Secondary outcomes
| Secondary outcomes | ||
| Assessed in | Outcome | Recorded by |
| All neonates | Number of times TcB quantified | Maternity care professional |
| Individual TcB readings | Maternity care professional | |
| Highest TSB level | Maternity care professional and/or EMR in hospital | |
| Number of neonates having TSB quantified | Maternity care professional | |
| Number of times blood taken for TSB quantification | Maternity care professional and/or EMR in hospital | |
| Individual TSB levels | Maternity care professional and/or EMR in hospital | |
| Number of times blood taken for TSB quantification before start of phototherapy | Maternity care professional and/or EMR in hospital | |
| Number of neonates receiving phototherapy | Maternity care professional and/or EMR in hospital | |
| Duration (hours) of phototherapy | Maternity care professional and/or EMR in hospital | |
| Number of neonates having TSB level above exchange transfusion threshold9 | Maternity care professional and/or EMR in hospital | |
| Number of neonates who actually received an exchange transfusion | EMR in hospital | |
| Number of neonates having kernicterus* | EMR in hospital and/or EMR at general practitioner | |
| Duration of stay in the PCBC | Maternity care professional | |
| Duration of hospital stay following initial PCBC admission (if relevant) | EMR in hospital | |
| Number of transfers between PCBCs/hospitals | Maternity care professional and parental questionnaire | |
| Number of times affiliated paediatrician consulted | Maternity care professional | |
| Experience of parents regarding hyperbilirubinaemia assessment and treatment | Parental questionnaire | |
| Experience of attending maternity care personnel regarding the daily practice of hyperbilirubinaemia assessment and treatment during control and intervention periods, including facilitators and barriers for implementation | Maternity care assistant questionnaire | |
| Within the group included in the intervention period with phototherapy in the PCBC | The number of neonates in whom phototherapy was initiated in the hospital, including reasons for this hospital admission | EMR in hospital |
| The number of neonates requiring subsequent hospital admission for hyperbilirubinaemia treatment (ie, after initiation of phototherapy in the PCBC), including reasons for this ’treatment failure' | EMR in hospital | |
*The diagnosis of kernicterus will be made by combining clinical signs and symptoms and additional investigations (eg, cerebral ultrasound, MRI) up to 1 year after birth in every neonate who had a TSB level above the exchange transfusion threshold level.
EMR, electronic medical record; PCBC, primary care birth centres; TcB, transcutaneous bilirubinometry; TSB, total serum bilirubin.