719,9921,2222,21
3218,8920,1121,3422,33
3319,0020,2321,4622,45
3419,1220,3521,5822,56
3519,2420,4721,7022,68
3619,3520,5921,8222,79
3719,4720,7021,9422,90
3819,5820,8222,0523,01
3919,6920,9322,1723,12
4019,8021,0422,2823,22
4119,9121,1522,3923,33
4220,0221,2622,5023,43
4320,1321,3722,6123,54
4420,2421,4822,7223,64
4520,3521,5922,8323,74
4620,4521,6922,9323,84
4720,5621,8023,0423,93
4820,6621,9023,1424,03
4920,7622,0023,2524,12
5020,8722,1123,3524,22
5120,9722,2123,4524,31
5221,0722,3123,5424,40
5321,1722,4123,6424,49
5421,2722,5023,7424,58
5521,3722,6023,8324,66
5621,4622,6923,9324,75
5721,5622,7924,0224,83
5821,6522,8824,1124,91
5921,7522,9724,2024,99
6021,8423,0624,2925,07
6121,9323,1524,3725,15
6222,0323,2424,4625,23
6322,1223,3324,5425,30
6422,2123,4224,6325,38
6522,3023,5024,7125,45
6622,3823,5924,7925,52
6722,4723,6724,8725,59
6822,5623,7524,9525,66
6922,6423,8325,0325,73
7022,7323,9125,1025,79
7122,8123,9925,1725,86
7222,8924,0725,2525,92
7322,9724,1525,3225,98
7423,0524,2225,3926,04
7523,1324,2925,4626,10
7623,2124,3725,5326,16
7723,2924,4425,5926,22
7823,3624,5125,6626,27
7923,4424,5825,7226,32
8023,5124,6525,7826,38
8123,5924,7125,8426,43
8223,6624,7825,9026,48
8323,7324,8525,9626,53
8423,8024,9126,0226,57
8523,8724,9726,0726,62
8623,9425,0326,1326,66
8724,0125,0926,1826,70
8824,0725,1526,2326,75
8924,1425,2126,2826,79
9024,2025,2726,3326,82
9124,2725,3226,3826,86
9224,3325,3826,4226,90
9324,3925,4326,4726,93
9424,4525,4826,5126,96
9524,4825,5226,5527,00
9624,4725,5126,5527,00
9724,4925,5426,5927,03
9824,5025,5526,5927,03
9924,5125,5526,6027,03
10024,5225,5626,6127,03
10124,5325,5726,6227,03
10224,5325,5826,6227,03
10324,5425,5926,6327,03
10424,5525,5926,6427,03
10524,5625,6026,6427,03
10624,5725,6126,6527,03
10724,5825,6226,6627,03
10824,5925,6326,6627,03
10924,6025,6426,6727,03
11024,6125,6426,6827,03
11124,6225,6526,6827,03
11224,6325,6626,6927,03
11324,6425,6726,7027,03
11424,6525,6826,7027,03
11524,6625,6826,7127,03
11624,6725,6926,7227,03
11724,6825,7026,7227,03
11824,6925,7126,7327,03
11924,7025,7226,7327,03
12024,7125,7226,7427,03
12124,7125,7326,7527,03
12224,7225,7426,7527,03
12324,7325,7526,7627,03
12424,7425,7526,7727,03
12524,7525,7626,7727,03
12624,7625,7726,7827,03
12724,7725,7826,7927,03
12824,7825,7926,7927,03
12924,7925,7926,8027,03
13024,8025,8026,8027,03
13124,8125,8126,8127,03
13224,8225,8226,8227,03
13324,8325,8226,8227,03
13424,8325,8326,8327,03
13524,8425,8426,8427,03
13624,8525,8526,8427,03
13724,8625,8626,8527,03
13824,8725,8626,8527,03
13924,8825,8726,8627,03
14024,8925,8826,8727,03
14124,9025,8926,8727,03
14224,9125,8926,8827,03
14324,9225,9026,8927,03
14424,9225,9126,8927,03
14524,9325,9226,9027,03
14624,9425,9226,9027,03
14724,9525,9326,9127,03
14824,9625,9426,9227,03
14924,9725,9526,9227,03
15024,9825,9526,9327,03
15124,9925,9626,9327,03
15225,0025,9726,9427,03
15325,0025,9726,9527,03
15425,0125,9826,9527,03
15525,0225,9926,9627,03
15625,0326,0026,9627,03
15725,0426,0026,9727,03
15825,0526,0126,9727,03
15925,0626,0226,9827,03
16025,0626,0326,9927,03
16125,0726,0326,9927,03
