{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T07:40:07Z","timestamp":1770968407820,"version":"3.50.1"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T00:00:00Z","timestamp":1606780800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,12,5]],"date-time":"2020-12-05T00:00:00Z","timestamp":1607126400000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pediatr"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>To confirm the accuracy of transcutaneous bilirubin (TcB) in the neonatal intensive care unit both with and without phototherapy, and compare forehead and sternum as the TcB assessment site.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We simultaneously assessed the total serum bilirubin (TSB) and TcB at the forehead and sternum, using a JM-103 bilirubinometer. We analyzed the correlation between the TSB and TcB assessed at the forehead and sternum, with measurements classified as \u2018without phototherapy\u2019 (before phototherapy and &gt;\u200924 hours after phototherapy discontinuation) and \u2018with phototherapy\u2019 (after 24 hours of phototherapy).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>There were 1,084 paired forehead and sternum TcB measurements, with the corresponding TSB measurement, from 384 infants. Their mean gestational age of 35.4\u2009\u00b1\u20093.2 weeks (62% were preterm) and a mean birth weight of 2434\u2009\u00b1\u2009768 grams, and TSB was 6.61\u2009\u00b1\u20093.56\u00a0mg\/dL. Without phototherapy, TcB values at the forehead and sternum were correlated well to the TSB value (<jats:italic>r<\/jats:italic>\u2009=\u20090.925 and 0.915, respectively). With phototherapy, TcB values at the forehead and sternum were significantly correlated with the TSB value, but TcB at the forehead (<jats:italic>r<\/jats:italic>\u2009=\u20090.751) was a better match to the TSB than was TcB at the sternum (<jats:italic>r<\/jats:italic>\u2009=\u20090.668). Additionally, Bland-Altman plots showed a greater degree of underestimation of the TSB by TcB at the sternum with phototherapy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>TcB was more accurate in infants not receiving phototherapy. During phototherapy, it is better to assess TcB at the forehead rather than at the sternum.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12887-020-02450-w","type":"journal-article","created":{"date-parts":[[2020,12,5]],"date-time":"2020-12-05T06:03:08Z","timestamp":1607148188000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["The forehead is a better site than the sternum to check transcutaneous bilirubin during phototherapy in sick infants"],"prefix":"10.1186","volume":"20","author":[{"given":"Jaesung","family":"Jeon","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gina","family":"Lim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ki Won","family":"Oh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Na Mi","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hye Won","family":"Park","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mi Lim","family":"Chung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,12,5]]},"reference":[{"issue":"5","key":"2450_CR1","doi-asserted-by":"publisher","first-page":"577","DOI":"10.1111\/j.1651-2227.2003.tb02510.x","volume":"92","author":"H Ozkan","year":"2003","unstructured":"Ozkan H, Oren H, Duman N, Duman M. 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