Accuracy of transcutaneous bilirubin measurement in preterm low-birth-weight neonates

The objective of this study was to evaluate the correlation and agreement between transcutaneous and serum bilirubin among preterm low-birth-weight neonates. Neonates born at

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Veröffentlicht in:European journal of pediatrics 2014-02, Vol.173 (2), p.173-179
Hauptverfasser: Chawla, Deepak, Jain, Suksham, Kaur, Gurjit, Sinhmar, Vikas, Guglani, Vishal
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container_issue 2
container_start_page 173
container_title European journal of pediatrics
container_volume 173
creator Chawla, Deepak
Jain, Suksham
Kaur, Gurjit
Sinhmar, Vikas
Guglani, Vishal
description The objective of this study was to evaluate the correlation and agreement between transcutaneous and serum bilirubin among preterm low-birth-weight neonates. Neonates born at
doi_str_mv 10.1007/s00431-013-2142-0
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Neonates born at &lt;35 weeks of gestation with birth weight &lt;2,000 g were enrolled prospectively. Transcutaneous bilirubin (TcB) was measured at forehead, sternum, and abdomen at 24 ± 6 and 72 ± 12 h after birth and when icterus involved arms or legs (Kramer zone 4–5). Serum total bilirubin (STB) was measured by microbilimeter (STB-M) at all these time-points and by high-performance liquid chromatography (STB-H) at one randomly chosen time-point. A total of 1,619 observations were made in 256 neonates (median gestation, 34 weeks (IQR, 32–35), birth weight 1,522 ± 288 g). Overall there was excellent correlation and agreement between TcB and STB-M with TcB on forehead being most accurate ( r  = 0.84, mean difference, 0.3 ± 1.9 mg/dL) followed by TcB on abdomen ( r  = 0.73, mean difference, 1.5 ± 2.6 mg/dL) and sternum ( r  = 0.72, mean difference, 1.5 ± 2.6 mg/dL). TcB performed well at all three points of measurement with best correlations being observed at icterus level 4/5. Correlation between TcB and STB-H measured by high-performance liquid chromatography was less strong but significant ( r  = 0.59 to 0.69 at different time points of measurement). Conclusions : TcB has good correlation and agreement with STB in preterm low-birth-weight neonates born at ≥28 weeks of gestation.</description><identifier>ISSN: 0340-6199</identifier><identifier>EISSN: 1432-1076</identifier><identifier>DOI: 10.1007/s00431-013-2142-0</identifier><identifier>PMID: 23955487</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Abdomen ; Accuracy ; Agreements ; Bilirubin - blood ; Birth weight ; Blood vessels ; Chromatography ; Chromatography, High Pressure Liquid ; Enrollments ; Equipment Design ; Female ; Humans ; Hyperbilirubinemia, Neonatal - blood ; Hyperbilirubinemia, Neonatal - diagnosis ; India ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Premature, Diseases - blood ; Infant, Premature, Diseases - diagnosis ; Infant, Very Low Birth Weight ; Light therapy ; Male ; Medicine ; Medicine &amp; Public Health ; Neonatal Screening - instrumentation ; Original Article ; Pediatrics ; Predictive Value of Tests ; Spectrophotometry - instrumentation ; Statistics as Topic ; Tertiary Care Centers</subject><ispartof>European journal of pediatrics, 2014-02, Vol.173 (2), p.173-179</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><rights>Springer-Verlag Berlin Heidelberg 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-6671482ef49e54731a5b2ce39718c20af2fc0e58f729a651676d35720241e3cc3</citedby><cites>FETCH-LOGICAL-c372t-6671482ef49e54731a5b2ce39718c20af2fc0e58f729a651676d35720241e3cc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00431-013-2142-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00431-013-2142-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27907,27908,41471,42540,51302</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23955487$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chawla, Deepak</creatorcontrib><creatorcontrib>Jain, Suksham</creatorcontrib><creatorcontrib>Kaur, Gurjit</creatorcontrib><creatorcontrib>Sinhmar, Vikas</creatorcontrib><creatorcontrib>Guglani, Vishal</creatorcontrib><title>Accuracy of transcutaneous bilirubin measurement in preterm low-birth-weight neonates</title><title>European journal of pediatrics</title><addtitle>Eur J Pediatr</addtitle><addtitle>Eur J Pediatr</addtitle><description>The objective of this study was to evaluate the correlation and agreement between transcutaneous and serum bilirubin among preterm low-birth-weight neonates. Neonates born at &lt;35 weeks of gestation with birth weight &lt;2,000 g were enrolled prospectively. Transcutaneous bilirubin (TcB) was measured at forehead, sternum, and abdomen at 24 ± 6 and 72 ± 12 h after birth and when icterus involved arms or legs (Kramer zone 4–5). Serum total bilirubin (STB) was measured by microbilimeter (STB-M) at all these time-points and by high-performance liquid chromatography (STB-H) at one randomly chosen time-point. A total of 1,619 observations were made in 256 neonates (median gestation, 34 weeks (IQR, 32–35), birth weight 1,522 ± 288 g). Overall there was excellent correlation and agreement between TcB and STB-M with TcB on forehead being most accurate ( r  = 0.84, mean difference, 0.3 ± 1.9 mg/dL) followed by TcB on abdomen ( r  = 0.73, mean difference, 1.5 ± 2.6 mg/dL) and sternum ( r  = 0.72, mean difference, 1.5 ± 2.6 mg/dL). TcB performed well at all three points of measurement with best correlations being observed at icterus level 4/5. Correlation between TcB and STB-H measured by high-performance liquid chromatography was less strong but significant ( r  = 0.59 to 0.69 at different time points of measurement). Conclusions : TcB has good correlation and agreement with STB in preterm low-birth-weight neonates born at ≥28 weeks of gestation.