16225,0826,0427,0027,03
16325,0926,0527,0027,03
16425,1026,0527,0127,03
16525,1126,0627,0127,03
16625,1226,0727,0227,03
16725,1226,0827,0327,03
16825,1326,0827,0327,03
16925,1426,0927,0327,03
17025,1526,1027,0327,03
17125,1626,1027,0327,03
17225,1726,1127,0327,03
17325,1826,1227,0327,03
17425,1826,1227,0327,03
17525,1926,1327,0327,03
17625,2026,1427,0327,03
17725,2126,1527,0327,03
17825,2226,1527,0327,03
17925,2326,1627,0327,03
18025,2326,1727,0327,03
18125,2426,1727,0327,03
18225,2526,1827,0327,03
18325,2626,1927,0327,03
18425,2726,1927,0327,03
18525,2826,2027,0327,03
18625,2826,2127,0327,03
18725,2926,2127,0327,03
18825,3026,2227,0327,03
18925,3126,2327,0327,03
19025,3226,2327,0327,03
19125,3226,2427,0327,03
19225,3326,2527,0327,03
19325,3426,2527,0327,03
19425,3526,2627,0327,03
19525,3626,2727,0327,03
19625,3626,2727,0327,03
19725,3726,2827,0327,03
19825,3826,2927,0327,03
19925,3926,2927,0327,03
20025,4026,3027,0327,03
20125,4026,3127,0327,03
20225,4126,3127,0327,03
20325,4226,3227,0327,03
20425,4326,3327,0327,03
20525,4426,3327,0327,03
20625,4426,3427,0327,03
20725,4526,3527,0327,03
20825,4626,3527,0327,03
20925,4726,3627,0327,03
21025,4826,3627,0327,03
21125,4826,3727,0327,03
21225,4926,3827,0327,03
21325,5026,3827,0327,03
21425,5126,3927,0327,03
21525,5126,4027,0327,03
21625,5226,4027,0327,03
21725,5326,4127,0327,03
21825,5426,4227,0327,03
21925,5526,4227,0327,03
22025,5526,4327,0327,03
22125,5626,4327,0327,03
22225,5726,4427,0327,03
22325,5826,4527,0327,03
22425,5826,4527,0327,03
22525,5926,4627,0327,03
22625,6026,4627,0327,03
22725,6126,4727,0327,03
22825,6126,4827,0327,03
22925,6226,4827,0327,03
23025,6326,4927,0327,03
23125,6426,4927,0327,03
23225,6426,5027,0327,03
23325,6526,5127,0327,03
23425,6626,5127,0327,03
23525,6726,5227,0327,03
23625,6726,5227,0327,03
23725,6826,5327,0327,03
23825,6926,5427,0327,03
23925,6926,5427,0327,03
24025,7026,5527,0327,03
24125,7126,5527,0327,03
24225,7226,5627,0327,03
24325,7226,5727,0327,03
24425,7326,5727,0327,03
24525,7426,5827,0327,03
24625,7526,5827,0327,03
24725,7526,5927,0327,03
24825,7626,5927,0327,03
24925,7726,6027,0327,03
25025,7726,6127,0327,03
25125,7826,6127,0327,03
25225,7926,6227,0327,03
25325,8026,6227,0327,03
25425,8026,6327,0327,03
25525,8126,6327,0327,03
25625,8226,6427,0327,03
25725,8226,6527,0327,03
25825,8326,6527,0327,03
25925,8426,6627,0327,03
26025,8426,6627,0327,03
26125,8526,6727,0327,03
26225,8626,6727,0327,03
26325,8626,6827,0327,03
26425,8726,6827,0327,03
26525,8826,6927,0327,03
26625,8926,6927,0327,03
26725,8926,7027,0327,03
26825,9026,7127,0327,03
26925,9126,7127,0327,03
27025,9126,7227,0327,03
27125,9226,7227,0327,03
27225,9326,7327,0327,03
27325,9326,7327,0327,03
27425,9426,7427,0327,03
27525,9526,7427,0327,03
27625,9526,7527,0327,03
27725,9626,7527,0327,03
27825,9726,7627,0327,03
27925,9726,7627,0327,03
28025,9826,7727,0327,03
28125,9926,7727,0327,03
28225,9926,7827,0327,03
28326,0026,7827,0327,03
28426,0126,7927,0327,03
28526,0126,7927,0327,03
28626,0226,8027,0327,03
28726,0326,8027,0327,03
28826,0326,8127,0327,03
