Transcutaneous bilirubin levels in extremely preterm infants less than 30 weeks gestation

被引：3

作者：

Sankar, Meera N. ^{[1
]}

Ramanathan, Rangasamy ^{[2
]}

Joe, Priscilla ^{[3
]}

Katheria, Anup C. ^{[4
]}

Villosis, Maria Fe B. ^{[5
]}

Cortes, Maria ^{[6
]}

Bhatt, Dilip R. ^{[7
]}

Truong, Huy ^{[7
]}

Paje, Virna ^{[7
]}

Tan, Rosemarie C. ^{[8
]}

Arora, Vasudha ^{[9
]}

Nguyen, Marielle ^{[10
]}

Biniwale, Manoj ^{[2
]}

机构：

[1] Stanford Univ, Dept Pediat, Div Neonatal & Dev Med, Stanford, CA 94305 USA

[2] Univ Southern Calif, LAC USC Med Ctr, Keck Sch Med, Div Neonatol, Los Angeles, CA USA

[3] UCSF Benioff Childrens Oakland, Neonatol, Oakland, CA USA

[4] Sharp Mary Birch Hosp Women & Newborns, Neonatal Res Inst, San Diego, CA USA

[5] Kaiser Fdn Hosp, Neonatol, Panorama City, CA USA

[6] Santa Clara Valley Med Ctr, Dept Pediat Neonatol, San Jose, CA 95128 USA

[7] Kaiser Permanente Fontana Med Ctr, Neonatol, Fontana, CA USA

[8] Miller Childrens Hosp, Neonatol, Long Beach, CA USA

[9] Kaiser Fdn Hosp, Neonatol, Downey, CA USA

[10] Kaiser Permanente Southern Calif Orange Cty, Neonatol, Anaheim, CA USA

来源：

JOURNAL OF PERINATOLOGY | 2023年 / 43卷 / 02期

关键词：

SERUM BILIRUBIN; PHOTOTHERAPY; RELIABILITY; SKIN; ACCURACY; DEVICES;

D O I：

10.1038/s41372-022-01477-4

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective The primary objective of this study was to determine the relationship between transcutaneous bilirubin (TcB) levels and total serum bilirubin (TSB) levels in extremely preterm infants. Study design We conducted a prospective multicenter study of extremely preterm infants less than 30 weeks gestation in California. Difference between paired TcB and TSB values were compared based on gestational age, birth weight, maternal race/ethnicity, chronological age as well as during and after phototherapy. Results TSB values ranged from 0 to 12.6 mg/dl and the TcB values ranged from 0 to 14.2 mg/dl. TSB was predicted with a high degree of accuracy at TSB = 2.37 + 0.54 (TcB) with r = 0.786. There was good correlation across gestational age, birth weight, race/ethnic, chronological age subgroups as well as during and after phototherapy. Conclusion Our study supports the use of TcB as a screening tool for monitoring jaundice in extremely preterm infants.

引用

页码：220 / 225

页数：6

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