EFFECTIVENESS OF TRANSCUTANEOUS BILIRUBIN (TCBR) MEASUREMENT IN HIGH RISK NEONATES AND TO EVALUATE THE VALIDITY OF TRANSCUTANEOUS BILIRUBIN (TCBR) WITH TOTAL SERUM BILIRUBIN (TSBR) LEVELS IN BOTH LOW AND HIGH RISK NEONATES AT A TERTIARY CARE CENTER OF A DEVELOPING COUNTRY

Objective: To evaluate the utility of a Transcutaneous Bilirubin nomogram in high risk neonates and to evaluate the validity of Transcutaneous Bilirubin and Total serum bilirubin in both low and high-risk neonates. Study Design: Cross-sectional study. Place and Duration of Study: Postnatal War...

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Autores principales: Durre Shahwar, Sabina Ariff, Batha Tariq, Arjumand Rizvi, Syed Rehan, Ali Shabbir Hussain
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Lenguaje:EN
Publicado: Army Medical College Rawalpindi 2021
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Acceso en línea:https://doi.org/10.51253/pafmj.v71i1.3853
https://doaj.org/article/82e6d9c7c9324e1894d62bc99f22e88a
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spelling oai:doaj.org-article:82e6d9c7c9324e1894d62bc99f22e88a2021-12-02T19:03:08ZEFFECTIVENESS OF TRANSCUTANEOUS BILIRUBIN (TCBR) MEASUREMENT IN HIGH RISK NEONATES AND TO EVALUATE THE VALIDITY OF TRANSCUTANEOUS BILIRUBIN (TCBR) WITH TOTAL SERUM BILIRUBIN (TSBR) LEVELS IN BOTH LOW AND HIGH RISK NEONATES AT A TERTIARY CARE CENTER OF A DEVELOPING COUNTRYhttps://doi.org/10.51253/pafmj.v71i1.38530030-96482411-8842https://doaj.org/article/82e6d9c7c9324e1894d62bc99f22e88a2021-02-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/3853https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To evaluate the utility of a Transcutaneous Bilirubin nomogram in high risk neonates and to evaluate the validity of Transcutaneous Bilirubin and Total serum bilirubin in both low and high-risk neonates. Study Design: Cross-sectional study. Place and Duration of Study: Postnatal Ward, Aga Khan University Hospital, Karachi, from May to Oct 2019. Methodology: The participants will include all neonates born and admitted in the well baby nursery with jaundice. All neonates with gestational age of <35 weeks, requiring admission in Neonatal intensive care unit, and neonates with conjugated hyperbilirubinemia will be excluded. We will stratify our neonates into high and low risk population based on predefined criteria. Eighty five neonates in low risk group and 122 neonates in high risk group will be included. Results: We aim to assess the effectiveness of Transcutaneous Bilirubin nomogram in high risk neonates as an effective and non-invasive tool in the management of neonatal jaundice in high risk neonates. We will also assess the sensitivity and specificity of Transcutaneous Bilirubin and Total serum bilirubin measurements and the analysis would be performed separately for high risk and low risk neonates to evaluate the validity of Transcutaneous Bilirubin independently in both groups. Conclusion: We hope to establish a validated phototherapy guideline based on the Transcutaneous Bilirubin nomogram, as a cost effective and noninvasive tool in the management of neonatal jaundice in both high and low risk groups in Pakistan.Durre ShahwarSabina AriffBatha TariqArjumand RizviSyed RehanAli Shabbir HussainArmy Medical College Rawalpindiarticlehigh risk neonateshyperbilirubinemiatranscutaneous bilirubintotal serum bilirubinMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 1, Pp 357-363 (2021)
institution DOAJ
collection DOAJ
language EN
topic high risk neonates
hyperbilirubinemia
transcutaneous bilirubin
total serum bilirubin
Medicine
R
Medicine (General)
R5-920
spellingShingle high risk neonates
hyperbilirubinemia
transcutaneous bilirubin
total serum bilirubin
Medicine
R
Medicine (General)
R5-920
Durre Shahwar
Sabina Ariff
Batha Tariq
Arjumand Rizvi
Syed Rehan
Ali Shabbir Hussain
EFFECTIVENESS OF TRANSCUTANEOUS BILIRUBIN (TCBR) MEASUREMENT IN HIGH RISK NEONATES AND TO EVALUATE THE VALIDITY OF TRANSCUTANEOUS BILIRUBIN (TCBR) WITH TOTAL SERUM BILIRUBIN (TSBR) LEVELS IN BOTH LOW AND HIGH RISK NEONATES AT A TERTIARY CARE CENTER OF A DEVELOPING COUNTRY
description Objective: To evaluate the utility of a Transcutaneous Bilirubin nomogram in high risk neonates and to evaluate the validity of Transcutaneous Bilirubin and Total serum bilirubin in both low and high-risk neonates. Study Design: Cross-sectional study. Place and Duration of Study: Postnatal Ward, Aga Khan University Hospital, Karachi, from May to Oct 2019. Methodology: The participants will include all neonates born and admitted in the well baby nursery with jaundice. All neonates with gestational age of <35 weeks, requiring admission in Neonatal intensive care unit, and neonates with conjugated hyperbilirubinemia will be excluded. We will stratify our neonates into high and low risk population based on predefined criteria. Eighty five neonates in low risk group and 122 neonates in high risk group will be included. Results: We aim to assess the effectiveness of Transcutaneous Bilirubin nomogram in high risk neonates as an effective and non-invasive tool in the management of neonatal jaundice in high risk neonates. We will also assess the sensitivity and specificity of Transcutaneous Bilirubin and Total serum bilirubin measurements and the analysis would be performed separately for high risk and low risk neonates to evaluate the validity of Transcutaneous Bilirubin independently in both groups. Conclusion: We hope to establish a validated phototherapy guideline based on the Transcutaneous Bilirubin nomogram, as a cost effective and noninvasive tool in the management of neonatal jaundice in both high and low risk groups in Pakistan.
