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Evaluation of a Transcutaneous Jaundice Meter Following Hospital Discharge in Term and Near-Term Neonates

Journal of Perinatology volume 25, pages 486–490 (2005)Cite this article

Abstract

OBJECTIVES:

To evaluate performance of the Minolta JM-103 Jaundice Meter (JM) as a predictor of total serum bilirubin (TSB) in outpatient neonates during the first week postnatal, and to estimate the number of TSB determinations that might be avoided in clinical use.

STUDY DESIGN:

In neonates evaluated posthospital discharge, JM and TSB results were compared using linear regression and a Bland–Altman plot, and predictive indices were calculated for various JM cutoff values. Utilizing the 2004 American Academy of Pediatrics (AAP) guidelines, the ability of JM to predict risk zone status was determined.

RESULTS:

Overall correlation between JM and TSB was 0.77 (p<0.001; n=121). When TSB was >17 mg/dl, a cutoff value for JM of 13 mg/dl had a sensitivity of 1.0, and 50% of TSB determinations would be avoided.

CONCLUSIONS:

JM may facilitate outpatient management of hyperbilirubinemia by reducing the number of TSB determinations required; however, it does not provide a reliable substitute for laboratory measurement of TSB.

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Acknowledgements

The JM-103™ used in this study was provided without charge by Hill Rom Air-Shields.

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Authors and Affiliations

  1. Department of Pediatrics, Division of Neonatal–Perinatal Medicine, University of Texas Southwestern Medical Center at Dallas, Dallas, USA

    William D Engle MD, Gregory L Jackson MD, MBA, Elizabeth K Stehel MD, Dorothy M Sendelbach MD & M Denise Manning RN

Authors
  1. William D Engle MD
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  2. Gregory L Jackson MD, MBA
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  3. Elizabeth K Stehel MD
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  4. Dorothy M Sendelbach MD
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  5. M Denise Manning RN
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Additional information

Presented in part at Pediatric Academic Societies meeting, May 2, 2004, San Francisco, CA, USA.

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Engle, W., Jackson, G., Stehel, E. et al. Evaluation of a Transcutaneous Jaundice Meter Following Hospital Discharge in Term and Near-Term Neonates. J Perinatol 25, 486–490 (2005). https://doi.org/10.1038/sj.jp.7211333

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