Journal of Clinical Neonatology

ORIGINAL ARTICLE
Year
: 2022  |  Volume : 11  |  Issue : 2  |  Page : 86--89

Predischarge screening of neonates with transcutaneous bilirubinometer: Comparison of various nomograms


Thrilok Natarajan1, Ramesh Srinivasan2, Sumathi Raju2, Suvetha Kannapan3 
1 Department of Pediatrics, Queen Alexandra Hospital, Portsmouth, England, UK
2 Department of Pediatrics, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India
3 Department of Community Medicine, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India

Correspondence Address:
Ramesh Srinivasan
Department of Pediatrics, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu
India

Objective: To compare the diagnostic accuracy of various transcutaneous bilirubin (TcB) nomograms for predischarge screening. Methods: The paired total serum bilirubin (TSB) and TcB measurements collected in neonates ≥35 weeks and ≥2000 g birth weight were analyzed. BiliCare™ bilirubinometer was used for TcB measurement. We chose the following nomograms for the study: Bhutani nomogram, Maisel's nomogram, Agarwal nomogram, Thakkar nomogram, American Academy of Pediatrics (AAP) nomogram within 3 mg/dl of phototherapy cutoff, AAP nomogram >70% of phototherapy cutoff and if TcB value is above 13 mg/dl. The diagnostic accuracy of these nomograms for TcB was compared with TSB plotted in the Bhutani nomogram. Results: TcB showed a positive correlation with TSB (Pearson correlation coefficient = 0.783). Bhutani nomogram, Maisel's nomogram and AAP (using within 3 mg/dL cutoff) nomogram showed good sensitivity and low false-negative rate while avoiding blood draws in most neonates. Conclusion: Bhutani nomogram, Maisel's nomogram, and AAP (using within 3 mg/dL of phototherapy cutoff) nomograms have comparable diagnostic accuracy for predischarge bilirubin screening in neonates.


How to cite this article:
Natarajan T, Srinivasan R, Raju S, Kannapan S. Predischarge screening of neonates with transcutaneous bilirubinometer: Comparison of various nomograms.J Clin Neonatol 2022;11:86-89


How to cite this URL:
Natarajan T, Srinivasan R, Raju S, Kannapan S. Predischarge screening of neonates with transcutaneous bilirubinometer: Comparison of various nomograms. J Clin Neonatol [serial online] 2022 [cited 2022 Jun 29 ];11:86-89
Available from: https://www.jcnonweb.com/article.asp?issn=2249-4847;year=2022;volume=11;issue=2;spage=86;epage=89;aulast=Natarajan;type=0