Transcutaneous bilirubin-based screening reduces the need for blood exchange transfusion in Myanmar newborns: A single-center, retrospective study

被引：3

作者：

Suzuki, Hiromi ^{[1
]}

Yasuda, Saneyuki ^{[2
]}

Htun, Yinmon ^{[3
]}

Aye, Nant San San ^{[4
]}

Oo, Hnin ^{[4
]}

Oo, Thet Paing ^{[5
]}

Htut, Zaw Lin ^{[4
]}

Koyano, Kosuke ^{[3
]}

Nakamura, Shinji ^{[3
]}

Kusaka, Takashi ^{[3
]}

机构：

[1] Kagawa Univ, Fac Med, Dept Hyg, Takamatsu, Kagawa, Japan

[2] Kagawa Univ Hosp, Post Grad Clin Educ Ctr, Takamatsu, Kagawa, Japan

[3] Kagawa Univ, Fac Med, Dept Pediat, Takamatsu, Kagawa, Japan

[4] Cent Womens Hosp, Neonatal Intens Care Unit, Yangon, Myanmar

[5] Univ Hosp Dorset NHS Fdn Trust, Poole Hosp, Poole, England

来源：

FRONTIERS IN PEDIATRICS | 2022年 / 10卷

关键词：

blood exchange therapy; neonatal jaundice; infants; transcutaneous bilirubin; phototherapy; nomogram;

D O I：

10.3389/fped.2022.947066

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

BackgroundNeonatal hyperbilirubinemia is a significant health problem in Myanmar. We introduced transcutaneous bilirubin (TcB) measurements in 2017 and developed an hour-specific TcB nomogram for early detection and treatment of hyperbilirubinemia in Myanmar neonates. This study aimed to evaluate whether our screening method for hyperbilirubinemia decreased the requirement of blood exchange therapy (ET). MethodsThis retrospective cohort study was conducted at the Central Women's Hospital, Yangon. Two groups were included as follows: group 1 (control group; comprising infants born in 2016 and screened on the basis of Kramer's rule), and group 2 (intervention group; comprising infants born in 2019 and screened by TcB measurement using a nomogram). The number of ETs was analyzed based on causes of hyperbilirubinemia and number of days after birth. ResultsGroups 1 and 2 comprised 12,968 and 10,090 infants, respectively. Forty-six and two infants in Groups 1 and 2, respectively, required an ET. The odds ratio for ET was 18.0 (Group 1 to Group 2; 95% confidence interval [CI]: 4.8-67.1; p = 0.000). Serum bilirubin values at the time ET was administered were significantly higher in Group 1 than those in Group 2 (median: 23.0 and 16.8, respectively). ConclusionThe management of hyperbilirubinemia using our screening method (TcB Nomogram) can effectively reduce the need for ET in neonates in Myanmar.

引用

页数：7

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