Transcutaneous Bilirubinometry Decreases the Need for Serum Bilirubin Measurements and Saves Money

Mj, Maisels; Kring, Elizabeth

doi:10.1542/peds.99.4.599

Cited by 97 publications

(64 citation statements)

References 2 publications

(4 reference statements)

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“…Transcutaneous bilirubin estimation decreases the need for TSB measurement in the management of NHB. 6 Although TcB correlates well with TSB, bilirubin in the skin exposed to PHT is modified and significantly affects TcB. Thus, TcB cannot be used as a surrogate measure of TSB when the infant is receiving PHT.…”

Section: Introductionmentioning

confidence: 99%

Covered skin transcutaneous bilirubin estimation is comparable with serum bilirubin during and after phototherapy

et al. 2011

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Objective: To determine whether transcutaneous bilirubin (TcB) from covered skin (TcB-C) during and after discontinuing phototherapy (PHT) is reliable in treating neonatal jaundice.Study Design: In this prospective observational study, before starting PHT, part of the forehead was covered. TcB-C and TcB from exposed skin (TcB-E) to PHT were measured before starting PHT, on a 12-hourly basis while receiving PHT and 6 h after stopping PHT. We used ANOVA (analysis of variance) and Bonferroni's t-tests.Result: A total of 39 infants were enrolled (mean gestation 39 weeks, 51% males and 80% Hispanic).

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Section: Introductionmentioning

confidence: 99%

Covered skin transcutaneous bilirubin estimation is comparable with serum bilirubin during and after phototherapy

et al. 2011

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“…These instruments have been shown to give results that correlate well with serum bilirubin values, but exhibit large scattering [1]. Consequently, with the application of non-invasive bilirubinometers, the number of serum measurements could be reduced and painful heel pricks avoided but not completely abolished [5,15]. Warnings have been published for the use of bilirubinometers in newborns with dark and yellow skin and in bright sunlight [23].…”

Section: Introductionmentioning

confidence: 99%

Detection of hyperbilirubinaemia in jaundiced full-term neonates by eye or by bilirubinometer?

et al. 2004

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The aim of this study was to compare predictions of hyperbilirubinaemia by eye, performed by trained physicians and nurses, with predictions obtained using two commercial bilirubinometers. Jaundice was assessed in 92 white and 48 non-white healthy full-term neonates using three non-invasive methods and by total serum bilirubin as the reference method. Clinical assessment of cephalocaudal progression of jaundice was carried out independently by a physician and by nurses. Simultaneously, the Minolta Airshields JM-102 was applied on the sternum, the BiliCheck on both the forehead and the sternum, and finally, serum bilirubin concentrations were determined. The Minolta JM-102 showed the best performance with r 2 =0.90, an intraclass correlation coefficient (ICC) of 0.93, and a 95% confidence interval (CI) of ±4 units (approx. 56 lmol/l). The BiliCheck performed slightly better on the forehead than over the sternum with r 2 =0.90, an ICC of 0.88, and a CI of ±62 lmol/l. Assessment of jaundice by eye was least accurate with r 2 =0.74, an ICC of 0.67, and a CI of ±1.5 zones (corresponding to ±75 lmol/l). Skin pigmentation and ambient light both adversely affected noninvasive bilirubin estimation. Conclusion: All three non-invasive methods are well suited for estimation of serum bilirubin but show large confidence intervals. In healthy term newborns, hyperbilirubinaemia (>250 lmol/l) can be safely ruled out by eye if jaundice does not reach the abdomen or the extremities (Kramer zones 1 and 2), with <22 units (<230 lmol/l) for the Minolta JM-102, or with a cut-off of 190 lmol/l for the BiliCheck. If these respective thresholds are exceeded, serum bilirubin concentrations should be measured.

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“…Use of TCB has been shown to result in a significant decrease in the need for serum bilirubin determinations. 2 The variability of TCB is related primarily to other pigments in the skin, especially melanin and hemoglobin. 3 To decrease this variability, two new machines have been developed using reflectance data at multiple wavelengths.…”

Section: Introductionmentioning

confidence: 99%

Improved Transcutaneous Bilirubinometry: Comparison of SpectR X BiliCheck and Minolta Jaundice Meter JM-102 for Estimating Total Serum Bilirubin in a Normal Newborn Population

2002

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Transcutaneous Bilirubinometry Decreases the Need for Serum Bilirubin Measurements and Saves Money

Cited by 97 publications

References 2 publications

Covered skin transcutaneous bilirubin estimation is comparable with serum bilirubin during and after phototherapy

Covered skin transcutaneous bilirubin estimation is comparable with serum bilirubin during and after phototherapy

Detection of hyperbilirubinaemia in jaundiced full-term neonates by eye or by bilirubinometer?

Improved Transcutaneous Bilirubinometry: Comparison of SpectR X BiliCheck and Minolta Jaundice Meter JM-102 for Estimating Total Serum Bilirubin in a Normal Newborn Population

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