Clinical utility of transcutaneous bilirubinometer (TcB) in very low birth weight (VLBW) infants
| Autor: | Saraswati Keeni, Felix K. Quist, Nitin Chouthai, Michael U. Callaghan, Eugene Cepeda, Roopali Bapat, Ronald Thomas, Joseph H. Callaghan, Kanayo Ezeanolue, Helen K. Kuch-Kunich |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Vlbw infants Bilirubin Biliblanket 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Neonatal Screening 030225 pediatrics Transcutaneous bilirubinometry Medicine Humans Infant Very Low Birth Weight 030212 general & internal medicine Prospective Studies business.industry Obstetrics Decision Trees Infant Newborn Obstetrics and Gynecology Phototherapy Black or African American Low birth weight chemistry Pediatrics Perinatology and Child Health Gestation Female medicine.symptom Hyperbilirubinemia Neonatal business Blood Chemical Analysis Transcutaneous bilirubinometer Blood drawing |
| Zdroj: | Journal of perinatal medicine. 44(8) |
| ISSN: | 1619-3997 |
| Popis: | Objective: This is a comprehensive study designed to evaluate the clinical usefulness of transcutaneous bilirubinometry (TcB) in very low birth weight (VLBW) newborns of African American (AA) descent. Methods: TcB was conducted at the anterior superior iliac spine (ASIS), temporal region and sternum within 2 h of total serum bilirubin (TSB) measurements in newborns born at ≤32 weeks’ gestation prospectively. Average (AVG) TcB levels were also calculated. The relationships between TSB and TcB levels were analyzed using non-parametric Spearman bivariate correlations, a Bland-Altman plot procedure and a decision tree (DT) analysis. Results: One hundred newborns and 555 TSB data points were available. Eighty-nine percent of the newborns were AA. A significant correlation (P Conclusion: TcB can be used reliably in VLBW AA newborns in the absence of overhead PT. The use of TcB in monitoring jaundice in VLBW newborns would help decrease the number of blood draws and cost of care. |
| Databáze: | OpenAIRE |
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