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November 30, 2025Asian Journal of Medical SciencesOpen Access

Neonatal hyperbilirubinemia in Eastern India: A comprehensive analysis of risk factors

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Authors

SCSayantani ChakrabortyR. G. Kar Medical College and HospitalOCOici ChakrabortyGovernment of Himachal Pradesh

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Overview

Observational study reveals sepsis and hemolytic disorders drive severe hyperbilirubinemia in jaundiced neonates, highlighting the need for rapid infection control and metabolic screening.

Key Points

  • Quantify the burden of neonatal jaundice and identify independent clinical and laboratory risk factors for severe hyperbilirubinemia in hospitalized infants.
  • Enrolled 100 neonates with clinically identified jaundice admitted to an SNCU/NICU over a 1-year period in an observational descriptive study.
  • Collected demographic and clinical data alongside laboratory workups, including total serum bilirubin, direct Coombs test, G6PD status, liver function tests, and sepsis evaluations.
  • Conducted univariate and multivariate logistic regression analyses to identify independent predictors of severe hyperbilirubinemia (total serum bilirubin ≥20 mg/dL).
  • Severe hyperbilirubinemia occurred in 40% of the cohort (mean gestational age 37.2±2.1 weeks, mean birth weight 2.85±0.52 kg).
  • Sepsis was significantly associated with severe hyperbilirubinemia on univariate analysis (OR=8.78; P=0.039) and remained the strongest predictor following multivariate adjustment (aOR=7.74; P=0.066).
  • G6PD deficiency, rhesus incompatibility, positive direct Coombs tests, and metabolic acidosis presented exclusively in infants with severe hyperbilirubinemia.

Cite This Study

Chakraborty et al. (2025) studied this question.

synapsesocial.com/papers/69402c532d562116f2902cd8https://doi.org/10.71152/ajms.v16i12.4825
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Neurological complications of neonatal hyperbilirubinemia in Eastern India2025
  2. 2Assessment of Neonatal Hyperbilirubenemia Outcome ,and its Relationship to Neonatal and Maternal Factors in Minia Governate.2024
  3. 3Clinico-etiological profile of neonates with jaundice in a tertiary care hospital of Northernmost India2024 · 3 citations
  4. 4A prospective study on the causes of hyperbilirubinemia and its clinical markers in term and near-term newborns admitted to a tertiary care hospital in Patna, India2024 · 1 citations
  5. 5Risk Factors for Non-Hemolytic Jaundice in Neonates: A Retrospective Cohort Study at Naresuan University Hospital2024