Implementation and validating transcutaneous bilirubinometry for neonates

Transcutaneous Bilirubin Assessment for Screening of Hyperbilirubinemia in Term and Near-Term Neonates with Jaundice, a Comparative Study

“…20 In spite of this, El-Kabbany et al described a better correlation index between TcB and TSB in newborns older than 63 days. 1 In the present study, positive correlation was observed between TSB and TcB levels and a significant difference of means between TSB and TcB was measured by KJ-8000 (r = 0.519, P < 0.0001). This result indicates that the difference between TSB and TcB estimated by KJ-8000 assay increases with elevation of TSB.…”

“…In addition, some other factors may impart in this area such as the location of TcB record. The highest correlation between TcB and TSB was noted for forehead and sternum areas, 1,5 however, the sternum results were more accurate compared to forehead results. 1 Nevertheless, the values of TcB derived from forehead or sternum did not significantly differ in another study.…”

“…The highest correlation between TcB and TSB was noted for forehead and sternum areas, 1,5 however, the sternum results were more accurate compared to forehead results. 1 Nevertheless, the values of TcB derived from forehead or sternum did not significantly differ in another study. 6 In the study of Badiee et al in Isfahan province of Iran, total serum and cutaneous (forehead and sternum) bilirubin were measured in 72 infants.…”

“…There have been some reports on the correlation of TSB and TcB determined by multiple instruments such as Dräger Jaundice Meter (JM) models, and Bilichek meter. 1,10 These aside, the majority of studies on the correlation of TSB and TcB are retrospective leading to inconclusive results. [11][12][13] In the present study, we aimed to determine both the accuracy and reliability of KJ-8000 transcutaneous bilirubin meter (KEJIAN medical apparatus) in cutaneous bilirubin measurement in neonates, and to compare its measures with those of TSB.…”

“…In the first week of life, about 60% of term and 80% of preterm infants develop jaundice. 1 Although bilirubin may promote a physiologic antioxidant role, elevated levels of indirect (non-conjugated) bilirubin can be potentially neurotoxic. Although direct (conjugated) bilirubin represent the minimum threat for the neurological system, direct hyperbilirubinemia may proclaim either a serious hepatic condition or a systemic disease and lead to permanent brain damage.…”