Transcutaneous bilirubinometry with the Bilicheck® in very premature newborns

Willems, WA; Berg, LM van den; Wit, Harm de; Molendijk, A.

doi:10.1080/jmf.16.4.209.214

Cited by 39 publications

(22 citation statements)

References 7 publications

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“…Numerous studies have compared the agreement between TcB and TSB [5][6][7][8][9][10][11][12][13][14][15][16]. One review in 2013 summarised the results from 22 studies conducted between 1982 and 2012 ( [5][6][7][8][9][10][11][12][13][14][15][16]), mainly on BiliChek and JM-103 (and its earlier versions) [6].…”

Section: Comparisons With Other Techniquesmentioning

confidence: 99%

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Screening neonatal jaundice based on the sclera color of the eye using digital photography

Leung

Kapur

Guilliam

et al. 2015

Biomed. Opt. Express

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Abstract:A new screening technique for neonatal jaundice is proposed exploiting the yellow discoloration in the sclera. It involves taking digital photographs of newborn infants' eyes (n = 110) and processing the pixel colour values of the sclera to predict the total serum bilirubin (TSB) levels. This technique has linear and rank correlation coefficients of 0.75 and 0.72 (both p<0.01) with the measured TSB. The mean difference ( ± SD) is 0.00 ± 41.60 µmol/l. The receiver operating characteristic curve shows that this technique can identify subjects with TSB above 205 µmol/l with sensitivity of 1.00 and specificity of 0.50, showing its potential as a screening device.

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Section: Comparisons With Other Techniquesmentioning

confidence: 99%

“…Currently, the two most popular commercial TcBs include BiliChek (Philips Healthcare) and Jaundice Meter JM102/JM103 (Draeger Medical Inc., previously marketed by Konica Minolta Inc.) [5][6][7][8][9][10][11][12][13][14][15][16]. The skin pigment is the most influential confounding factor for the skin colour approach.…”

Section: Introductionmentioning

confidence: 99%

Screening neonatal jaundice based on the sclera color of the eye using digital photography

Leung

Kapur

Guilliam

et al. 2015

Biomed. Opt. Express

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show abstract

“…Twenty-one studies 9,[20][21][22][23][24][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] provided results for correlation coefficients, and the pooled estimates according to the site of measurement were as follows: (Fig 2). There were no subgroup differences with respect to …”

Section: Meta-analysis Of Correlation Coefficientsmentioning

confidence: 99%

“…Thirteen studies 20,21,23,25,26,[32][33][34][35][36][37]39,40 provided results as an analysis of the Bland-Altman difference plots. The studies were published between the years 2003 and 2012, and the majority used either JM-103 (6 studies) or BiliCheck (6 studies) devices except for the study by Karen et al, 26 which used Bilimed.…”

Section: Bland-altman (Tcb -Tsb Differences) Plot Analysismentioning

confidence: 99%

Reliability of Transcutaneous Bilirubin Devices in Preterm Infants: A Systematic Review

Nagar¹,

Vandermeer²,

Campbell

et al. 2013

Pediatrics

108

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BACKGROUND AND OBJECTIVE: Transcutaneous bilirubin (TcB) devices are widely used for the estimation of serum bilirubin levels in term and near-term infants. Our objective was to review the diagnostic accuracy of TcB devices in preterm infants.METHODS: Medline, Embase, Cochrane library, Cumulative Index to Nursing and Allied Health Literature, and Scopus were searched (from database inception date until December 2012). Additional citations were identified by using the bibliographies of selected articles and from conference proceedings. The studies were included if they compared TcB with total serum bilirubin in preterm infants before phototherapy and presented data as correlation coefficients or as BlandAltman difference plots. Data were extracted by 1 reviewer and checked for accuracy by the second reviewer. An assessment tool (quality assessment of diagnostic accuracy studies) was used for risk of bias assessments. RESULTS:Twenty-two studies met the inclusion criteria; 21 studies reported results as correlation coefficients, with pooled estimates of r = 0.83 for each site of measurement. Pooled estimates in infants ,32 weeks' gestation were similar to the overall preterm population (r = 0.89 [95% confidence interval: 0.82-0.93]). For the 2 commonly used TcB devices (ie, JM103 and BiliCheck), the results were comparable at the forehead site, although the JM103 device exhibited better correlation at the sternum. Analysis of the BlandAltman plots (13 studies) revealed negligible bias in measurement at the forehead or sternum site by using either the JM-103 or BiliCheck device; however, the JM-103 device exhibited better precision than the BiliCheck (SD for TcB -total serum bilirubin differences: 24.3 and 31.98 mmol/L, respectively). CONCLUSIONS:The TcB devices reliably estimated bilirubin levels in preterm infants and could be used in clinical practice to reduce blood sampling.

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“…1 The majority of earlier studies have examined the use of TcB in term and near-term neonates, [2][3][4][5][6][7] whereas studies that have been carried out in preterm neonates have yielded varying results. [8][9][10][11][12][13][14][15][16] Yasuda et al 17 reported that the correlation between TcB and TSB was similar in both preterm and term neonates. However, Namba and Kitajima 18 reported that accuracy and reliability of TcB versus TSB were diminished in neonates with birth weights <1000 g or gestational ages <28 weeks, compared with results in larger, more mature preterm neonates.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of transcutaneous bilirubinometry in preterm neonates

et al. 2009

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Objective: To determine the accuracy and precision of transcutaneous bilirubin (TcB) measurements in preterm neonates.Study Design: Neonates were stratified into three groups on the basis of gestational age: 24 to 28 weeks (Group 1, n ¼ 30), 29 to 31 weeks (Group 2, n ¼ 29) and 32 to 34 weeks (Group 3, n ¼ 31). TcB was measured using the Draeger Air Shields JM-103, and when possible, measurements were made by two observers. TcB and total serum bilirubin (TSB) measurements were compared, and interobserver precision for TcB measurements was assessed.Result: Correlations between TcB and TSB ranged from 0.79 to 0.92. Most of the differences between TcB and TSB were ±2 mg per 100 ml, and there was no trend for the difference to increase with increasing bilirubin values. Sensitivity, specificity and negative predictive values ranged from 0.67 to 1.0, 0.29 to 0.81 and 0.60 to 1.0, respectively. Intraclass correlations were 0.87 to 0.92. Conclusion:TcB correlates significantly with TSB in preterm neonates, and interobserver precision is significant. Routine measurement of TcB in preterm neonates may provide enhanced clinical monitoring for hyperbilirubinemia.

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Transcutaneous bilirubinometry with the Bilicheck® in very premature newborns

Cited by 39 publications

References 7 publications

Screening neonatal jaundice based on the sclera color of the eye using digital photography

Screening neonatal jaundice based on the sclera color of the eye using digital photography

Reliability of Transcutaneous Bilirubin Devices in Preterm Infants: A Systematic Review

Evaluation of transcutaneous bilirubinometry in preterm neonates

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