format article
author Durre Shahwar
Sabina Ariff
Batha Tariq
Arjumand Rizvi
Syed Rehan
Ali Shabbir Hussain
author_facet Durre Shahwar
Sabina Ariff
Batha Tariq
Arjumand Rizvi
Syed Rehan
Ali Shabbir Hussain
author_sort Durre Shahwar
title EFFECTIVENESS OF TRANSCUTANEOUS BILIRUBIN (TCBR) MEASUREMENT IN HIGH RISK NEONATES AND TO EVALUATE THE VALIDITY OF TRANSCUTANEOUS BILIRUBIN (TCBR) WITH TOTAL SERUM BILIRUBIN (TSBR) LEVELS IN BOTH LOW AND HIGH RISK NEONATES AT A TERTIARY CARE CENTER OF A DEVELOPING COUNTRY
title_short EFFECTIVENESS OF TRANSCUTANEOUS BILIRUBIN (TCBR) MEASUREMENT IN HIGH RISK NEONATES AND TO EVALUATE THE VALIDITY OF TRANSCUTANEOUS BILIRUBIN (TCBR) WITH TOTAL SERUM BILIRUBIN (TSBR) LEVELS IN BOTH LOW AND HIGH RISK NEONATES AT A TERTIARY CARE CENTER OF A DEVELOPING COUNTRY
title_full EFFECTIVENESS OF TRANSCUTANEOUS BILIRUBIN (TCBR) MEASUREMENT IN HIGH RISK NEONATES AND TO EVALUATE THE VALIDITY OF TRANSCUTANEOUS BILIRUBIN (TCBR) WITH TOTAL SERUM BILIRUBIN (TSBR) LEVELS IN BOTH LOW AND HIGH RISK NEONATES AT A TERTIARY CARE CENTER OF A DEVELOPING COUNTRY
title_fullStr EFFECTIVENESS OF TRANSCUTANEOUS BILIRUBIN (TCBR) MEASUREMENT IN HIGH RISK NEONATES AND TO EVALUATE THE VALIDITY OF TRANSCUTANEOUS BILIRUBIN (TCBR) WITH TOTAL SERUM BILIRUBIN (TSBR) LEVELS IN BOTH LOW AND HIGH RISK NEONATES AT A TERTIARY CARE CENTER OF A DEVELOPING COUNTRY
title_full_unstemmed EFFECTIVENESS OF TRANSCUTANEOUS BILIRUBIN (TCBR) MEASUREMENT IN HIGH RISK NEONATES AND TO EVALUATE THE VALIDITY OF TRANSCUTANEOUS BILIRUBIN (TCBR) WITH TOTAL SERUM BILIRUBIN (TSBR) LEVELS IN BOTH LOW AND HIGH RISK NEONATES AT A TERTIARY CARE CENTER OF A DEVELOPING COUNTRY
title_sort effectiveness of transcutaneous bilirubin (tcbr) measurement in high risk neonates and to evaluate the validity of transcutaneous bilirubin (tcbr) with total serum bilirubin (tsbr) levels in both low and high risk neonates at a tertiary care center of a developing country
publisher Army Medical College Rawalpindi
publishDate 2021
url https://doi.org/10.51253/pafmj.v71i1.3853
https://doaj.org/article/82e6d9c7c9324e1894d62bc99f22e88a
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