Indian Journal of Medical Biochemistry

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VOLUME 21 , ISSUE 1 ( January-June, 2017 ) > List of Articles

ORIGINAL ARTICLE

Comparison of BiliCare Transcutaneous Bilirubinometer with Standard Laboratory Assay

Jayesh Warade

Citation Information : Warade J. Comparison of BiliCare Transcutaneous Bilirubinometer with Standard Laboratory Assay. Indian J Med Biochem 2017; 21 (1):1-4.

DOI: 10.5005/jp-journals-10054-0009

License: CC BY 3.0

Published Online: 01-06-2012

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

Introduction

Jaundice is the visible manifestation of chemical bilirubinemia and is characterized by yellow discoloration of skin. In a pediatric emergency department, evaluation of jaundice includes a precise medical history, physical examination, and estimation of bilirubin by laboratory tests. Measurement of total serum bilirubin (TSB) by transcutaneous bilirubin (TcB) is interpreted according to the age (in hours) of the newborn infant. Studies have also indicated that the TcB determination is more accurate than visual estimation methods.

Aim

To compare BiliCare System against standard laboratory testing for bilirubin estimation.

Results

The coefficient of correlation was r = 0.7245, and the standard deviation between the mean values of TcB and TSB is ±0.55.

Conclusion

It is concluded from the study that there is good correlation between TcB measurement and laboratory estimation of total bilirubin levels. It is recommended that transcutaneous measurement can be used for initial screening of jaundice as well as monitoring of phototherapy in neonates.

How to cite this article

Warade J. Comparison of BiliCare Transcutaneous Bilirubinometer with Standard Laboratory Assay. Indian J Med Biochem 2017;21(1):1-4.


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  1. Visual assessment of jaundice in term and late preterm infants. Arch Dis Child Fetal Neonatal Ed 2009 Sep;94(5):F317–F322.
  2. Visual screening versus transcutaneous bilirubinometry for predischarge jaundice assessment. Acta Paediatr 2008 Jun;97(6):759–763.
  3. Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics 2004 Jul;114(1):297–316.
  4. Guidelines for detection, management and prevention of hyperbilirubinemia in term and late preterm newborn infants (35 or more weeks‗ gestation). Paediatr Child Health 2007 May;12(5):401–407.
  5. Accuracy of clinical judgment in neonatal jaundice. Arch Pediatr Adolesc Med 2000 Apr;154(4):391–394.
  6. Bilirubin Total [kit insert] Beckman Coulter DxC800 Fully Automated Chemistry Analyzer. Available from: https://www.beckmancoulter.com/wsrportal/techdocs?docname=cis/A18561/AF/EN_TPm.pdf.
  7. Available from: http://www.natus.com/index.cfm?page=products_1&crid=973.
  8. Accuracy of transcutaneous bilirubinometer estimates using BiliCheck® in Thai neonates. J Med Assoc Thai 2005 Feb;88(2):187–190.
  9. Non-invasive measurement of total serum bilirubin in a multiracial predischarge newborn population to assess the risk of severe hyperbilirubinemia. Pediatrics 2000 Aug;106(2):E17.
  10. Transcutaneous bilirubin measurement: a multicenter evaluation of a new device. Pediatrics 2001 Jun;107(6):1264–1271.
  11. Transcutaneous bilirubinometry in preterm infants. Acta Paediatr 2001 Aug;90(8):899–903.
  12. A comparison of transcutaneous bilirubinometers: Spect Rx Bilicheck® versus Minolta AirShields. Arch Dis Child Fetal Neonatal Ed 2002 Sep;87(2):F137–F140.
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