Initial assessment of Jaundice in other wise healthly infants a comparison of methods in two postnatal units

Hdl Handle:
http://hdl.handle.net/10147/122312
Title:
Initial assessment of Jaundice in other wise healthly infants a comparison of methods in two postnatal units
Authors:
Allen, NM; O'Donnell, SM; White, MJ; Corcoran, JD
Publisher:
Irish Medical Journal
Issue Date:
Dec-2010
URI:
http://hdl.handle.net/10147/122312
Item Type:
Article
Language:
en
Description:
Transcutaneous bilirubin (TcB) has the potential to reduce total serum bilirubin (TSB) sampling. The principal aim of this study was to determine and compare the number of initial TSB samples (TSBs) in two postnatal units (hospitals A & B) whereby hospital A used TcB and hospital B did not. A secondary aim was to determine the clinical factors that led to initial TSBs exceeding exchange transfusion level in both hospitals. Results demonstrated both hospitals had similar populations and patient numbers following selection criteria. 1645 neonates (10.4%) had one or more TSBs performed in hospital A, versus 2373 neonates (15.1%) in hospital B (p < 0.01). Fourteen neonates in hospital A and 3 neonates in hospital B had initial TSBs above exchange transfusion level. For neonates with TSBs above exchange, preventable factors related to earlier testing and follow up. In routine clinical practice, TcB is associated with a significantly reduced number of TSB measurements. TSB levels above exchange transfusion are linked to preventable factors, in otherwise healthy neonates.
Keywords:
TRANSCUTANEOUS BILIRUBIN (TcB); TOTAL SERUM BILIRUBIN (TSB)

Full metadata record

DC FieldValue Language
dc.contributor.authorAllen, NMen
dc.contributor.authorO'Donnell, SMen
dc.contributor.authorWhite, MJen
dc.contributor.authorCorcoran, JDen
dc.date.accessioned2011-02-18T12:57:13Z-
dc.date.available2011-02-18T12:57:13Z-
dc.date.issued2010-12-
dc.identifier.urihttp://hdl.handle.net/10147/122312-
dc.descriptionTranscutaneous bilirubin (TcB) has the potential to reduce total serum bilirubin (TSB) sampling. The principal aim of this study was to determine and compare the number of initial TSB samples (TSBs) in two postnatal units (hospitals A & B) whereby hospital A used TcB and hospital B did not. A secondary aim was to determine the clinical factors that led to initial TSBs exceeding exchange transfusion level in both hospitals. Results demonstrated both hospitals had similar populations and patient numbers following selection criteria. 1645 neonates (10.4%) had one or more TSBs performed in hospital A, versus 2373 neonates (15.1%) in hospital B (p < 0.01). Fourteen neonates in hospital A and 3 neonates in hospital B had initial TSBs above exchange transfusion level. For neonates with TSBs above exchange, preventable factors related to earlier testing and follow up. In routine clinical practice, TcB is associated with a significantly reduced number of TSB measurements. TSB levels above exchange transfusion are linked to preventable factors, in otherwise healthy neonates.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectTRANSCUTANEOUS BILIRUBIN (TcB)en
dc.subjectTOTAL SERUM BILIRUBIN (TSB)en
dc.titleInitial assessment of Jaundice in other wise healthly infants a comparison of methods in two postnatal unitsen
dc.typeArticleen
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