Document Detail


Transcutaneous bilirubinometer in assessment of neonatal jaundice in northern India.
MedLine Citation:
PMID:  15695857     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study was undertaken from April 2002 to March 2003 to find out the correlation of transcutaneous bilirubinometer index with serum bilirubin levels in term, pre-term, small for gestation age babies, with and without phototherapy in neonates with jaundice. Another aim was to evaluate the transcutaneous bilirubinometer as a screening device for neonatal hyperbilirubinemia by finding the action levels for TcBI at forehead and sternum at which sample for serum bilirubin estimation should be taken. A total of 104 neonates were evaluated. Mean (SD) age (hours), birth weight (grams) and gestational age (weeks) were 100.4 (37.90), 2264.9 (634.4) and 36.8 (2.9) respectively. Mean serum bilirubin was 16.6 (6) mg/dL. Overall a correlation coefficient of 0.878 at forehead and 0.859 at sternum was observed. On excluding infants receiving phototherapy coefficients of 0.900 at forehead and 0.908 at sternum were noted. Correlation coefficient over forehead and sternum was found to drop from 0.85 to as low as 0.33 with duration of phototherapy exceeding 48 hrs. Lastly the determined action levels had a sensitivity of 77.8 to 100 % in assessing the need for serum bilirubin estimation in various groups.
Authors:
Gagan Mahajan; R K Kaushal; Naveen Sankhyan; R L Sharma; Monica Nakra
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Indian pediatrics     Volume:  42     ISSN:  0019-6061     ISO Abbreviation:  Indian Pediatr     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-02-07     Completed Date:  2006-10-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985062R     Medline TA:  Indian Pediatr     Country:  India    
Other Details:
Languages:  eng     Pagination:  41-5     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Indira Gandhi Medical College, Shimla, India.
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MeSH Terms
Descriptor/Qualifier:
Administration, Cutaneous
Bilirubin / blood*
Humans
Hyperbilirubinemia / diagnosis*
India
Infant, Newborn
Jaundice, Neonatal / diagnosis*
Neonatal Screening / methods
Phototherapy
Risk Assessment
Chemical
Reg. No./Substance:
635-65-4/Bilirubin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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