Hong Kong Med J 2008;14:356-60 | Number 5, October 2008
Evaluation of a point-of-care transcutaneous bilirubinometer in Chinese neonates at an accident and emergency department
Tommy SK Lam, KL Tsui, CW Kam
Department of Accident and Emergency Medicine, Tuen Mun Hospital, Tuen Mun, Hong Kong
OBJECTIVE. To evaluate the use of a point-of-care transcutaneous bilirubinometer, JM-103 Minolta, for estimation of the serum bilirubin level in the management of neonatal jaundice in term or near-term Chinese neonates.
DESIGN. Prospective correlation study.
SETTING. Accident and Emergency Department of a regional hospital in Hong Kong.
PATIENTS. All term or near-term Chinese neonates aged 3 to 7 days, who attended the Accident and Emergency Department because of jaundice between September and November 2007.
MAIN OUTCOME MEASURES. Paired transcutaneous bilirubin measurements by the JM-103 Minolta and the total serum bilirubin measurement by a direct spectrophotometric method in the laboratory.
RESULTS. The mean age of the 113 neonates at the time of data collection was 5 days (range, 3-7 days). Transcutaneous bilirubin showed a good correlation with total serum bilirubin; the highest correlation coefficient was 0.83 (P
CONCLUSION. The new point-of-care transcutaneous bilirubinometer, JM-103 Minolta, demonstrated good correlation with the serum bilirubin measurement in Chinese neonates aged 3 to 7 days. Thus, it is a useful screening device to facilitate quick decisions on disposal of jaundiced neonates presenting to accident and emergency departments or in out-patient clinic settings.
Key words: Bilirubin; Hyperbilirubinemia, neonatal; Jaundice, neonatal; Neonatal screening
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