Accelerating diagnosis, improving NICU outcomes

~60% of infants admitted to level IV NICUs admissions are likely eligible for rapid genome sequencing,1 yet less than 5% of eligible patients receive rapid testing.2 For these critically ill infants, every moment matters. Rapid genome sequencing can provide an early and precise diagnosis–enabling timely interventions, reducing hospital stays, and improving outcomes.3,4

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Rapid and ultraRapid genome sequencing delivering precise results in as few as 3 days.*

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Current NICU testing protocols overlook patients

Due to variable and complex presentations, genetic conditions in critically ill infants are often hard to recognize based on symptoms alone. Current testing workflows are too narrow, leaving many patients undiagnosed. A recent study in The American Journal of Human Genetics found that among the infants who received a genetic diagnosis via rapid genome with a broad testing protocol:1

42%

42% would have been missed with conventional workflows

24%

24% were not suspected to have a genetic condition and would not have been offered genetic testing with conventional workflows

Implementing rapid genome sequencing as a first-line test in NICU workflows is proven to:

Change medical management for up to 87% of babies1

Reduce healthcare costs up to $15,786 per child5

Genome sequencing is recommended as a first-line test

  • The International Precision Child Health Partnership (IPCHiP) recommends genome or exome as a first-line test for NICU patients with unexplained hypotonia.6
  • The American College of Medical Genetics and Genomics (ACMG) recommends genome or exome as a first-line test for developmental delay, intellectual disability, and congenital anomalies.7
  • The National Society of Genetic Counselors (NSGC) recommends genome or exome as a first-line test for all individuals with unexplained epilepsy and this guideline is endorsed by the American Epilepsy Society (AES).8

GenomeXpress®
provides results within 5 days.*

Trio, duo, or proband test options.

ultraRapid Genome Sequencing
provides results within 3 days.*

Proband test option only.

Genetics is a constantly evolving field, with new disease-gene relationships discovered regularly. Genome sequencing results can be reanalyzed to leverage these scientific advancements and improve diagnostic outcomes. GeneDx provides one reanalysis at no additional charge per genome order, recommended at least one year after the original analysis to maximize gene discovery. Reanalysis is also beneficial when there are significant updates to the patient’s phenotype, such as new imaging or biochemical results.

Case studies: Rapid genome sequencing in NICU cases

With comprehensive care from start to finish, GeneDx offers more than a test result.
Experience the GeneDx difference and help your patients find answers.

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*Turnaround times are estimates and begin once the sample(s) begin processing at the GeneDx lab and could be extended in situations outside GeneDx’s control.

†Case study is based on GeneDx patient testing, with all identifying information removed.

References: 1. Wenger T, Scott A, Kruidenier L, et al. Am J Hum Genet. 2025; 112, 1–15. 2. Kingsmore, Stephen F et al. NPJ genomic medicine vol. 9,1 17. 27 Feb. 2024. 3. Farnaes L, Hildreth A, Sweeney NM, et al. NPJ Genom Med. 2018 Apr 4;3:10. 4. NICUSeq Study Group et al. JAMA Pediatr. 2021;175(12):1218-1226. 5. Dimmock D, Caylor S, Waldman B, et al. Am J Hum Genet. 2021 Jul 1;108(7):1231-1238. 6. Morton SU, Christodoulou J, Costain G, et al. JAMA Neurol. 2022 Apr 1;79(4):405-412. 7. Manickam K, McClain MR, Demmer LA, et al. Genet Med. 2021;23(11):2029-2037. 8. Smith L, Malinowski J, Ceulemans S, et al. J Genet Couns. 2022 Oct 24.