Effectiveness of non-invasive hand held transcutaneous bilirubinometer for the diagnosis of neonates with hyperbilirubinemia
Journal Title: Medpulse International Journal of Pediatrics - Year 2019, Vol 10, Issue 1
Abstract
Background: Clinical evaluation of neonatal jaundice based on visual assessment on the depth of jaundice is subjective and inaccurate which can be confounded by skin colour and haemoglobin. Various methods have been developed to aid non-invasive diagnosis of hyperbiliruneamia and total serum bilirubin. Transcutaneous bilirubinometer is hand held, non- invasive method.Aim: To assess the effectiveness of non-invasive hand held transcutaneous bilirubinometer for the diagnosis of neonates with hyperbilirubinemia.Material and Methods: Two hundred randomly selected eligible full term normal neonates delivered in hospital were included in the study. Bilirubin was estimated within 24 hours by laboratory investigation, again blood sample was collected in sterile container on day 3, day 5 and day 7 and serum bilirubin of particular day was also recorded by transcutaneous bilirubinometer for the comparison with its lab value.Results: Transcutaneous bilirubin over forehead as well as over sternum showed a good correlation with total cord bilirubin; the highest correlation coefficient was significant in both cases (P<0.05).Conclusion: TCB method can be used for diagnosis of hyperbilirubinemia with very high sensitivity rate. TCB over sternum give slightly better yield then TCB over forehead as far as the sensitivity and specificity is concerned.
Authors and Affiliations
Prakhar Mohniya, Prashant Shah, CD Aundhakar, Amit Galgali
Keywords
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- EP ID EP615762
- DOI 10.26611/10141017
- Views 153
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