The accuracy of transcutaneous bilirubinometry in preterm infants.
Bilirubin
/ blood
Blood Chemical Analysis
/ methods
Female
Gestational Age
Humans
Infant, Extremely Premature
/ blood
Infant, Newborn
Infant, Premature
/ blood
Infant, Premature, Diseases
/ blood
Jaundice, Neonatal
/ blood
Male
Neonatal Screening
/ methods
Prospective Studies
Reproducibility of Results
Journal
Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884
Informations de publication
Date de publication:
02 2020
02 2020
Historique:
received:
20
02
2019
accepted:
12
06
2019
revised:
08
06
2019
pubmed:
1
8
2019
medline:
26
8
2020
entrez:
1
8
2019
Statut:
ppublish
Résumé
To evaluate the correlation between total serum and transcutaneous bilirubin and to determine the reliability of transcutaneous bilirubinometry for screening and monitoring of neonatal jaundice among preterms. Ninety nine infants with gestational ages ≤34 weeks were prospectively enrolled. Babies were classified into three groups as; 24-28, 29-31, and 32-34 weeks. Total serum bilirubin and simultaneous transcutaneous bilirubin were measured before the onset of phototheraphy, during and at 24 h after discontinuing phototherapy. Total serum bilirubin significantly correlated with transcutaneous bilirubin in the whole cohort (r = 0.867, p < 0.001) and in each group before, during and after phototheraphy. Hypotension was the only variable which effects the difference between two methods at postnatal first day of life (p = 0.039). Transcutaneous bilirubin levels were highly correlated with total serum bilirubin levels even in 24-28 GW babies. Transcutaneous bilirubin may be useful for screening and monitoring of jaundice in very preterm newborns.
Identifiants
pubmed: 31363143
doi: 10.1038/s41372-019-0445-3
pii: 10.1038/s41372-019-0445-3
doi:
Substances chimiques
Bilirubin
RFM9X3LJ49
Types de publication
Journal Article
Observational Study
Validation Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
212-218Commentaires et corrections
Type : CommentIn
Références
National Institute for Health and Clinical Excellence. Neonatal Jaundice. National Institute for Health and Clinical Excellence, 2010, www.nice.org.uk .
Bhutani VK, Stark AR, Lazzeroni LC, Poland R, Gourley GR, Kazmierczak S, et al. Predischarge screening for severe neonatal hyperbilirubinemia identifies infants who need phototherapy. J Pediatr. 2013;162:477–82.
doi: 10.1016/j.jpeds.2012.08.022
Maisels MJ, Kring E. Transcutaneous bilirubinometry decreases the need for serum bilirubin measurements and saves money. Pediatrics. 1997;99:599–601.
doi: 10.1542/peds.99.4.599
De Luca D, Zecca E, de Turris P, Barbato G, Marras M, Romagnoli C. Using BiliCheck for preterm neonates in a subintensive unit: diagnostic usefulness and suitability. Early Hum Dev. 2007;83:313–7.
doi: 10.1016/j.earlhumdev.2006.06.006
Bhutani VK, Gourley GR, Adler S, Kreamer B, Dalin C, Johnson LH. Noninvasive measurement of total serum bilirubin in a multiracial predischarge newborn population to assess the risk of severe hyperbilirubinemia. Pediatrics. 2000;106:17.
doi: 10.1542/peds.106.2.e17
American Academy of Pediatrics, Subcommittee on Hyperbilirubinemia. Clinical guideline: management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics. 2004;114:297–316.
doi: 10.1542/peds.114.1.297
Schmidt ET, Wheeler CA, Jackson GL, Engle WD. Evaluation of transcutaneous bilirubinometry in preterm neonates. J Perinatol. 2009;29:564–9.
doi: 10.1038/jp.2009.38
Rubaltelli FF, Gourley GR, Loskamp N, Modi N, Roth-Kleiner M, Sender A, et al. Transcutaneous bilirubin measurement: a multicenter evaluation of a new device. Pediatrics. 2001;107:1264–71.
