Correlation of serum bilirubin level by transcutaneous blood and conventional blood sample
Journal Title: Medpulse International Journal of Pediatrics - Year 2019, Vol 10, Issue 1
Abstract
Background:Neonatal hyperbilirubinemia is a known, treatable risk factor for bilirubin encephalopathy, and is detectable by several methods. Universal pre-discharge newborn screening for hyperbilirubinemia has been proposed as a method to screen for risk of developing chronic bilirubin encephalopathy.Aim: To correlate serum bilirubin level by transcutaneous blood and conventional blood sample.Material and Methods:Results: Cord blood Bilirubin level of ≥1.78 mg/dl was taken as cut off value based on the receiver operating characteristic (ROC) curve where it gives best sensitivity and specificity simultaneously.On 3rd day, 5th day and 7th day bilirubin value by both TCB methods are positively correlated with conventional serum Bilirubin value. However, on day 3 and day 7 TCB forehead value had stronger correlation with serum blood than TCB sternum value while on day 5 TCB sternum value had stronger correlation with serum blood than TCB forehead.Conclusion:Trancutaneous bilirubinometer was effective in the estimation of serum bilirubin in term neonates. However, due to insufficient evidence to show the effectiveness of transcutaneous bilirubinomter in preterm neonates, serum bilirubin levels should beconfirmed with chemistry analyzer.
Authors and Affiliations
Prakhar Mohniya, Prashant Shah, CD Aundhakar, Amit Galgali
Keywords
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- EP ID EP615765
- DOI 10.26611/10141019
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