28926,0426,8127,0327,03
29026,0426,8227,0327,03
29126,0526,8227,0327,03
29226,0626,8327,0327,03
29326,0626,8327,0327,03
29426,0726,8427,0327,03
29526,0826,8427,0327,03
29626,0826,8527,0327,03
29726,0926,8527,0327,03
29826,1026,8627,0327,03
29926,1026,8627,0327,03
30026,1126,8727,0327,03
30126,1126,8727,0327,03
30226,1226,8827,0327,03
30326,1326,8827,0327,03
30426,1326,8927,0327,03
30526,1426,8927,0327,03
30626,1526,9027,0327,03
30726,1526,9027,0327,03
30826,1626,9127,0327,03
30926,1626,9127,0327,03
31026,1726,9227,0327,03
31126,1826,9227,0327,03
31226,1826,9327,0327,03
31326,1926,9327,0327,03
31426,1926,9327,0327,03
31526,2026,9427,0327,03
31626,2126,9427,0327,03
31726,2126,9527,0327,03
31826,2226,9527,0327,03
31926,2226,9627,0327,03
32026,2326,9627,0327,03
32126,2426,9727,0327,03
32226,2426,9727,0327,03
32326,2526,9827,0327,03
32426,2526,9827,0327,03
32526,2626,9827,0327,03
32626,2726,9927,0327,03
32726,2726,9927,0327,03
32826,2827,0027,0327,03
32926,2827,0027,0327,03
33026,2927,0127,0327,03
33126,2927,0127,0327,03
33226,3027,0127,0327,03
33326,3127,0227,0327,03
33426,3127,0227,0327,03
33526,3227,0327,0327,03
33626,3227,0327,0327,03

 
Limiares de bilirrubina total [mg/dL] para exsanguinotransfusão em recém-nascidos COM fatores de risco para neurotoxicidade
 
Idade pós-natal
em horas
Idade gestacional em semanas
35 a <3636 a <3737 a <38≥38
1214,6415,1915,7416,25
1314,7715,3215,8716,37
1414,9015,4515,9916,50
1515,0215,5716,1216,62
1615,1515,7016,2416,74
1715,2715,8216,3716,86
1815,3915,9416,4916,98
1915,5116,0616,6117,09
2015,6316,1816,7317,21
2115,7516,3016,8517,33
2215,8716,4216,9617,44
2315,9816,5317,0817,56
2416,1016,6517,2017,67
2516,2116,7617,3117,78
2616,3216,8717,4317,89
2716,4316,9917,5418,00
2816,5417,1017,6518,11
2916,6517,2117,7618,22
3016,7517,3117,8718,33
3116,8617,4217,9818,44
3216,9617,5318,0918,55
3317,0717,6318,2018,65
3417,1717,7318,3018,76
3517,2717,8418,4118,86
3617,3717,9418,5118,96
3717,4618,0418,6219,07
3817,5618,1418,7219,17
3917,6518,2418,8219,27
4017,7518,3318,9219,37
4117,8418,4319,0219,47
4217,9318,5319,1219,56
4318,0218,6219,2219,66
4418,1118,7119,3119,76
4518,2018,8019,4119,85
4618,2818,8919,5019,95
4718,3718,9819,6020,04
4818,4519,0719,6920,13
4918,5419,1619,7820,23
5018,6219,2519,8820,32
5118,7019,3319,9720,41
5218,7819,4220,0620,50
5318,8519,5020,1420,59
5418,9319,5820,2320,67
5519,0119,6620,3220,76
5619,0819,7420,4020,85
5719,1519,8220,4920,93
5819,2319,9020,5721,02
5919,3019,9820,6621,10
6019,3720,0520,7421,18
6119,4320,1320,8221,26
6219,5020,2020,9021,34
6319,5720,2720,9821,42
6419,6320,3521,0621,50
6519,7020,4221,1421,58
6619,7620,4921,2221,66
6719,8220,5621,2921,74
6819,8820,6221,3721,81
6919,9420,6921,4421,89
7020,0020,7621,5221,96
7120,0520,8221,5922,03
7220,1120,8821,6622,11
7320,1620,9521,7322,18
7420,2121,0121,8022,25
7520,2721,0721,8722,32
7620,3221,1321,9422,39
7720,3721,1922,0122,45
7820,4221,2522,0822,52
7920,4621,3022,1422,59
8020,5121,3622,2122,65
8120,5521,4122,2722,72
8220,6021,4722,3422,78
8320,6421,5222,4022,84
8420,6821,5722,4622,91
8520,7221,6222,5222,97
