A CORRELATION STUDY BETWEEN TRANSCUTANEOUS BILIRUBIN AND TOTAL SERUM BILIRUBIN LEVELS AMONG NEONATES

Autor: ABHISHEK KUMAR SHARMA, KAPIL DHAWAN, MEENAL MAKKAR, RUCHIRA SHARMA
Rok vydání: 2022
Předmět:
Zdroj: Asian Journal of Pharmaceutical and Clinical Research. :15-19
ISSN: 2455-3891
0974-2441
DOI: 10.22159/ajpcr.2022.v15i3.43963
Popis: Objective: The availability of modern bilirubin meters that measure bilirubin concentration in dermal and subcutaneous tissues has made it possible to obtain serial, non-invasive (i.e., painless) TcB (transcutaneous bilirubin) measurements. However, concerns have been raised regarding the appropriateness of comparing these TcB values to serum bilirubin values. This study aims to find a correlation between transcutaneous bilirubin and total serum bilirubin. Methods: Prospective analytic study carried out in NICU of Govt. RDBP Jaipuria Hospital. Newborn babies up to the 10th postnatal day of life with visually found jaundice had been enrolled in the study. TcB was measured over mid-sternum with Dräger JM 105™ device. Simultaneous total serum bilirubin (TSB) measurements had been done. Pearson’s correlation coefficient and Bland–Altman analysis had been done. ROC curves of mean TcB at different TSB level had been constructed. Results: In the study, 120 babies had been included. A significant correlation was founded between TcB and TSB measured values. Pearson’s correlation coefficient was 0.892 (p10 mg/dl, >12 mg/dl, and >15 mg/dl) was 0.860, 0.892, and 0.849. Conclusion: In our study, TcB measurements correlated well with TSB measurements and validated its use as a screening tool for the evaluation of jaundice in newborns.
Databáze: OpenAIRE