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Title: BiliCheck transcutaneous bilirubinometer : a screening tool for neonatal jaundice in the Chinese population
Authors: Ho, EYW
Lee, SYR
Chow, CB
Chung, JWY
Keywords: Bilirubin/blood
Comparative study
Infant, newborn
Jaundice, neonatal
Neonatal screening
Issue Date: 2006
Publisher: Hong Kong Academy of Medicine and Hong Kong Medical Association
Source: Hong Kong medical journal (香港醫學雜誌), 2006, v. 12, no. 2, p. 99-102 How to cite?
Journal: Hong Kong medical journal (香港醫學雜誌) 
Abstract: Objective. To verify the usefulness of the BiliCheck transcutaneous bilirubin meter as a screening device for neonatal jaundice in a Chinese population compared with the Minolta bilirubin meter. Design. A prospective correlation study that compared transcutaneous bilirubin measurements with serum bilirubin levels. Setting. Obstetric ward and a neonatal unit of a regional hospital in Hong Kong. Patients. Neonates with gestation above 32 weeks with neonatal jaundice who were admitted between April 2001 and February 2002. Main outcome measures. Transcutaneous measurements of serum bilirubin obtained from the forehead and the sternum with two instruments: BiliCheck and Minolta Airshields JM 102. Results. A total of 77 term and six near-term babies (gestation, 32-37 weeks) were recruited. The mean age at the time of data collection was 3.96 days (range, 2-9 days). The correlations between serum bilirubin and transcutaneous bilirubin measurements of the two devices at the two sites were high, with a coefficient of 0.718 (95% confidence interval, 0.610-0.800; n=100) for forehead measurements, and 0.814 (95% confidence interval, 0.740-0.870; n=99) for sternum using the Minolta Airshields JM 102; and a coefficient of 0.757 (95% confidence interval, 0.657-0.827; n=98) for forehead measurements, and 0.794 (95% confidence interval, 0.700-0.862; n=92) for sternum using the BiliCheck. For BiliCheck, a cut-off point of 250 μmol/L at the forehead and 260 μmol/L at the sternum had a specificity of 61.9% and 70.0%, respectively with a sensitivity of 100% for the detection of serum bilirubin concentrations of 250 μmol/L or higher. This level is commonly used as the level for initiation of treatment such as phototherapy. Conclusion. BiliCheck is a useful screening tool for neonatal jaundice in the Chinese population and is comparable with the Minolta Airshields JM 102.
ISSN: 1024-2708
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