Transcutaneous bilirubin in predicting hyperbilirubinemia in term neonates.
Indian J Pediatr
;
2008 Feb; 75(2): 119-23
Article
in English
| IMSEAR
| ID: sea-82712
ABSTRACT
OBJECTIVE:
To assess the utility of 24 and 48 hours transcutaneous bilirubin (TcB) index for predicting subsequent significant hyperbilirubinemia in healthy term neonates.METHODS:
TcB indices were obtained for healthy, breastfed, term AGA newborns at 24 +/- 2, 48 +/- 2 and subsequently at intervals of 24 hours. Neonates with illness, on treatment and positive Direct Coomb's test were excluded. Serum bilirubin levels were obtained whenever indicated. Neonates having serum bilirubin > or = 17 mg/dL were considered as significant hyperbilirubinemia. The 24 and 48 hour TcB indices, as risk predictors for such hyperbilirubinemia were determined.RESULTS:
Study included 461 healthy term neonates. The mean birth weight was 2949 (+/- 390) gm and mean gestation of 38.6 (+/- 1.1) weeks. Eight one (17.6%) had significant hyperbilirubinemia. Of 461, 135 (29.3%) had TcB index.CONCLUSION:
The 24 and 48 hour TcB indices are predictive for subsequent significant hyperbilirubinemia and can guide clinician in early discharge of healthy term newborns.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Skin
/
Time Factors
/
Bilirubin
/
Birth Weight
/
Female
/
Humans
/
Infant, Newborn
/
Infant, Premature
/
Pregnancy
/
Predictive Value of Tests
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Language:
English
Journal:
Indian J Pediatr
Year:
2008
Type:
Article
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