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Transcutaneous Bilirubin Accuracy Before, During, and After Phototherapy: A Meta-Analysis
Lisa Ten Kate1, Tiemen van Oorschot2, Jessica Woolderink3
1Medical Mission Suriname, Brownsweg, Suriname.
Pediatrics
|November 22, 2023
Summary
Transcutaneous bilirubinometry (TcB) shows good agreement with total serum bilirubin (TSB) measurements before and during phototherapy in newborns. Further research is needed to confirm TcB accuracy after phototherapy.
Area of Science:
- Neonatal care
- Medical devices
- Bilirubin metabolism
Background:
- Transcutaneous bilirubinometry (TcB) is a validated screening tool for identifying neonates needing total serum bilirubin (TSB) measurement before phototherapy.
- The reliability of TcB during and after phototherapy remains uncertain, limiting its current clinical application in these phases.
Conclusions:
- Transcutaneous bilirubinometry (TcB) is reliable for measuring bilirubin levels in term and preterm neonates before and during phototherapy when skin is covered.
- Additional research is necessary to establish the accuracy and reliability of TcB measurements after phototherapy.
- Language restrictions were noted as a limitation in the meta-analysis.
