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Acta Medica Iranica، جلد ۵۳، شماره ۱۲، صفحات ۷۶۴-۷۶۹
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عنوان انگلیسی Trans-Cutaneous Bilirubinometery versus Serum Bilirubin in Neonatal Jaundice
چکیده انگلیسی مقاله Hyperbilirubinemia is a common problem in neonates and causes serious complications. Thus, serial measurements of bilirubin should be done. This assessment is done through two methods of laboratory measurement in serum sample and transcutaneous bilirubinometer. This descriptive study compared transcutaneous bilirubin assessment and laboratory serum bilirubin. Bilirubin level was assessed among 256 neonates admitted to the Qods Children’s Hospital in Qazvin- Iran, because of neonatal indirect jaundice, through two methods of transcutaneous bilirubinometery from two sites of forehead and sternum and laboratory measurement of bilirubin in serum. The cases were non-hemolytic icteric term neonates weighing 2500 gram or more and had not received phototherapy or other treatments. Neonates with hemolytic forms of jaundice, sepsis and suspicious to metabolic disorders were excluded. Assessments by means of KJ-8000 transcutaneous bilirubinometer from two sites of forehead and sternum and through laboratory measurement of serum bilirubin were registered and analyzed. The results of the current study showed that there was a correlation of 0.82 between serum bilirubin and transcutaneous forehead bilirubin assessment and for the used device sensitivity of 0.844; specificity of 0.842, Youden Index of 0.709 and Shortest of 0.042 for a cut-off of 12.4 in bilirubin of participants. Furthermore, Likelihood Ratio positive and negative (LR) were 5.665 and 0.164, respectively and diagnostic Odds Ratio (LR+/LR-) was 34.56. Transcutaneous bilirubinometery can be considered as a reliable tool to assess bilirubin for the screening of neonatal jaundice in term neonates.
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نویسندگان مقاله منوچهر مهرام | manoochehr mahram
department of pediatrics, children growth research center, qazvin university of medical science, qazvin, iran.


سونیا اویسی | sonia oveisi
department of community of medicine, metabolic diseases research center, qazvin university of medical sciences, qazvin, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی قزوین (Qazvin university of medical sciences)

نجمه جابری | najmeh jaberi
school of medicine, qazvin university of medical science, qazvin, iran.
نشانی اینترنتی http://acta.tums.ac.ir/index.php/acta/article/view/5295
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Original Article(s)
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