A Comparison between Transcutaneous Bilirubin (TcB) and Total Serum Bilirubin (TSB) Measurements in Term Neonates
Publish place: International Journal of Pediatrics، Vol: 3، Issue: 3
Publish Year: 1394
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_INJPM-3-3_009
تاریخ نمایه سازی: 20 مهر 1398
Abstract:
Background: Transcutaneous bilirubinometry (TCB) is a simple method for estimating bilirubin levels in neonates. This method is noninvasive, quick, and painless. We aimed to compare serum and cutaneous bilirubin measurements in term neonates.Method: In this descriptive cross-sectional study, 200 neonates with icter with birth weights of at least 2500 grams were studied. TCB was measured using a bilirubinometer three times on the forehead and mean levels were calculated. Then, during the subsequent 30 minutes blood samples were obtained and sent to the laboratory for determining the total serum bilirubin (TSB) levels. Findings: Of the 200 neonates, 124 (62%) were boys and 76 (38%) were girls, with an age range of 1-22 days. The mean±SD serum and cutaneous bilirubin levels were 18.75±5.38 and 17.85±4.46 mg/dl, respectively. A high correlation (r=0.89) was observed between TSB and TCB. The sensitivity and specificity of cutaneous bilirubin measurement were 95.1% and 68%, respectively.Conclusions: Because of its high sensitivity, TCB can be a suitable tool for predicting neonatal icter. However, it is not a suitable substitute for TSB measurement in neonates at a high risk of jaundice.
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Authors
Majid Mansouri
Pediatric Department of Kurdistan University of Medical Sciences, Sanandaj, Iran.
Amir Mahmoodnejad
Ghods Hospital, Paveh, Iran.
Razieh Taghizadeh Sarvestani
Faculty of Medicine, Kurdistan University of Medical Science, Sanandaj, Iran.
Fardin Gharibi
Health Management Deputy of Research, Kurdistan University of Medical Sciences, Sanandaj, Iran
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