Effect of Phototherapy on the Reliability of Transcutaneous Bilirubin Devices in Term and Near-Term Infants: A Systematic Review and Meta-Analysis

Neonatology
Gaurav NagarManoj Kumar

Abstract

Transcutaneous bilirubin (TcB) devices are commonly used for screening of hyperbilirubinemia in term and near-term infants not exposed to phototherapy. However, the accuracy of TcB devices in infants exposed to phototherapy is unclear. To conduct a systematic review of studies comparing TcB devices with total serum bilirubin (TSB) in infants receiving phototherapy or in the postphototherapy phase. MEDLINE, EMBASE, Cochrane Library, CINAHL and Scopus databases (from inception to May 8, 2014) were searched. Additional citations were identified from the bibliography of selected articles and from the abstracts of conference proceedings. The studies were included if they compared TcB results with TSB in term and near-term infants during phototherapy or after discontinuation of phototherapy. Two reviewers independently assessed studies for inclusion, and discrepancies were resolved with consensus. Risk of bias was assessed using the QUADAS-2 tool. Fourteen studies were identified. The pooled estimates of correlation coefficients (r) during phototherapy were: covered sites 0.71 (95% CI 0.64-0.77, 11 studies), uncovered sites 0.65 (95% CI 0.55-0.74), 8 studies), forehead 0.70 (95% CI 0.64-0.75, 12 studies) and sternum 0.64 (95% CI 0.43...Continue Reading

Citations

Feb 1, 2017·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Mary Kern, Nicole S Carlson
Jan 11, 2017·Neonatology·Bolajoko O Olusanya, Abieyuwa A Emokpae
Jul 13, 2019·Journal of Perinatal Medicine·Carlos Zozaya, Abdon Castro
Jul 3, 2019·Journal of Perinatal Medicine·Hasan OzkanFunda Tuzun
Aug 23, 2019·The Kaohsiung Journal of Medical Sciences·Shu-Ting YangHsiu-Lin Chen
Nov 27, 2019·Journal of Perinatology : Official Journal of the California Perinatal Association·U Costa-PosadaJ R Fernández-Lorenzo
Aug 19, 2018·Journal of Perinatology : Official Journal of the California Perinatal Association·Dilip R BhattRangasamy Ramanathan
Dec 15, 2020·Seminars in Perinatology·Lizhong DuVinod K Bhutani
Dec 16, 2020·Seminars in Perinatology·Charles I Okwundu, Shiv Sajan Saini
May 6, 2020·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Sharon HynesLinda Nugent
Jul 1, 2017·The Journal of Pediatrics·Daniele De Luca, Valentina Dell'Orto
Dec 13, 2016·Pediatrics·Bernice van den Esker-JonkerJolita Bekhof

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