A comparative study between transcutaneous bilirubinometry and total serum bilirubin measurement in jaundiced newborns
Joint Authors
al-Saidi, Bahjat Abd al-Rida Thabit
al-Rabii, Waʻd Adan Luwis
Muhammad, Razan Ali
Source
al-Kindy College Medical Journal
Issue
Vol. 18, Issue 2 (31 Aug. 2022), pp.148-155, 8 p.
Publisher
University of Baghdad al-Kindi College of Medicine
Publication Date
2022-08-31
Country of Publication
Iraq
No. of Pages
8
Main Subjects
Pharmacy, Health & Medical Sciences
Abstract EN
Background: Drawing blood to measure total serum bilirubin is painful & time consuming.
Transcutaneous bilirubinometer working by multiwavelength spectral reflectance from the skin surface on forehead or upper sternum is a quick & painless technique.
Objectives: to compare the effectiveness of transcutaneous (over the upper sternum and forehead) and serum bilirubin measurement of neonate with jaundice.
Subjects and Methods: This is a cross sectional prospective study.
It enrolled 175 jaundiced neonates & excluded those exposed to phototherapy.
It was conducted at Child Central Teaching Hospital in Baghdad, Iraq from the 1st of August to the 30th of October 2018.
Transcutaneous bilirubin measurement on forehead and upper sternum was done by JM 103 Minolta Air shields bilirubinometer.
Total serum bilirubin was measured by APEL BR 501 BILIRUBIN METER.
Data entered & analyzed using SPSS 20 computer software.
Means, frequencies, cutoff values, sensitivity & specificity were calculated.
Results: The mean age, gestational age & birth weight were (6.3±4.3 days), (36.9±2.1 weeks) and (2.7±0.6 Kg) respectively.
Mean total serum bilirubin, transcutaneous chest & forehead bilirubin levels were 12.6±4.2 mg/dl, 11.8±3.8 mg/dl & 11.2±3.9 mg/dl respectively.
Mean total serum bilirubin was significantly higher than transcutaneous chest and forehead bilirubin.
Cutoff values of transcutaneous chest & forehead bilirubin levels were [(9 mg/dl) with sensitivity (95.4%) & specificity (86.4%)] and [(8.2 mg/dl) with sensitivity (94.7%) & specificity (86.4%)] respectively.
Conclusions: Transcutaneous bilirubin measurements on chest and forehead have an acceptable validity in predicting hyperbilirubinemia with less accuracy on forehead.
American Psychological Association (APA)
al-Saidi, Bahjat Abd al-Rida Thabit& al-Rabii, Waʻd Adan Luwis& Muhammad, Razan Ali. 2022. A comparative study between transcutaneous bilirubinometry and total serum bilirubin measurement in jaundiced newborns. al-Kindy College Medical Journal،Vol. 18, no. 2, pp.148-155.
https://search.emarefa.net/detail/BIM-1493290
Modern Language Association (MLA)
al-Saidi, Bahjat Abd al-Rida Thabit…[et al.]. A comparative study between transcutaneous bilirubinometry and total serum bilirubin measurement in jaundiced newborns. al-Kindy College Medical Journal Vol. 18, no. 2 (Aug. 2022), pp.148-155.
https://search.emarefa.net/detail/BIM-1493290
American Medical Association (AMA)
al-Saidi, Bahjat Abd al-Rida Thabit& al-Rabii, Waʻd Adan Luwis& Muhammad, Razan Ali. A comparative study between transcutaneous bilirubinometry and total serum bilirubin measurement in jaundiced newborns. al-Kindy College Medical Journal. 2022. Vol. 18, no. 2, pp.148-155.
https://search.emarefa.net/detail/BIM-1493290
Data Type
Journal Articles
Language
English
Record ID
BIM-1493290