Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
Kernicterus (bilirubin encephalopathy) is an important cause of lifelong neurodisability, with UK incidence of 0.9/100 000 live births.1 It causes painful dystonia, limits voluntary movements and affects speech and hearing, though often preserving cognition. The impact is reflected in the high cost of successful claims.2 Disturbingly, non-white ethnic groups are disproportionately affected in the UK.
Neonates from UK ethnic minority groups are at high risk of hyperbilirubinaemia. General risk factors include gestational age <38 weeks, intention to solely breast feed, jaundice with onset in the first 24 hours and/or progression of jaundice. In some groups, haemolytic diseases such as glucose 6 phosphate dehydrogenase (G6PD) deficiency have increased prevalence. In a UK/Ireland surveillance study of severe neonatal hyperbilirubinaemia, only 48% were identified as ‘white’.1
Twitter @DrCGale, @AnnaBasu1
Contributors DB wrote the first draft. CG, SJ and KO provided and analysed national data. KP made substantial contribution to the manuscript. APB made substantial contribution to the manuscript, and drafted and revised the final manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.