Reproducibility of BiliCare™ Transcutaneus Bilirrubin Meter in Mexican Newborns

Background. Newborn hyperbilirubinemia is considered a worldwide health problem that demands medical evaluation. Noninvasive transcutaneous bilirubin (TcB) has been used as a screening method with different devices but there has not been any evaluation of reproducibility of the same brand devices. T...

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Main Authors: David Oldak, Gabriela García, Estela E. Gonzalez, Enver Aillon, Juan C. Falcon, Ernesto Ayala, Bernardo Oldak
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:International Journal of Pediatrics
Online Access:http://dx.doi.org/10.1155/2019/3812152
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author David Oldak
Gabriela García
Estela E. Gonzalez
Enver Aillon
Juan C. Falcon
Ernesto Ayala
Bernardo Oldak
author_facet David Oldak
Gabriela García
Estela E. Gonzalez
Enver Aillon
Juan C. Falcon
Ernesto Ayala
Bernardo Oldak
author_sort David Oldak
collection DOAJ
description Background. Newborn hyperbilirubinemia is considered a worldwide health problem that demands medical evaluation. Noninvasive transcutaneous bilirubin (TcB) has been used as a screening method with different devices but there has not been any evaluation of reproducibility of the same brand devices. The BiliCare™ system is evaluated to demonstrate consistency between measurements with four different devices. Methods. 336 TcB measurements were obtained with four BiliCare™ devices in 21 Mexican icteric newborns with a mean postnatal age of 44.1 hours of life and 38 weeks of gestation (33–41). Two measurements were taken in the same ear alternatively at the scaphoid fossa with each device. TcB values were compared between devices. Validity was compared with total serum bilirubin (TB). Results. intraclass correlation coefficient demonstrates a minimum limit in the study of 0.945 and maximum of 0.988 with the same device. Correlations with serum and between devices gave results above 0.932. Conclusions. BiliCare™ transcutaneous bilirubin measurement instrument has very good intra- and interdevice reproducibility; also correlation of TcS with serum bilirubin gave statistically the same results.
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institution Kabale University
issn 1687-9740
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publishDate 2019-01-01
publisher Wiley
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series International Journal of Pediatrics
spelling doaj-art-fc32c3fcf08d4527b31278dec654ef712025-02-03T01:32:48ZengWileyInternational Journal of Pediatrics1687-97401687-97592019-01-01201910.1155/2019/38121523812152Reproducibility of BiliCare™ Transcutaneus Bilirrubin Meter in Mexican NewbornsDavid Oldak0Gabriela García1Estela E. Gonzalez2Enver Aillon3Juan C. Falcon4Ernesto Ayala5Bernardo Oldak6Division of Neonatology, Department of Pediatrics, Angeles de las Lomas Hospital, State of México, MexicoDivision of Neonatology, Department of Pediatrics, Angeles de las Lomas Hospital, State of México, MexicoDivision of Neonatology, Department of Pediatrics, Angeles de las Lomas Hospital, State of México, MexicoDivision of Neonatology, Department of Pediatrics, Angeles de las Lomas Hospital, State of México, MexicoHealth Science Department, School of Medicine. Anahuac University State of México, MexicoHealth Science Department, School of Medicine. Anahuac University State of México, MexicoHealth Science Department, School of Medicine. Anahuac University State of México, MexicoBackground. Newborn hyperbilirubinemia is considered a worldwide health problem that demands medical evaluation. Noninvasive transcutaneous bilirubin (TcB) has been used as a screening method with different devices but there has not been any evaluation of reproducibility of the same brand devices. The BiliCare™ system is evaluated to demonstrate consistency between measurements with four different devices. Methods. 336 TcB measurements were obtained with four BiliCare™ devices in 21 Mexican icteric newborns with a mean postnatal age of 44.1 hours of life and 38 weeks of gestation (33–41). Two measurements were taken in the same ear alternatively at the scaphoid fossa with each device. TcB values were compared between devices. Validity was compared with total serum bilirubin (TB). Results. intraclass correlation coefficient demonstrates a minimum limit in the study of 0.945 and maximum of 0.988 with the same device. Correlations with serum and between devices gave results above 0.932. Conclusions. BiliCare™ transcutaneous bilirubin measurement instrument has very good intra- and interdevice reproducibility; also correlation of TcS with serum bilirubin gave statistically the same results.http://dx.doi.org/10.1155/2019/3812152
spellingShingle David Oldak
Gabriela García
Estela E. Gonzalez
Enver Aillon
Juan C. Falcon
Ernesto Ayala
Bernardo Oldak
Reproducibility of BiliCare™ Transcutaneus Bilirrubin Meter in Mexican Newborns
International Journal of Pediatrics
title Reproducibility of BiliCare™ Transcutaneus Bilirrubin Meter in Mexican Newborns
title_full Reproducibility of BiliCare™ Transcutaneus Bilirrubin Meter in Mexican Newborns
title_fullStr Reproducibility of BiliCare™ Transcutaneus Bilirrubin Meter in Mexican Newborns
title_full_unstemmed Reproducibility of BiliCare™ Transcutaneus Bilirrubin Meter in Mexican Newborns
title_short Reproducibility of BiliCare™ Transcutaneus Bilirrubin Meter in Mexican Newborns
title_sort reproducibility of bilicare™ transcutaneus bilirrubin meter in mexican newborns
url http://dx.doi.org/10.1155/2019/3812152
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