BiliChek transcutaneous bilirubin meter overestimates serum bilirubin as measured by the Doumas reference method.

Abstract:

OBJECTIVES:To determine the relationship between BiliChek TcB (Respironics, Marietta GA) and Doumas reference serum or plasma total bilirubin (TSB). DESIGN AND METHODS:Pooled samples with values assigned by the Doumas reference method were used to establish the relationship between a local laboratory and reference Doumas TSB. We then established the relationship between TcB and TSB in the 3 months before and after reassignment of calibrator setpoints undertaken to match the local laboratory to Doumas reference bilirubin values. RESULTS:Before calibrator setpoint reassignment TSB as measured in our laboratory overestimated Doumas reference bilirubin. After calibrator adjustment laboratory TSB was within 1.7-6.8 micromol/L (0.1-0.4 mg/dL) of Doumas reference values. Mean bias between BiliChek TcB and TSB was 42.8+/-22.2 micromol/L (2.5+/-1.3mg/dL) (n=94) before and 49.6+/-22.2 micromol/L (2.9+/-1.3mg/dL) (n=115) after calibration adjustment. CONCLUSIONS:BiliChek TcB significantly overestimates TSB as measured by the Doumas reference method.

journal_name

Clin Biochem

journal_title

Clinical biochemistry

authors

Karon BS,Wickremasinghe AC,Lo SF,Saenger AK,Cook WJ

doi

10.1016/j.clinbiochem.2010.04.065

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

1009-12

issue

12

eissn

0009-9120

issn

1873-2933

pii

S0009-9120(10)00198-0

journal_volume

43

pub_type

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