8620,7621,6722,5823,03
8720,8021,7222,6423,09
8820,8421,7722,7023,15
8920,8821,8222,7623,20
9020,9121,8622,8223,26
9120,9421,9122,8723,32
9220,9821,9522,9323,37
9321,0122,0022,9823,43
9421,0422,0423,0423,48
9521,0522,0623,0623,50
9621,0622,0723,0723,50
9721,0822,0823,0823,50
9821,0922,0923,0923,50
9921,1022,1023,0923,50
10021,1122,1023,1023,50
10121,1222,1123,1123,50
10221,1322,1223,1123,50
10321,1422,1323,1223,50
10421,1522,1423,1323,50
10521,1622,1523,1323,50
10621,1722,1523,1423,50
10721,1822,1623,1523,50
10821,1922,1723,1523,50
10921,2022,1823,1623,50
11021,2122,1923,1723,50
11121,2222,1923,1723,50
11221,2322,2023,1823,50
11321,2422,2123,1823,50
11421,2522,2223,1923,50
11521,2622,2323,2023,50
11621,2722,2323,2023,50
11721,2722,2423,2123,50
11821,2822,2523,2223,50
11921,2922,2623,2223,50
12021,3022,2723,2323,50
12121,3122,2723,2423,50
12221,3222,2823,2423,50
12321,3322,2923,2523,50
12421,3422,3023,2523,50
12521,3522,3123,2623,50
12621,3622,3123,2723,50
12721,3722,3223,2723,50
12821,3822,3323,2823,50
12921,3922,3423,2823,50
13021,4022,3423,2923,50
13121,4122,3523,3023,50
13221,4222,3623,3023,50
13321,4322,3723,3123,50
13421,4422,3823,3123,50
13521,4522,3823,3223,50
13621,4622,3923,3323,50
13721,4622,4023,3323,50
13821,4722,4123,3423,50
13921,4822,4123,3423,50
14021,4922,4223,3523,50
14121,5022,4323,3623,50
14221,5122,4423,3623,50
14321,5222,4423,3723,50
14421,5322,4523,3723,50
14521,5422,4623,3823,50
14621,5522,4723,3823,50
14721,5622,4723,3923,50
14821,5722,4823,4023,50
14921,5722,4923,4023,50
15021,5822,4923,4123,50
15121,5922,5023,4123,50
15221,6022,5123,4223,50
15321,6122,5223,4223,50
15421,6222,5223,4323,50
15521,6322,5323,4323,50
15621,6422,5423,4423,50
15721,6522,5523,4523,50
15821,6622,5523,4523,50
15921,6622,5623,4623,50
16021,6722,5723,4623,50
16121,6822,5723,4723,50
16221,6922,5823,4723,50
16321,7022,5923,4823,50
16421,7122,6023,4823,50
16521,7222,6023,4923,50
16621,7322,6123,4923,50
16721,7322,6223,5023,50
16821,7422,6223,5023,50
16921,7522,6323,5023,50
17021,7622,6423,5023,50
17121,7722,6423,5023,50
17221,7822,6523,5023,50
17321,7922,6623,5023,50
17421,7922,6623,5023,50
17521,8022,6723,5023,50
17621,8122,6823,5023,50
17721,8222,6923,5023,50
17821,8322,6923,5023,50
17921,8422,7023,5023,50
18021,8522,7123,5023,50
18121,8522,7123,5023,50
18221,8622,7223,5023,50
18321,8722,7323,5023,50
18421,8822,7323,5023,50
18521,8922,7423,5023,50
18621,9022,7523,5023,50
18721,9022,7523,5023,50
18821,9122,7623,5023,50
18921,9222,7623,5023,50
19021,9322,7723,5023,50
19121,9422,7823,5023,50
19221,9422,7823,5023,50
19321,9522,7923,5023,50
19421,9622,8023,5023,50
19521,9722,8023,5023,50
19621,9822,8123,5023,50
19721,9922,8223,5023,50
19821,9922,8223,5023,50
19922,0022,8323,5023,50
20022,0122,8423,5023,50
20122,0222,8423,5023,50
20222,0322,8523,5023,50
20322,0322,8523,5023,50
20422,0422,8623,5023,50
20522,0522,8723,5023,50
20622,0622,8723,5023,50
20722,0622,8823,5023,50
20822,0722,8923,5023,50
20922,0822,8923,5023,50
21022,0922,9023,5023,50
21122,1022,9023,5023,50
21222,1022,9123,5023,50
21322,1122,9223,5023,50
