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Updated: Jun 17, 2026

Biochemical Measurement of Neonatal Hypoxia
Published on: August 24, 2011
Two different tests for total bilirubin in neonates and infants
Shen-Dar Chen1, Chuang-Ming Wang, Wen-Li Lee
1Department of Pediatrics, Chia-Yi Christian Hospital, Chia-Yi City, Taiwan.
Background:
The most readily available methods for testing serum total bilirubin in neonates are the capillary tube-directed optics color method and serum biochemistry. Because inconsistency between these two methods may cause confusion in clinical practice, this study was designed to quantify their differences.
Methods:
In 46 neonates with clinical jaundice, total bilirubin was measured by two different methods, using a nonchemical photometric device and a laboratory analyzer.
Results:
Differences in results between these two methods were statistically significant, especially when total bilirubin level exceeded 15 mg/dL.
Conclusion:
Clinicians should be aware of the differences between the two methods when making decisions in patient care.
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