Hour-specific nomogram for transcutaneous bilirubin in Japanese neonates
| Autor: | Takashi Kusaka, Susumu Itoh, Kenichi Isobe, Kensuke Okubo, Saneyuki Yasuda, Koh Kawada, Kousuke Koyano, Toru Kuboi, Shinji Nakamura |
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| Rok vydání: | 2013 |
| Předmět: |
Percentile
Pediatrics medicine.medical_specialty Transcutaneous bilirubin genetic structures business.industry Bilirubin Gestational age Early neonatal period Nomogram Jaundice urologic and male genital diseases chemistry.chemical_compound chemistry Pediatrics Perinatology and Child Health Medicine medicine.symptom business |
| Zdroj: | Pediatrics International. 55:608-611 |
| ISSN: | 1328-8067 |
| DOI: | 10.1111/ped.12149 |
| Popis: | Background The measurement of transcutaneous bilirubin (TcB) is very important to screen for hyperbilirubinemia in newborns. Until now, however, there has been no hour-specific, percentile-based TcB nomogram during the early neonatal period in Japanese neonates. The aim of this study was to develop a TcB nomogram within 72 h of birth in Japanese neonates. Methods A total of 3152 TcB measurements for 181 healthy Japanese neonates (gestational age ≥36 weeks, birthweight ≥2300 g) were obtained within 72 h of birth. All measurements were performed with a Konica Minolta jaundice meter, the JM-103. A nomogram curve was plotted to show the trend of TcB level over time. Results The nomogram curves rose almost linearly for all percentiles until 72 h after birth. Conclusion An hour-specific, percentile-based TcB nomogram during the first 72 h after birth in Japanese neonates was successfully developed. Because Japanese neonates have higher and later peak bilirubin, an original hour-specific 97.5th percentile-based TcB nomogram may be needed to identify early-onset jaundice and manage neonatal hyperbilirubinemia. |
| Databáze: | OpenAIRE |
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