21422,1222,9223,5023,50
21522,1322,9323,5023,50
21622,1322,9323,5023,50
21722,1422,9423,5023,50
21822,1522,9523,5023,50
21922,1622,9523,5023,50
22022,1722,9623,5023,50
22122,1722,9623,5023,50
22222,1822,9723,5023,50
22322,1922,9723,5023,50
22422,2022,9823,5023,50
22522,2022,9923,5023,50
22622,2122,9923,5023,50
22722,2223,0023,5023,50
22822,2323,0023,5023,50
22922,2323,0123,5023,50
23022,2423,0223,5023,50
23122,2523,0223,5023,50
23222,2523,0323,5023,50
23322,2623,0323,5023,50
23422,2723,0423,5023,50
23522,2823,0423,5023,50
23622,2823,0523,5023,50
23722,2923,0523,5023,50
23822,3023,0623,5023,50
23922,3123,0723,5023,50
24022,3123,0723,5023,50
24122,3223,0823,5023,50
24222,3323,0823,5023,50
24322,3323,0923,5023,50
24422,3423,0923,5023,50
24522,3523,1023,5023,50
24622,3623,1023,5023,50
24722,3623,1123,5023,50
24822,3723,1123,5023,50
24922,3823,1223,5023,50
25022,3823,1223,5023,50
25122,3923,1323,5023,50
25222,4023,1423,5023,50
25322,4023,1423,5023,50
25422,4123,1523,5023,50
25522,4223,1523,5023,50
25622,4323,1623,5023,50
25722,4323,1623,5023,50
25822,4423,1723,5023,50
25922,4523,1723,5023,50
26022,4523,1823,5023,50
26122,4623,1823,5023,50
26222,4723,1923,5023,50
26322,4723,1923,5023,50
26422,4823,2023,5023,50
26522,4923,2023,5023,50
26622,4923,2123,5023,50
26722,5023,2123,5023,50
26822,5123,2223,5023,50
26922,5123,2223,5023,50
27022,5223,2323,5023,50
27122,5323,2323,5023,50
27222,5323,2423,5023,50
27322,5423,2423,5023,50
27422,5523,2523,5023,50
27522,5523,2523,5023,50
27622,5623,2623,5023,50
27722,5723,2623,5023,50
27822,5723,2623,5023,50
27922,5823,2723,5023,50
28022,5823,2723,5023,50
28122,5923,2823,5023,50
28222,6023,2823,5023,50
28322,6023,2923,5023,50
28422,6123,2923,5023,50
28522,6223,3023,5023,50
28622,6223,3023,5023,50
28722,6323,3123,5023,50
28822,6323,3123,5023,50
28922,6423,3223,5023,50
29022,6523,3223,5023,50
29122,6523,3223,5023,50
29222,6623,3323,5023,50
29322,6723,3323,5023,50
29422,6723,3423,5023,50
29522,6823,3423,5023,50
29622,6823,3523,5023,50
29722,6923,3523,5023,50
29822,7023,3523,5023,50
29922,7023,3623,5023,50
30022,7123,3623,5023,50
30122,7123,3723,5023,50
30222,7223,3723,5023,50
30322,7323,3823,5023,50
30422,7323,3823,5023,50
30522,7423,3823,5023,50
30622,7423,3923,5023,50
30722,7523,3923,5023,50
30822,7623,4023,5023,50
30922,7623,4023,5023,50
31022,7723,4123,5023,50
31122,7723,4123,5023,50
31222,7823,4123,5023,50
31322,7823,4223,5023,50
31422,7923,4223,5023,50
31522,8023,4323,5023,50
31622,8023,4323,5023,50
31722,8123,4323,5023,50
31822,8123,4423,5023,50
31922,8223,4423,5023,50
32022,8223,4423,5023,50
32122,8323,4523,5023,50
32222,8323,4523,5023,50
32322,8423,4623,5023,50
32422,8523,4623,5023,50
32522,8523,4623,5023,50
32622,8623,4723,5023,50
32722,8623,4723,5023,50
32822,8723,4823,5023,50
32922,8723,4823,5023,50
33022,8823,4823,5023,50
33122,8823,4923,5023,50
33222,8923,4923,5023,50
33322,8923,4923,5023,50
33422,9023,5023,5023,50
33522,9023,5023,5023,50
33622,9123,5023,5023,50

 

 

 
Avisos legais e isenção de responsabilidades

 
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