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Seven Singapore primary care clinics enrolled 5391 healthy newborns with jaundice at hospital discharge. Over 90 days post-discharge, results quantified visit rates and showed higher follow-up rates among Chinese and male infants, with fewer follow-ups as birth weight increased and in normal-risk groups. A risk-based model could have safely avoided many follow-up visits without exceeding phototherapy thresholds.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/factors-influencing-jaundice-follow-up-rates-in-a-multi-ethnic-asian-population-a-cross-sectional-study/449779/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/factors-influencing-jaundice-follow-up-rates-in-a-multi-ethnic-asian-population-a-cross-sectional-study/449779.png","ImageObject",300,407,{"name":92,"@type":93},"hdkawk","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-03","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"该研究评估了哪些与新生儿黄疸随访有关的因素？","Question",{"text":112,"@type":113},"研究评估了影响初级保健中新生儿黄疸监测与随访的相关因素，并特别关注“正常风险”新生儿，以便通过风险分层优化随访照护。","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"研究对象与随访结局指标是什么？",{"text":117,"@type":113},"研究纳入在出院时就有黄疸的健康新生儿，共5391名，并统计出院后90天内的黄疸复诊（就诊）率作为主要结局指标。",{"name":119,"@type":110,"acceptedAnswer":120},"研究发现哪些因素与随访次数更高或更低有关？",{"text":121,"@type":113},"与高风险新生儿相比，正常风险新生儿复诊次数更少；同时，出生体重较高与随访次数较少相关。族裔和性别方面，中文/马来族别差异及男婴随访率更高，而风险分层与出生体重增加则与随访率降低相关。","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},449779,1790790813,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":44,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},3985747859855,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Open access Original research  \nTo cite: Koh SWC, Teng ASW, Ho ERQ, et al. Factors influencing jaundice follow-up rates in a multi-ethnic Asian population: a cross-sectional study. BMJ Paediatrics Open 2026;10:e003745 . doi:10 . 1136/ bmjpo-2025-003745  \n► Additional supplemental material is published online only. To view, please visit the journal online ([https://doi.org/](https://doi.org/)[ ](https://doi.org/)[10.1136/bmjpo-2025-003745](10.1136/bmjpo-2025-003745)) .  \nReceived 10 June 2025 Accepted 17 December 2025  \n© Author(s) (or their employer(s)) 2026. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group.  \n1National University Polyclinics, Singapore  \n2Yong Loo Lin School of Medicine, National University of Singapore, Singapore 3Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts, USA  \nCorrespondence to  \nDr Sky Wei Chee Koh; sky_wc_[koh@nuhs.edu.sg](koh@nuhs.edu.sg)  \nFactors influencing jaundice follow-up rates in a multi-ethnic Asian population: a cross-sectional study  \nSky Wei Chee Koh  ,1,2 Amanda See Wei Teng,1 Eldina Rui Qin Ho,2 Jun Cong Goh,1 Si Hui Low,1 Howard Bauchner  2,3  \nABSTRACT  \nObjective To evaluate the factors affecting neonatal jaundice monitoring in primary care, specifically in normalrisk newborns, with the aim of optimising jaundice followup care through a risk-stratified approach.  \nDesign Cross-sectional study.  \nSetting Seven primary care clinics in Singapore. Patients 5391 healthy newborns with jaundice at hospital discharge.  \nMain outcome measures Jaundice visit rates within 90 days postdischarge.  \nResults 5391 newborns attended 26 494 jaundice visits between 2022–2023, with 4593 (85 .2%) determined tobe normal-risk for severe hyperbilirubinaemia. compared with high-risk newborns, normal-risk newborns had significantly fewer visits (five visits, IQR 2–7 vs five visits, IQR 4–7), higher birth weight (3 . 13 kg, SD 0.47 vs 2.94 kg, SD 0 .43), fewer newborns reaching phototherapy thresholds (8 .4% vs 27 .9%), and lower jaundice discharge rate (71 .4% vs 75 .6%) . Chinese (compared with Malay)(incidence rate ratio (IRR) 1. 15, 95% CI 1.11 to 1 . 19) and male (IRR 1 . 10, 95% CI 1.07 to 1 . 13) newborns had higher follow-up rates, while higher birth weight (IRR 0.752, 95% CI 0.728 to 0 .778) and normal-risk (compared with high risk) (IRR 0 .93, 95% CI 0.90 to 0 .97) were associated with lower follow-up rates. Among normal-risk newborns >7 days old, none exceeded phototherapy thresholds; a risk-based approach could have safely avoided 3652 out of 22 053 follow-up visits (16 .6%) in this group. Conclusion Our study provides insights into factors influencing jaundice follow-up visit rates. A risk-stratified approach to jaundice monitoring may optimise follow-up care. Further study is needed to implement and evaluate its effectiveness.  \nINTRODUCTION  \nNeonatal jaundice (NNJ) is a common and benign condition affecting 60% of full-term newborns worldwide.1 In most cases, jaundice resolves spontaneously without any major complications, with only approximately 10% of newborns requiring phototherapy in tertiary hospitals.2 Most of these newborns are typically seen by primary care providers for NNJ. As such, primary care providers assume a vital role in the management and monitoring of NNJ, identifying newborns with significant  \nWHAT IS ALREADY KNOWN ON THIS TOPIC  \n\n| ⇒ Neonatal jaundice (NNJ) management is influenced by various factors, including risk-stratification, bilirubin levels and demographic characteristics, but the specific factors affecting follow-up visits in primary care, particularly in normal-risk newborns, are not well understood. In local primary care, follow-up is typically bilirubin-based rather than risk-stratified, which may increase visit burden for families and services.\u003Cbr>WHAT THIS STUDY ADDS |\n| --- |\n| ⇒ 85.2% of newborns were normal-risk; among all 5391 newborns, 10.0% reached photother","cbCaij74BNaZe55u","https://ap.wps.com/l/cbCaij74BNaZe55u","pdf",2149157,"English","# Abstract\n# Introduction\n# What is already known on this topic\n# What this study adds\n# How this study may affect research, practice, or policy","[{\"question\":\"该研究评估了哪些与新生儿黄疸随访有关的因素？\",\"answer\":\"研究评估了影响初级保健中新生儿黄疸监测与随访的相关因素，并特别关注“正常风险”新生儿，以便通过风险分层优化随访照护。\"},{\"question\":\"研究对象与随访结局指标是什么？\",\"answer\":\"研究纳入在出院时就有黄疸的健康新生儿，共5391名，并统计出院后90天内的黄疸复诊（就诊）率作为主要结局指标。\"},{\"question\":\"研究发现哪些因素与随访次数更高或更低有关？\",\"answer\":\"与高风险新生儿相比，正常风险新生儿复诊次数更少；同时，出生体重较高与随访次数较少相关。族裔和性别方面，中文/马来族别差异及男婴随访率更高，而风险分层与出生体重增加则与随访率降低相关。\"}]","Factors influencing jaundice follow-up rates in a multi-ethnic Asian population - a cross-sectional study | PDF",1790731074,23]