Most proper timing of transcutaneous bilirubin measurement after phototherapy treatment in the newborn period
Yükleniyor...
Dosyalar
Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Kowsar Medical Institute
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Background: There are limited data about the proper transcutaneous bilirubin measuring time to detect levels that are close to serum bilirubin levels after ending the phototherapy treatment. Objectives: To compare the transcutaneous bilirubin and total serum bilirubin levels, and to evaluate the reliability of transcuta-neous bilirubin measurements after phototherapy treatment of newborns because of hyperbilirubinemia. Methods: The study included 105 late preterm and term newborns consisting of 56 females (53.3%) and 49 males (46.6%), with gesta-tional age 350/7-416/7 weeks who were treated with phototherapy. A Bilicheck (M&B-MBJ20) device was used for transcutaneous biliru-bin measurements. The average of three measurements on the skin in the mid-sternal area were obtained. Correlations between transcutaneous bilirubin and venous bilirubin levels were evaluated 6 and 12 hours after phototherapy. Transcutaneous bilirubin measurements were performed simultaneously with blood collection or within a maximum ± 15 minutes time difference for total serum bilirubin. Results: The average phototherapy time was 10 ± 2 (range, 8-12) hours. The average difference between transcutaneous bilirubin and venous bilirubin levels post phototherapy was 2.61 mg/dL after 6 hours and 0.8 mg/dL after 12 hours. The hematocrit levels of the patients ranged between 40-66% with an average of 53% ± 4.8, the median level was 51%. Correlation coefficients according to hours after treatment were high for the 6th hour (r = 0.76) and very high for the 12th hour. Conclusions: Jaundice scanning with transcutaneous bilirubin measurements 6-12 hours after the end of phototherapy is reliable and may be helpful in preventing additional blood collection from the heel. © 2021, Author(s).
Açıklama
Anahtar Kelimeler
Neonatal Hyperbilirubinemia, Phototheraphy, Transcutaneous Bilirubin, bilirubin, analytical parameters, Article, bilirubin blood level, comparative study, correlational study, female, gestational age, hematocrit, human, jaundice, major clinical study, male, neonatal hyperbilirubinemia, newborn, pediatric patient, phototherapy, prematurity, proper measuring time, reliability, time, transcutaneous bilirubin
Kaynak
Iranian Journal of Pediatrics
WoS Q Değeri
Q4
Scopus Q Değeri
Q3
Cilt
31
Sayı
1
