Abstract
Introduction: Hyperbilirubinemia is a common condition in neonates. In this study, we aimed to investigate the association of total serum bilirubin (TSB) with sternum transcutaneous bilirubin (TcB) level obtained by KJ-8000 Transcutaneous bilirubin meter (KEJIAN medical apparatus). Methods: Eighty newborns were enrolled in the present prospective cross-sectional study. At first, blood sampling was performed for determination of TSB, and immediately after that, TcB levels were recorded at the sternum skin by KJ-8000 device. Data was analyzed by statistical software SPSS version 21.0. Results: The mean gestational age of the infants was 38.2±1.5 weeks. The mean level of TSB was 13.52±4 mg/dL, while the mean value of TcB was 13.71±3.53 mg/dL. Pearson correlation analysis showed a correlation coefficient of r=0.770 between sternum TcB recorded by KJ-8000 device and TSB. Conclusion: Given a strong correlation between TcB and TSB levels, it is advised the transcutaneous bilirubinometery be considered as the screening method in infant jaundice.
Highlights
Hyperbilirubinemia is a common condition in neonates
We aimed to investigate the association of total serum bilirubin (TSB) with sternum transcutaneous bilirubin (TcB) level obtained by KJ-8000 Transcutaneous bilirubin meter (KEJIAN medical apparatus)
Blood sampling was performed for determination of TSB, and immediately after that, TcB levels were recorded at the sternum skin by KJ-8000 device
Summary
Hyperbilirubinemia is a common condition in neonates. In this study, we aimed to investigate the association of total serum bilirubin (TSB) with sternum transcutaneous bilirubin (TcB) level obtained by KJ-8000 Transcutaneous bilirubin meter (KEJIAN medical apparatus). Blood sampling was performed for determination of TSB, and immediately after that, TcB levels were recorded at the sternum skin by KJ-8000 device. Conclusion: Given a strong correlation between TcB and TSB levels, it is advised the transcutaneous bilirubinometery be considered as the screening method in infant jaundice. Screening for hyperbilirubinemia, either by measuring total serum bilirubin (TSB) or transcutaneous bilirubin (TcB) is a perquisite in jaundiced newborns.[2] Regardless of hyperbilirubinemia etiology, early diagnosis and treatment of this phenomenon is vital in preventing kernicterus and cerebral damage caused by bilirubin deposition. Evaluation of neonatal jaundice by visual examination of neonate’s skin is a familiar routine in infants This method can be erroneous especially for unexperienced clinicians due to the effect of both natural neonates’ skin color and hemoglobin level.
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