Relationship among Bilirubin Levels Measured Using Three Methods of Transcutaneous, Serum, and Kramer’s Scale in Term Neonates
محل انتشار: مجله علمی ناباروری ایران، دوره: 13، شماره: 2
سال انتشار: 1401
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 142
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شناسه ملی سند علمی:
JR_IRJN-13-2_004
تاریخ نمایه سازی: 21 خرداد 1401
چکیده مقاله:
Background: The measurement of total serum bilirubin is a stressful diagnostic method; therefore, it is necessary to measure bilirubin levels using non-invasive ways. The present study aimed to assess the relationship between bilirubin levels measured using three methods of transcutaneous, serum, and Kramer’s scale in term neonates with jaundice. Methods: This descriptive-analytical study was conducted on ۱۸۰ full-term neonates admitted to Imam Ali Hospital in Alborz province, Iran. Bilirubin level was measured by three methods of serum, transcutaneous (using MBJ۲۰, B&M Technology Co., China), and Kramer’s scale (based on the appearance) before phototherapy. Thereafter, the relationship between serum bilirubin levels using transcutaneous and Kramer’s scale was determined by the Pearson and Spearman correlation coefficients. Results: The correlation coefficient between serum bilirubin and transcutaneous bilirubin (TCB) was obtained at ۰.۹۱۵ before phototherapy. Furthermore, the correlation coefficients between serum bilirubin and TCB were calculated at ۰.۸۸۱ and ۰.۷۷ in the covered and uncovered areas after phototherapy, respectively. The correlation coefficient between TCB in the covered and uncovered areas was ۰.۸۱. The mean difference between serum bilirubin and TCB was ۰.۴۲±۱.۲۵ before phototherapy. Moreover, the mean difference values between serum bilirubin and TCB were reported as ۱.۳۶±۱.۳۷ and ۸۳.۱±۶۳.۴ in the covered and uncovered areas after phototherapy, respectively. Conclusion: As evidenced by the obtained results, there was a significant correlation between TCB and serum bilirubin before the initiation of phototherapy. Therefore, it is recommended to use TCB instead of repeated blood sampling to follow and monitor neonates.
کلیدواژه ها:
نویسندگان
Sara Esmaelzadeh -Saeieh
Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
Mehrnaz Asgaripoor
Alborz University of Medical Sciences, Karaj, Iran
Kourosh Kabir
School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
Alireza Jashni Motlagh
School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
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