</description><subject>Abdomen</subject><subject>Accuracy</subject><subject>Agreements</subject><subject>Bilirubin - blood</subject><subject>Birth weight</subject><subject>Blood vessels</subject><subject>Chromatography</subject><subject>Chromatography, High Pressure Liquid</subject><subject>Enrollments</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Humans</subject><subject>Hyperbilirubinemia, Neonatal - blood</subject><subject>Hyperbilirubinemia, Neonatal - diagnosis</subject><subject>India</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Infant, Premature, Diseases - blood</subject><subject>Infant, Premature, Diseases - diagnosis</subject><subject>Infant, Very Low Birth Weight</subject><subject>Light therapy</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Neonatal Screening - instrumentation</subject><subject>Original Article</subject><subject>Pediatrics</subject><subject>Predictive Value of Tests</subject><subject>Spectrophotometry - instrumentation</subject><subject>Statistics as Topic</subject><subject>Tertiary Care Centers</subject><issn>0340-6199</issn><issn>1432-1076</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kE1r3DAQhkVoSDYfP6CXYuilFzUzkmxZxxDSJBDoJTkLWRlvHPyxlWSW_ffR4k0JhZ7EoOd9R3oY-4rwEwH0VQRQEjmg5AKV4HDEVqik4Ai6-sJWIBXwCo05ZWcxvkHOGKxP2KmQpixVrVfs-dr7OTi_K6a2SMGN0c_JjTTNsWi6vgtz043FQC7OgQYaU5HHTaBEYSj6acubLqRXvqVu_ZqKnBtdonjBjlvXR7o8nOfs-dft0809f_x993Bz_ci91CLxqtKoakGtMlQqLdGVjfAkjcbaC3CtaD1QWbdaGFeVWOnqRZZagFBI0nt5zn4svZsw_ZkpJjt00VPfLz-wqIzQAEZXGf3-D_o2zWHMr9tTKHK5gkzhQvkwxRiotZvQDS7sLILdO7eLc5ud271zu898OzTPzUAvfxMfkjMgFiDmq3FN4dPq_7a-A0gpi2I</recordid><startdate>20140201</startdate><enddate>20140201</enddate><creator>Chawla, Deepak</creator><creator>Jain, Suksham</creator><creator>Kaur, Gurjit</creator><creator>Sinhmar, Vikas</creator><creator>Guglani, Vishal</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20140201</creationdate><title>Accuracy of transcutaneous bilirubin measurement in preterm low-birth-weight neonates</title><author>Chawla, Deepak ; 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Neonates born at &lt;35 weeks of gestation with birth weight &lt;2,000 g were enrolled prospectively. Transcutaneous bilirubin (TcB) was measured at forehead, sternum, and abdomen at 24 ± 6 and 72 ± 12 h after birth and when icterus involved arms or legs (Kramer zone 4–5). Serum total bilirubin (STB) was measured by microbilimeter (STB-M) at all these time-points and by high-performance liquid chromatography (STB-H) at one randomly chosen time-point. A total of 1,619 observations were made in 256 neonates (median gestation, 34 weeks (IQR, 32–35), birth weight 1,522 ± 288 g). Overall there was excellent correlation and agreement between TcB and STB-M with TcB on forehead being most accurate ( r  = 0.84, mean difference, 0.3 ± 1.9 mg/dL) followed by TcB on abdomen ( r  = 0.73, mean difference, 1.5 ± 2.6 mg/dL) and sternum ( r  = 0.72, mean difference, 1.5 ± 2.6 mg/dL). TcB performed well at all three points of measurement with best correlations being observed at icterus level 4/5. Correlation between TcB and STB-H measured by high-performance liquid chromatography was less strong but significant ( r  = 0.59 to 0.69 at different time points of measurement). Conclusions : TcB has good correlation and agreement with STB in preterm low-birth-weight neonates born at ≥28 weeks of gestation.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>23955487</pmid><doi>10.1007/s00431-013-2142-0</doi><tpages>7</tpages></addata></record>
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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Abdomen
Accuracy
Agreements
Bilirubin - blood
Birth weight
Blood vessels
Chromatography
Chromatography, High Pressure Liquid
Enrollments
Equipment Design
Female
Humans
Hyperbilirubinemia, Neonatal - blood
Hyperbilirubinemia, Neonatal - diagnosis
India
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature, Diseases - blood
Infant, Premature, Diseases - diagnosis
Infant, Very Low Birth Weight
Light therapy
Male
Medicine
Medicine & Public Health
Neonatal Screening - instrumentation
Original Article
Pediatrics
Predictive Value of Tests
Spectrophotometry - instrumentation
Statistics as Topic
Tertiary Care Centers
title Accuracy of transcutaneous bilirubin measurement in preterm low-birth-weight neonates
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