Relationship among Bilirubin Levels Measured Using Three Methods of Transcutaneous, Serum, and Kramer’s Scale in Term Neonates
Background: The measurement of total serum bilirubin is a stressful diagnostic method; therefore, it is necessary to measure bilirubin levels using non-invasive ways. The present study aimed to assess the relationship between bilirubin levels measured using three methods of transcutaneous, serum, an...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Mashhad University of Medical Sciences
2022-04-01
|
| Series: | Iranian Journal of Neonatology |
| Subjects: | |
| Online Access: | https://ijn.mums.ac.ir/article_20234_13b80e24960446a3e215e677422f9b07.pdf |
| _version_ | 1811336075582373888 |
|---|---|
| author | Sara Esmaelzadeh -Saeieh Mehrnaz Asgaripoor Kourosh Kabir Alireza Jashni Motlagh |
| author_facet | Sara Esmaelzadeh -Saeieh Mehrnaz Asgaripoor Kourosh Kabir Alireza Jashni Motlagh |
| author_sort | Sara Esmaelzadeh -Saeieh |
| collection | DOAJ |
| description | Background: The measurement of total serum bilirubin is a stressful diagnostic method; therefore, it is necessary to measure bilirubin levels using non-invasive ways. The present study aimed to assess the relationship between bilirubin levels measured using three methods of transcutaneous, serum, and Kramer’s scale in term neonates with jaundice.
Methods: This descriptive-analytical study was conducted on 180 full-term neonates admitted to Imam Ali Hospital in Alborz province, Iran. Bilirubin level was measured by three methods of serum, transcutaneous (using MBJ20, B&M Technology Co., China), and Kramer’s scale (based on the appearance) before phototherapy. Thereafter, the relationship between serum bilirubin levels using transcutaneous and Kramer’s scale was determined by the Pearson and Spearman correlation coefficients.
Results: The correlation coefficient between serum bilirubin and transcutaneous bilirubin (TCB) was obtained at 0.915 before phototherapy. Furthermore, the correlation coefficients between serum bilirubin and TCB were calculated at 0.881 and 0.77 in the covered and uncovered areas after phototherapy, respectively. The correlation coefficient between TCB in the covered and uncovered areas was 0.81. The mean difference between serum bilirubin and TCB was 0.42±1.25 before phototherapy. Moreover, the mean difference values between serum bilirubin and TCB were reported as 1.36±1.37 and 83.1±63.4 in the covered and uncovered areas after phototherapy, respectively.
Conclusion: As evidenced by the obtained results, there was a significant correlation between TCB and serum bilirubin before the initiation of phototherapy. Therefore, it is recommended to use TCB instead of repeated blood sampling to follow and monitor neonates. |
| first_indexed | 2024-04-13T17:34:10Z |
| format | Article |
| id | doaj.art-59af96b4d2a5427882a9963fba1d0e4d |
| institution | Directory Open Access Journal |
| issn | 2251-7510 2322-2158 |
| language | English |
| last_indexed | 2024-04-13T17:34:10Z |
| publishDate | 2022-04-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Neonatology |
| spelling | doaj.art-59af96b4d2a5427882a9963fba1d0e4d2022-12-22T02:37:27ZengMashhad University of Medical SciencesIranian Journal of Neonatology2251-75102322-21582022-04-01132323810.22038/ijn.2022.62304.219120234Relationship among Bilirubin Levels Measured Using Three Methods of Transcutaneous, Serum, and Kramer’s Scale in Term NeonatesSara Esmaelzadeh -Saeieh0Mehrnaz Asgaripoor1Kourosh Kabir2Alireza Jashni Motlagh3Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, IranAlborz University of Medical Sciences, Karaj, IranSchool of Medicine, Alborz University of Medical Sciences, Karaj, IranSchool of Medicine, Alborz University of Medical Sciences, Karaj, IranBackground: The measurement of total serum bilirubin is a stressful diagnostic method; therefore, it is necessary to measure bilirubin levels using non-invasive ways. The present study aimed to assess the relationship between bilirubin levels measured using three methods of transcutaneous, serum, and Kramer’s scale in term neonates with jaundice. Methods: This descriptive-analytical study was conducted on 180 full-term neonates admitted to Imam Ali Hospital in Alborz province, Iran. Bilirubin level was measured by three methods of serum, transcutaneous (using MBJ20, B&M Technology Co., China), and Kramer’s scale (based on the appearance) before phototherapy. Thereafter, the relationship between serum bilirubin levels using transcutaneous and Kramer’s scale was determined by the Pearson and Spearman correlation coefficients. Results: The correlation coefficient between serum bilirubin and transcutaneous bilirubin (TCB) was obtained at 0.915 before phototherapy. Furthermore, the correlation coefficients between serum bilirubin and TCB were calculated at 0.881 and 0.77 in the covered and uncovered areas after phototherapy, respectively. The correlation coefficient between TCB in the covered and uncovered areas was 0.81. The mean difference between serum bilirubin and TCB was 0.42±1.25 before phototherapy. Moreover, the mean difference values between serum bilirubin and TCB were reported as 1.36±1.37 and 83.1±63.4 in the covered and uncovered areas after phototherapy, respectively. Conclusion: As evidenced by the obtained results, there was a significant correlation between TCB and serum bilirubin before the initiation of phototherapy. Therefore, it is recommended to use TCB instead of repeated blood sampling to follow and monitor neonates.https://ijn.mums.ac.ir/article_20234_13b80e24960446a3e215e677422f9b07.pdfserum bilirubinterm neonatetranscutaneous bilirubin |
| spellingShingle | Sara Esmaelzadeh -Saeieh Mehrnaz Asgaripoor Kourosh Kabir Alireza Jashni Motlagh Relationship among Bilirubin Levels Measured Using Three Methods of Transcutaneous, Serum, and Kramer’s Scale in Term Neonates Iranian Journal of Neonatology serum bilirubin term neonate transcutaneous bilirubin |
| title | Relationship among Bilirubin Levels Measured Using Three Methods of Transcutaneous, Serum, and Kramer’s Scale in Term Neonates |
| title_full | Relationship among Bilirubin Levels Measured Using Three Methods of Transcutaneous, Serum, and Kramer’s Scale in Term Neonates |
| title_fullStr | Relationship among Bilirubin Levels Measured Using Three Methods of Transcutaneous, Serum, and Kramer’s Scale in Term Neonates |
| title_full_unstemmed | Relationship among Bilirubin Levels Measured Using Three Methods of Transcutaneous, Serum, and Kramer’s Scale in Term Neonates |
| title_short | Relationship among Bilirubin Levels Measured Using Three Methods of Transcutaneous, Serum, and Kramer’s Scale in Term Neonates |
| title_sort | relationship among bilirubin levels measured using three methods of transcutaneous serum and kramer s scale in term neonates |
| topic | serum bilirubin term neonate transcutaneous bilirubin |
| url | https://ijn.mums.ac.ir/article_20234_13b80e24960446a3e215e677422f9b07.pdf |
| work_keys_str_mv | AT saraesmaelzadehsaeieh relationshipamongbilirubinlevelsmeasuredusingthreemethodsoftranscutaneousserumandkramersscaleintermneonates AT mehrnazasgaripoor relationshipamongbilirubinlevelsmeasuredusingthreemethodsoftranscutaneousserumandkramersscaleintermneonates AT kouroshkabir relationshipamongbilirubinlevelsmeasuredusingthreemethodsoftranscutaneousserumandkramersscaleintermneonates AT alirezajashnimotlagh relationshipamongbilirubinlevelsmeasuredusingthreemethodsoftranscutaneousserumandkramersscaleintermneonates |