Accuracy of transcutaneous bilirubin measured by the BiliCare device in late preterm and term neonates

Abstract

The BiliCare(TM) demonstrated good performance with positive bias for the screening of jaundice in healthy late preterm or term infants. However, if adopted, proper cut-off levels should be chosen because of sub-optimal device precision.

Evaluation of the Kejian KJ‐8000 bilirubinometer in an Australian setting

“…This study demonstrated a stronger correlation in the Caucasian group compared to the non‐Caucasian group. These findings are consistent with other studies where the correlation between TcB and SBR in non‐Caucasian or darker‐skinned infants is lower than that of Caucasian or lighter‐skinned infants . The trend in agreement is also consistent with other studies in that TcB devices tend to overestimate the SBR measurements (i.e.…”

“…These findings are consistent with other studies where the correlation between TcB and SBR in non-Caucasian or darker-skinned infants is lower than that of Caucasian or lighter-skinned infants. 11,13,[15][16][17][18][19][20] The trend in agreement is also consistent with other studies in that TcB devices tend to overestimate the SBR measurements (i.e. positive bias) in non-Caucasian or darker-skinned infants (including African American, Thai and Asian sub-populations) and are less precise than measurements in Caucasian or lighterskinned infants where the devices tended to underestimate (i.e.…”

“…positive bias) in non‐Caucasian or darker‐skinned infants (including African American, Thai and Asian sub‐populations) and are less precise than measurements in Caucasian or lighter‐skinned infants where the devices tended to underestimate (i.e. negative bias) …”

“…negative bias). 2,10,13,[15][16][17][18][19][20][21] We used the Queensland Statewide Jaundice Guidelines to provide clinical criteria to assess the usefulness of the KJ-8000 as a screening tool. When the TcB was negative, over 95% infants did not require phototherapy (negative predictive value 95.9%).…”

Evaluation of BiliCare™ transcutaneous bilirubin device in Japanese newborns

“…Two study groups in Italy and Thailand reported the accuracy of BiliCare TcB in 2016; the r between TcB and TB was 0.55 and 0.76, respectively . The mean difference on Bland–Altman plots was +1.87 in the Thailand study .…”