{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T15:46:30Z","timestamp":1792683990019,"version":"4.5.0"},"reference-count":23,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine the correlation between transcutaneous bilirubin (TcB) and total serum bilirubin (TSB) in preterm neonates, and assess this correlation in two gestational sub\u2010groups before and after phototherapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This prospective observational study was conducted in a tertiary Neonatal Intensive Care Unit on preterm neonates (28 to 34\n                      <jats:sup>+6<\/jats:sup>\n                      weeks) screened for neonatal jaundice, with TcB measurements and TSB levels obtained within 2\u2009h. In neonates requiring phototherapy, photoprotective patches were applied to the forehead and sternum for TcB measurements, repeated 24\u2009h after phototherapy. Paired data analysis was performed using correlation coefficients and Bland\u2013Altman plots.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 399 paired samples from 154 neonates were analysed. In overall pooled measurements, TcB showed a consistent positive bias relative to TSB, with mean differences of 1.19\u2009\u00b1\u20091.42\u2009mg\/dL at the forehead and 1.25\u2009\u00b1\u20091.62\u2009mg\/dL at the sternum, with wider limits of agreement at the sternum. Correlation with TSB remained high at both sites, with slightly higher correlation at the forehead (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.921) than at the sternum (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.913). The 32\u201334\n                      <jats:sup>+6<\/jats:sup>\n                      weeks gestational subgroup showed slightly higher correlations (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.930) and smaller mean differences (1.19\u2009\u00b1\u20091.32\u2009mg\/dL) than the 28\u201331\n                      <jats:sup>+6<\/jats:sup>\n                      weeks subgroup (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.910, mean difference\u2009=\u20091.19\u2009\u00b1\u20091.53\u2009mg\/dL), particularly at the forehead. After phototherapy, forehead measurements showed reduced mean bias compared with prior to phototherapy measurements, although limits of agreement remained wide, while sternal measurements demonstrated greater variability and a tendency to underestimate TSB.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TcB demonstrated moderate agreement with TSB, with a tendency to overestimate bilirubin levels, while maintaining a strong correlation in early and moderate preterm neonates. Agreement was relatively better at the forehead and in higher gestational age groups. It serves as a useful non\u2010invasive screening and adjunctive tool to reduce blood sampling. However, TSB remains essential for definitive clinical decision\u2010making.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      CTRI\/2023\/02\/049478\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.70521","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T10:48:50Z","timestamp":1785840530000},"page":"1743-1752","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Correlation Between Transcutaneous Bilirubin and Serum Bilirubin in Preterm Neonates in Neonatal Jaundice: A Prospective Observational Study"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-2942-8223","authenticated-orcid":false,"given":"Nageli","family":"Sreevani","sequence":"first","affiliation":[{"name":"Department of Paediatrics Kasturba Medical College, Manipal Academy of Higher Education  Manipal Karnataka India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6737-2023","authenticated-orcid":false,"given":"Shruthi Kumar","family":"Bharadwaj","sequence":"additional","affiliation":[{"name":"Department of Neonatology Kasturba Medical College, Manipal Academy of Higher Education  Manipal Karnataka India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9754-1756","authenticated-orcid":false,"given":"Jayashree","family":"Purkayastha","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Kasturba Medical College, Manipal Academy of Higher Education  Manipal Karnataka India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9651-2972","authenticated-orcid":false,"given":"Sheila Samanta","family":"Mathai","sequence":"additional","affiliation":[{"name":"Department of Neonatology Kasturba Medical College, Manipal Academy of Higher Education  Manipal Karnataka India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3467-6821","authenticated-orcid":false,"given":"Leslie Edward","family":"Lewis","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Kasturba Medical College, Manipal Academy of Higher Education  Manipal Karnataka India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3041-8603","authenticated-orcid":false,"given":"Anand Kumar","family":"Patil","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Kasturba Medical College, Manipal Academy of Higher Education  Manipal Karnataka India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0961-2930","authenticated-orcid":false,"given":"Suresha","family":"Kharvi","sequence":"additional","affiliation":[{"name":"Department of Applied Statistics and Data Science Prasanna School of Public Health, Manipal Academy of Higher Education  Manipal Karnataka India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9304-8155","authenticated-orcid":false,"given":"Ann","family":"Mariya","sequence":"additional","affiliation":[{"name":"Department of Applied Statistics and Data Science Prasanna School of Public Health, Manipal Academy of Higher Education  Manipal Karnataka 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