Measuring transcutaneous bilirubin: a comparative analysis of three devices on a multiracial population

作者：Raimondi Francesco^*; Lama Silvia; Landolfo Francesca; Sellitto Maria; Borrelli Angela Carla; Maffucci Rosalba; Milite Paola; Capasso Letizia

来源：BMC Pediatrics, 2012, 12: 70.

DOI：10.1186/1471-2431-12-70

Background: Hyperbilirubinemia can lead to potentially irreversible bilirubin-induced neurotoxicity. Transcutaneous bilirubin (TcB) determination has become a valuable aid in non invasive screening of neonatal jaundice. The aim of this study is to compare the performance of three most widespread transcutaneous bilirubinometers on a multiracial population of term and late pre-term neonates. %26lt;br%26gt;Methods: Bilirubin concentration was determined using traditional photometric determination and transcutaneously with Bilicheck, BiliMed and JM-103, in random order. Total serum bilirubin (TSB) was determined over a wide concentration range (15,8-0,7 mg/dl) with a mean of 9,5 mg/dl. Related TcB values using Bilicheck (TcB-BC), BiliMed (TcB-BM), and JM-103 (TcB-JM) are reported in Table 1. %26lt;br%26gt;Results: A multiracial population of 289 neonates was enrolled with a gestational age ranging from 35 to 41 weeks; birth weight ranging from 1800to 4350 grams; hours of life ranging from 4 to 424. In the total study population correlation analysis using Pearson coefficients showed good results for Bilicheck (r = 0.86) and JM-103 (r = 0.85) but poor for BiliMed (r = 0,70). Similar results were found for the non-Caucasian neonates subgroup. Bilicheck and JM-103 had a greater area under the curve than BiliMed when TSB = 14 mg/dl was chosen as a threshold value both for the total study population and the non-Caucasian subgroup. %26lt;br%26gt;Conclusions: Bilicheck and JM-103, but not BiliMed, are equally reliable screening tools for hyperbilirubinemia in our multiracial neonatal population.

• 出版日期2012-6-14