Abstract
OBJECTIVE: The aim of this study was to asses the validity of the TCB nomogram
for the European population for predicting significant hyperbilirubinemia in
healthy term and late-preterm newborns.
METHODS: This observational study was conducted from February 2009 to December
2009 in the well-baby nurseries of Gemelli hospital of Rome. The predictive
ability of the skin bilirubin (TCB) nomogram was prospectively assessed in 926
neonates with gestational age 35 weeks. TCB was measured with Bilichek and total
serum bilirubin (TSB) was contemporary assayed by the standard spectrophotometric
method. Every neonate was assess for a single TCB and TSB value.
RESULTS: The mean TSB values was 8.2 +/- 3.2 mg/dl, while the mean TCB values was
9.5 +/- 3.6 mg/dl A sensitivity of 100% and a negative predictive value of 100%
were obtained with a single bilirubin determination applying the 75 degrees
percentile of our nomogram.
CONCLUSION: The 75 degrees percentile of the skin bilirubin nomogram for the
European population in the first 96 hours of life is able to predict all neonates
at risk of severe hyperbilirubinemia. It could facilitate a safe discharge from
the hospital and a targeted intervention and follow-up reducing the need for
blood samples.
Titolo tradotto del contributo | [Autom. eng. transl.] Validation of an hourly transcutaneous bilirubin nomogram in a population of term or late preterm newborn infants: preliminary results |
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Lingua originale | Italian |
pagine (da-a) | 113-115 |
Numero di pagine | 3 |
Rivista | Minerva Pediatrica |
Volume | 2010 |
Stato di pubblicazione | Pubblicato - 2010 |
Keywords
- transcutaneous Bilirubin