Neonatal Bilirubin Triage With Transcutaneous Meters: When is a Blood Draw Necessary?
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ABBREVIATIONS HR: high risk NPV: negative predictive value TcB: transcutaneous bilirubin TSB: total serum bilirubin www.hospitalpediatrics.org doi:10.1542/hpeds.2012-0012 Address correspondence to Gary A. Emmett, MD, Department of Pediatrics, 833 Chestnut St, Suite 300, Philadelphia, PA 19107. E-mail: [email protected] HOSPITAL PEDIATRICS (ISSN Numbers: Print, 2154 1663; Online, 2154 1671). Copyright © 2012 by the American Academy of Pediatrics
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Neonatal bilirubin triage with transcutaneous meters: when is a blood draw necessary?
OBJECTIVE To find the optimal transcutaneous bilirubin (TcB) screening level in term neonates that minimizes the discomfort of phlebotomy, while protecting the child from harm and controlling costs. METHODS All available TcB and total serum bilirubin (TSB) measurements taken between 27 and 51 hours of life from a cohort of term newborns were analyzed in a retrospective chart review. TcB cutof...
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