Publication: Transcutaneous Bilirubin Measurement as a Predictor of Significant Neonatal Hyperbilirubinemia in Low Birth Weight Neonates
| creativeworkseries.issn | ISSN 1990-7974 eISSN 1990-7982 | |
| dc.contributor.author | Rao, Suchetha S | |
| dc.contributor.author | Chellaganapathy, Karthik | |
| dc.contributor.author | Kamath, Nutan | |
| dc.date.accessioned | 2025-11-12T08:21:20Z | |
| dc.date.available | 2025-11-12T08:21:20Z | |
| dc.date.issued | 2022 | |
| dc.description | Suchetha S Rao Department of Paediatrics, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka- 576104, India. Karthik Chellaganapathy Department of Paediatrics, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka- 576104, India. Nutan Kamath Department of Paediatrics, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka- 576104, India. | |
| dc.description.abstract | Abstract: Introduction: Early recognition of neonatal hyperbilirubinemia is essential to prevent bilirubin encephalopathy. Transcutaneous bilirubin (TCB) measurement is a simple and easy method to predict neonatal hyperbilirubinemia. We aimed to study the efficacy of TCB as a predictor of subsequent significant neonatal hyperbilirubinemia in low birth neonates and compared the forehead and sternal sites for TCB measurement. Methods: A prospective study was conducted from August to October 2018 at a teaching hospital in South India including term and late preterm neonates weighing < 2.5 kg. The TCB values were obtained from the forehead (TCB-FH) and sternum (TCB-S) by a non-Invasive Bilirubin Analyser. The average of TCB (TCB- AV) was determined for each baby with TCB-FH and TCB –S values. Neonates were followed up subsequently till discharge for the development of significant hyperbilirubinemia. Receiver operating characteristic (ROC) curve was generated and the best cut-off value for 24-hour TCB as a predictor of significant hyperbilirubinemia was established. Results: The study included 88 neonates, of which 39 (44.3%) were late preterm and 49 (55.7%) term small for gestation age. Mean values of TCB –AV 6.25 ± 1.58, TCB – FH 6.24 ± 1.57391, and TCB – S 6.27 ± 1.56 were noted. The cut off value for TCB – AV was found to be 6.85 as a predictor for subsequent neonatal hyperbilirubinemia. TCB – AV was a better predictor than TCB - FH or TCB – S. Conclusions: TCB measurement is an easy and reliable predictor for subsequent significant hyperbilirubinemia in low birth weight neonates. The average of TCB forehead and sternum was a better predictor of significant hyperbilirubinemia. | |
| dc.identifier | https://doi.org/10.3126/jnps.v42i1.38236 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/3143 | |
| dc.language.iso | en_US | |
| dc.publisher | Nepal Paediatric Society (JNPS) | |
| dc.subject | Bilirubin | |
| dc.subject | early diagnosis | |
| dc.subject | jaundice | |
| dc.subject | prognosis | |
| dc.title | Transcutaneous Bilirubin Measurement as a Predictor of Significant Neonatal Hyperbilirubinemia in Low Birth Weight Neonates | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 133 | |
| oaire.citation.startPage | 129 | |
| relation.isJournalIssueOfPublication | 27242f0c-36e4-409b-b4d9-92c2b98ff87a | |
| relation.isJournalIssueOfPublication.latestForDiscovery | 27242f0c-36e4-409b-b4d9-92c2b98ff87a | |
| relation.isJournalOfPublication | 6f9be05c-05a9-4a3e-a5b5-a19a15ab042c |