Most proper timing of transcutaneous bilirubin measurement after phototherapy treatment in the newborn period

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dc.authorscopusid39763256900
dc.authorscopusid57188922138
dc.contributor.authorTüfekci, Sinan
dc.contributor.authorAygün, Erhan
dc.date.accessioned2022-05-11T14:05:00Z
dc.date.available2022-05-11T14:05:00Z
dc.date.issued2021
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.description.abstractBackground: 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).
dc.identifier.doi10.5812/ijp.108552
dc.identifier.endpage5
dc.identifier.issn2008-2142
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85102448543
dc.identifier.scopusqualityQ3
dc.identifier.startpage1
dc.identifier.urihttps://doi.org/10.5812/ijp.108552
dc.identifier.urihttps://hdl.handle.net/20.500.11776/4862
dc.identifier.volume31
dc.identifier.wosWOS:000668134600004
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthorTüfekci, Sinan
dc.language.isoen
dc.publisherKowsar Medical Institute
dc.relation.ispartofIranian Journal of Pediatrics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectNeonatal Hyperbilirubinemia
dc.subjectPhototheraphy
dc.subjectTranscutaneous Bilirubin
dc.subjectbilirubin
dc.subjectanalytical parameters
dc.subjectArticle
dc.subjectbilirubin blood level
dc.subjectcomparative study
dc.subjectcorrelational study
dc.subjectfemale
dc.subjectgestational age
dc.subjecthematocrit
dc.subjecthuman
dc.subjectjaundice
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectneonatal hyperbilirubinemia
dc.subjectnewborn
dc.subjectpediatric patient
dc.subjectphototherapy
dc.subjectprematurity
dc.subjectproper measuring time
dc.subjectreliability
dc.subjecttime
dc.subjecttranscutaneous bilirubin
dc.titleMost proper timing of transcutaneous bilirubin measurement after phototherapy treatment in the newborn period
dc.typeArticle

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