From 749aa23e87bfefc360051340973cb6b6afdad55b Mon Sep 17 00:00:00 2001 From: Daniel Date: Wed, 22 Apr 2026 13:11:28 +0200 Subject: [PATCH] fix(bilirubin-ui): clarify neurotoxicity-risk-factor label + expandable AAP 2022 list MIME-Version: 1.0 Content-Type: text/plain; charset=UTF-8 Content-Transfer-Encoding: 8bit The dropdown was labeled just "Risk Factors" with option "None (lower risk)" — ambiguous because AAP 2022 uses "risk factors" in two distinct senses: (a) risk factors for developing hyperbilirubinemia (screening-only, do not change thresholds) and (b) neurotoxicity risk factors (do change thresholds). Only (b) belongs on the threshold nomogram, and a clinician glancing at the form could easily pick wrong. Changes: - Label: "Neurotoxicity risk factors" - Options: "Absent" / "Present (any one qualifies)" — removes the misleading "None (lower risk)" phrasing (no-risk curve actually has HIGHER thresholds) - Expandable details listing the 6 specific AAP 2022 neurotoxicity risk factors (isoimmune hemolysis, G6PD, other hemolysis, sepsis, albumin <3.0, clinical instability <24h) with explicit note that GA <38w is handled by the per-week curve, not by this checkbox — prevents double-counting. No data changes. Cite: Kemper et al., Pediatrics 2022;150(3):e2022058859, Box 2. --- public/components/calculators.html | 18 +++++++++++++++--- 1 file changed, 15 insertions(+), 3 deletions(-) diff --git a/public/components/calculators.html b/public/components/calculators.html index 5a5a64d..be0c320 100644 --- a/public/components/calculators.html +++ b/public/components/calculators.html @@ -431,11 +431,23 @@
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+ What counts as a neurotoxicity risk factor? +
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  • Isoimmune hemolytic disease (positive DAT — ABO or Rh incompatibility)
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  • G6PD deficiency
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  • Other hemolytic disease (congenital or acquired)
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  • Sepsis
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  • Albumin < 3.0 g/dL
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  • Significant clinical instability in the previous 24 hours
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+
Any one qualifies. Per AAP 2022 Box 2. Gestational age < 38w is also a neurotoxicity risk per the guideline but is already accounted for by the per-week threshold curves — do NOT double-count it here.
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