Initial assessment of jaundice in otherwise healthy infants--a comparison of methods in two postnatal units.

Hdl Handle:
http://hdl.handle.net/10147/207729
Title:
Initial assessment of jaundice in otherwise healthy infants--a comparison of methods in two postnatal units.
Authors:
Allen, N M; O'Donnell, S M; White, M J; Corcoran, J D
Affiliation:
Rotunda Hospital, Parnell Square, Dublin 1. nicholasallen@physicians.ie
Citation:
Ir Med J. 2010 Nov-Dec;103(10):310-3.
Journal:
Irish medical journal
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207729
PubMed ID:
21560504
Abstract:
Transcutaneous bilirubin (TcB) has the potential to reduce total serum bilirubin (TS) 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.
Language:
eng
MeSH:
Bilirubin/*blood; Female; Humans; Infant, Newborn; Jaundice, Neonatal/blood/*diagnosis/therapy; Male; Neonatal Screening/*methods; Retrospective Studies; Skin
ISSN:
0332-3102 (Print); 0332-3102 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorAllen, N Men_GB
dc.contributor.authorO'Donnell, S Men_GB
dc.contributor.authorWhite, M Jen_GB
dc.contributor.authorCorcoran, J Den_GB
dc.date.accessioned2012-02-01T10:38:14Z-
dc.date.available2012-02-01T10:38:14Z-
dc.date.issued2012-02-01T10:38:14Z-
dc.identifier.citationIr Med J. 2010 Nov-Dec;103(10):310-3.en_GB
dc.identifier.issn0332-3102 (Print)en_GB
dc.identifier.issn0332-3102 (Linking)en_GB
dc.identifier.pmid21560504en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207729-
dc.description.abstractTranscutaneous bilirubin (TcB) has the potential to reduce total serum bilirubin (TS) 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_GB
dc.language.isoengen_GB
dc.subject.meshBilirubin/*blooden_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshInfant, Newbornen_GB
dc.subject.meshJaundice, Neonatal/blood/*diagnosis/therapyen_GB
dc.subject.meshMaleen_GB
dc.subject.meshNeonatal Screening/*methodsen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshSkinen_GB
dc.titleInitial assessment of jaundice in otherwise healthy infants--a comparison of methods in two postnatal units.en_GB
dc.contributor.departmentRotunda Hospital, Parnell Square, Dublin 1. nicholasallen@physicians.ieen_GB
dc.identifier.journalIrish medical journalen_GB
dc.description.provinceLeinster-

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.