{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T02:04:15Z","timestamp":1789783455410,"version":"4.0.1"},"reference-count":23,"publisher":"Walter de Gruyter GmbH","issue":"4","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Transcutaneous bilirubinometers provide a non-invasive method to estimate total serum bilirubin (TSB) using multiwavelength reflectance. However, their accuracy during phototherapy (PT) remains controversial due to decreased dermal bilirubin.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the correlation between TSB and transcutaneous bilirubin (TcB) measured from covered and exposed skin areas before, during, and after PT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this prospective study, 70 neonates undergoing PT were assessed. TcB measurements were obtained from the exposed sternum and the forehead, which were covered with an aluminum-coated radiopaque patch. TSB and TcB values were measured before PT, at 24 h during treatment, and 8 h post-treatment. The agreement between TSB and TcB values was evaluated using the intraclass correlation coefficient (ICC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>TcB values of covered skin showed significant correlation with TSB at all-time points (ICC = 0.665 for pre-PT, ICC = 0.520 at 24 h, and ICC = 0.537 for post-treatment). TcB values of exposed skin showed poor correlation during and after PT. Mean differences between covered TcB and TSB remained within acceptable limits (&lt;1 mg\/dL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TcB measurements from covered skin offer a reliable, non-invasive alternative to serum bilirubin levels in neonates receiving PT, reducing the need for repeated blood draws.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2478\/abm-2025-0025","type":"journal-article","created":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T20:57:17Z","timestamp":1756846637000},"page":"183-189","source":"Crossref","is-referenced-by-count":1,"title":["Can transcutaneous bilirubin levels obtained from covered skin replace serum bilirubin measurement in neonates undergoing phototherapy?"],"prefix":"10.2478","volume":"19","author":[{"given":"M.","family":"Fatih Ozden","sequence":"first","affiliation":[{"name":"Department of Pediatrics , University of Health Sciences Ankara Training and Research Hospital , Ankara , Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dilek","family":"Kahvecioglu","sequence":"additional","affiliation":[{"name":"Department of Neonatology , University of Health Sciences Ankara Training and Research Hospital , Ankara , Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melda","family":"Tas","sequence":"additional","affiliation":[{"name":"Department of Neonatology , University of Health Sciences Ankara Training and Research Hospital , Ankara , Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aslihan Kose","family":"Cetinkaya","sequence":"additional","affiliation":[{"name":"Department of Neonatology , University of Health Sciences Ankara Training and Research Hospital , Ankara , Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet","family":"Oktem","sequence":"additional","affiliation":[{"name":"Department of Neonatology , University of Health Sciences Ankara Training and Research Hospital , Ankara , Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2025,8,31]]},"reference":[{"key":"2026042708233337545_j_abm-2025-0025_ref_001","unstructured":"Cat FC, Cat A, Cicek T, Gulec S. 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Impact of bilirubin-induced neurologic dysfunction on neurodevelopmental outcomes. Semin Fetal Neonatal Med. 2015; 20:52\u20137.","DOI":"10.1016\/j.siny.2014.12.003"},{"key":"2026042708233337545_j_abm-2025-0025_ref_005","doi-asserted-by":"crossref","unstructured":"American Academy of Pediatrics Subcommittee on Hyperbilirubinemia. Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics. 2004; 114:297\u2013316. Erratum in: Pediatrics. 2004; 114:1138.","DOI":"10.1542\/peds.114.1.297"},{"key":"2026042708233337545_j_abm-2025-0025_ref_006","doi-asserted-by":"crossref","unstructured":"Kuzniewicz MW, Escobar GJ, Newman TB. Impact of universal bilirubin screening on severe hyperbilirubinemia and phototherapy use. Pediatrics. 2009; 124:1031\u20139.","DOI":"10.1542\/peds.2008-2980"},{"key":"2026042708233337545_j_abm-2025-0025_ref_007","doi-asserted-by":"crossref","unstructured":"Mohamed M, Ibrahim NR, Ramli N, Abdul Majid N, Yacob NM, Nasir A. Comparison between the transcutaneous and total serum bilirubin measurement in Malay neonates with neonatal jaundice. Malays J Med Sci. 2022; 29:43\u201354.","DOI":"10.21315\/mjms2022.29.1.5"},{"key":"2026042708233337545_j_abm-2025-0025_ref_008","doi-asserted-by":"crossref","unstructured":"Tan KL, Dong F. Transcutaneous bilirubinometry during and after phototherapy. Acta Paediatr. 2003; 92:327\u201331.","DOI":"10.1080\/08035250310009257"},{"key":"2026042708233337545_j_abm-2025-0025_ref_009","doi-asserted-by":"crossref","unstructured":"Fonseca R, Kyralessa R, Malloy M, Richardson J, Jain SK. Covered skin transcutaneous bilirubin estimation is comparable with serum bilirubin during and after phototherapy. J Perinatol. 2012; 32:129\u201331.","DOI":"10.1038\/jp.2011.66"},{"key":"2026042708233337545_j_abm-2025-0025_ref_010","doi-asserted-by":"crossref","unstructured":"Varughese PM. Can we rely on transcutaneous bilirbinometry during phototherapy? vol. 20. 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