PMID: 8939407Dec 1, 1996Paper

Clinical impact of transcutaneous bilirubinometry as an adjunctive screen for hyperbilirubinemia

Clinical Biochemistry
J DaiD M Parry

Abstract

To determine what the clinical impact would be of implementing a jaundice meter for use in a busy neonatal service as an adjunctive screening tool for hyperbilirubinemia. Test utilization data was collected for a 6-month period to determine how neonatal bilirubin was utilized in this hospital. The jaundice meter was evaluated in a study population of healthy term infants. The performance characteristics of the meter and the test utilization data were used to predict the clinical impact a meter could have on screening for hyperbilirubinemia. Utilization data indicated that about 60% of all single bilirubin neonatal testing (i.e., bilirubin only ordered) was done by normal nurseries. A jaundice meter cutoff decision reading of 17 was shown to have a sensitivity of 100% and a specificity of 68% for hyperbilirubinemia (> 260 mumol/L) in a study population of healthy term infants. From this data, it was estimated that use of a jaundice meter could eliminate 43% of the single (i.e., not combined with other tests) bilirubin tests done on healthy term neonates with no prior exposure to phototherapy. This constitutes an overall 20% reduction in bilirubin testing in normal nurseries when testing done on babies exposed to phototherapy and...Continue Reading

References

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Citations

Oct 22, 2008·Clinical Biochemistry·A Carceller-BlanchardE E Delvin
Jun 5, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Peerathat ChokemungmeepisarnSatit Manopunya
Mar 27, 2009·Journal of Perinatology : Official Journal of the California Perinatal Association·E T SchmidtW D Engle
Oct 21, 2016·Journal of Perinatology : Official Journal of the California Perinatal Association·L MurliR Agarwal

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