Share on facebook
Share on twitter
Share on linkedin

To Compare Transcutaneous Bilirubin With Total Serum Bilirubin In Preterm Neonates Receiving Phototherapy

Kushagra Chaudhari, Ruchi Nanavati 


Department of Neonatology, KEM Hospital, Parel, Mumbai 400012

Princess Anne Hospital, Southampton

Introduction (include hypothesis)

The incidence of neonatal hyperbilirubinemia is between 30-60% in full-term neonatesand nearly 100% in preterm neonates.[1] Preterm neonates are a unique population who are susceptible to higher risk of kernicterus at lower bilirubin values as well as the adverse effects of frequent blood samplings. Therefore testing their level of jaundice with a non-invasive method is extremely beneficial.

Evidence has shown a good correlation between transcutaneous bilirubin (TcB) and total serum bilirubin (TSB) in preterm neonates before initiation of phototherapy (PT). There is limited data on the reliability of use of TcB in preterm neonatesa after initiation of PT. Hence we aimed to compare TcB with TSB in preterm neonates after initiation of phototherapy.

Methods (include source of funding and ethical approval if required)

30 preterm neonates (>28 but <37 weeks) having clinically detectable jaundice were enrolled. Jaundice was assessed with TcB and TSB before initiation of PT. A photo-occlusive patch was applied over the sternum. A repeat TcB was assessed at 12 hours after the initiation of PT on the shielded skin area along with simultaneous TSB estimation. Correlation coefficients of TcB with TSB were calculated using Pearson correlation and compared according to gestational age and postnatal age.


TcB holds a good correlation with TSB both before (r=0.874, p=0.0001) and after initiation of PT. (r=0.751, p=0.0001). Correlation is better for neonates 28-32 weeks gestational age (r=0.944) than 32-37 weeks (r=0.864). It is also better for lower postnatal age <72h (r=0.956) than >72h (r=0.607).


TcB correlates significantly with TSB at the patched sternal site after initiation of PT in preterm neonates

References (include acknowledgement here if appropriate)

– Nagar G, Vandermeer B, Campbell S, Kumar M. Reliability of transcutaneous bilirubin devices in preterm infants: a systematic review. Pediatrics. 2013 Nov;132(5):871-81.

– Jaundice Meter JM-105 instruction manual. 2014. Drägerwerk AG & Co. KGaA. Ref Type Generic

More to explorer

Summer Meeting 2023

29th – 30th June 2023 Bristol Tizard lecture will be given by Prof Caroline Crowther, University of Auckland “Antenatal magnesium sulphate for

Spring Meeting 2023

10th March 2023 The Royal Society of Medicine, London​ 09.30 – 18.00 GMT Register Here Submit Abstract Submission deadline for Spring Meeting

Autumn Meeting 2022

10th November 2022 Hybrid event: in person and online meeting at the Royal Society of Medicine, London Includes the Annual General Meeting

Search by category
Scroll to Top

We use cookies to improve your experience on our website. By browsing this website, you agree to our use of cookies.