Neonatal Jaundice Clinical Trial
Official title:
Efficacy Study of the Draeger Jaundice Meter (JM-105) in Providing TcB Measurements to Estimate TSB in Neonates of ≥ 24 Weeks of Gestational Age Who Have and Have Not Undergone Phototherapy
The Canadian Pediatric Society recently published guidelines to monitor bilirubin levels and as part of standard of care all hospitalized newborns are routinely monitored for the development of high bilirubin or jaundice every 8-12 hours. One device approved and used in both Canada and the United States is the Draeger Jaundice Meter JM-103, a non-invasive medical device. It has been proven to be effective in patients >35 weeks gestational age. Recently the JM-103 has been upgraded to include a bigger touch screen, greater storage and functionality. The rest of the features of the JM-103 and JM-105 are identical. In order to test the accuracy of the JM-105 neonates from ≥ 24 weeks gestational age who have or have not undergone phototherapy will be prospectively monitored for transcutaneous bilirubin (TcB) using the JM-105. The measurements will be compared to a physician-ordered total serum bilirubin (TSB).
Hyperbilirubinemia is a condition that occurs in newborns when there is too much bilirubin in
the blood. It is the most common cause of newborns being readmitted to the hospital. It may
be harmless or harmful depending on what the cause is and how bad it is. The serum level of
bilirubin required for jaundice varies with infants skin tones and body region, however
jaundice usually becomes visible in the white part of the eye at smaller levels. Although
jaundice in newborn is generally not harmful, it is important to monitor newborns to identify
those that are at risk of developing a neurological dysfunction from high bilirubin levels.
As part of standard of care all hospitalized newborns are routinely monitored for the
development of jaundice by nursing staff and physicians every 8-12 hours. Although jaundice
in newborns can usually be detected by lightening/whitening in the skin with digital
pressure, this method of visual estimation is very inaccurate and unreliable. Transcutaneous
bilirubin measurements are non-invasive and has proven to be equivalent to total serum
bilirubin measurements. The JM-103 has been proven to be an effective TcB measure in
ethnically diverse populations for patients >35 weeks gestational age. The JM-105 has been
upgraded from the JM-103 with greater efficiency and accuracy. The basic function is the same
but has been improved with a larger touch screen, data storage and transmission
functionality.
This prospective multi-centre study will be conducted to determine the diagnostic accuracy
and performance of the use of the JM-105 in providing transcutaneous bilirubin measurements
to estimate serum total bilirubin in neonates ≥ 24 weeks of gestational age who have or have
not undergone phototherapy. The study will compare each of the measurements of transcutaneous
bilirubin (TcB) obtained for 10 days via the JM-105 device with a neonatology team-ordered
series of serum total bilirubin (TSB) measured by high-performance liquid chromatography.
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