doi: 10.1542/peds.107.6.1264
Fonseca R, Kyralessa R, Malloy M, Richardson J, Jain SK. Covered skin transcutaneous bilirubin estimation is comparable with serum bilirubin during and after phototherapy. J Perinatol. 2012;32:129–31.
doi: 10.1038/jp.2011.66
Tan KL, Dong F. Transcutaneous bilirubinometry during and after phototherapy. Acta Paediatr. 2003;92:327–31.
doi: 10.1111/j.1651-2227.2003.tb00554.x
Ozkan H, Oren H, Duman N, Duman M. Dermal bilirubin kinetics during phototherapy in term neonates. Acta Paediatr. 2003;92:577–81.
doi: 10.1111/j.1651-2227.2003.tb02510.x
Hegyi T, Hiatt IM, Gertner IM, Zanni R, Tolentino T. Transcutaneous bilirubinometry II. Dermal bilirubin kinetics during phototherapy. Pediatr Res. 1983;17:888–91.
doi: 10.1203/00006450-198311000-00010
Nanjundaswamy S, Petrova A, Mehta R, Hegyi T. Transcutaneous bilirubinometry in preterm infants receiving phototherapy. Am J Perinatol. 2005;22:127–31.
doi: 10.1055/s-2005-863785
Knupfer M, Pulzer F, Braun L, Heilmann A, Robel-Tillig E, Vogtmann C. Transcutaneous bilirubinometry in preterm infants. Acta Paediatr. 2001;90:899–903.
doi: 10.1111/j.1651-2227.2001.tb02454.x
Tan KL, Mylvaganam A. Transcutaneous bilirubinometry in preterm very low birthweight infants. Acta Paediatr Scand. 1988;77:796–801.
doi: 10.1111/j.1651-2227.1988.tb10758.x
Nagar G, Vandermeer B, Campbell S, Kumar M. Reliability of transcutaneous bilirubin devices in preterm infants: a systematic review. Pediatrics. 2013;132:871–81.
doi: 10.1542/peds.2013-1713
Rubio A, Epiard C, Gebus M, Deiber M, Samperiz S, Genty C, et al. Diagnosis accuracy of transcutaneous bilirubinometry in very preterm newborns. Neonatology. 2017;111:1–7.
doi: 10.1159/000447736
Maisels MJ. Transcutaneous bilirubinometry. Neo Rev. 2006;7:217–25.
Pendse A, Jasani B, Nanavati R, Kabra N. Comparison of transcutaneous bilirubin measurement with total serum bilirubin levels in preterm neonates receiving phototherapy. Indian Pediatr. 2017;54:641–3.
doi: 10.1007/s13312-017-1126-y
Jangaard KA, Curtis H, Goldbloom RB. Estimation of bilirubin using BiliChek, a transcutaneous bilirubin measurement device: effects of gestational age and use of phototherapy. Paediatr Child Health. 2006;11:79–83.
doi: 10.1093/pch/11.2.79
Zecca E, Barone G, De Luca D, Marra R, Tiberi E, Romagnoli C. Skin bilirubin measurement during phototherapy in preterm and term newborn infants. Early Hum Dev. 2009;85:537–40.
doi: 10.1016/j.earlhumdev.2009.05.010
Maisels MJ, Coffey MP, Kring E. Transcutaneous bilirubin levels in newborns <35 weeks’ gestation. J Perinatol. 2015;35:739–44.
doi: 10.1038/jp.2015.34
Willems WA, van den Berg LM, de Wit H, Molendijk A. Transcutaneous bilirubinometry with the BiliCheck in very premature newborns. J Matern Fetal Neonatal Med. 2004;16:209–14.
doi: 10.1080/jmf.16.4.209.214
Bosschaart N, Kok JH, Newsum AM, Ouweneel DM, Mentink R, van Leeuwen TG, et al. Limitations and opportunities of transcutaneous bilirubin measurements. Pediatrics. 2012;129:689–94.
doi: 10.1542/peds.2011-2586