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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los bilirrubin&#243;metros transcut&#225;neos son instrumentos que permiten detectar y monitorizar la hiperbilirrubine-mia neonatal&#44; reduciendo el n&#250;mero de extracciones sangu&#237;neas necesarias para su control&#46; Estos dispositivos&#44; de uso rutinario&#44; presentan&#44; no obstante&#44; un amplio rango de error que debe ser evaluado&#46; Nos planteamos establecer la precisi&#243;n y validez en nuestro medio de un bilirrubin&#243;metro transcut&#225;neo cl&#225;sico&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio transversal&#44; observacional&#44; descriptivo sobre una muestra de 117 determinaciones simult&#225;neas de bilirrubina transcut&#225;nea y s&#233;rica&#44; en 82 neonatos ict&#233;ricos&#46; An&#225;lisis de la concordancia entre mediciones repetidas y de distintas localizaciones&#46; Desarrollo de modelos predictivos de la bilirrubina s&#233;rica y an&#225;lisis de la validez de dichas predicciones&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Todos los puntos de medici&#243;n presentaron una concordancia entre medidas repetidas excelente &#40;coeficiente de correlaci&#243;n intraclase superior a 0&#44;92&#41;&#46; Las mediciones en frente ten&#237;an un coeficiente de correlaci&#243;n lineal de 0&#44;75&#59; en estern&#243;n variaba en funci&#243;n de la ausencia o presencia de fototerapia &#40;0&#44;86 y 0&#44;54&#44; respectivamente&#41;&#46; Los intervalos de error en los que se encontraban las predicciones de bilirrubina s&#233;rica eran de &#177;2 mg&#47;dl para valores bajos y &#177;4 mg&#47;dl para valores altos &#62; 15 mg&#47;dl&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El bilirrubin&#243;metro transcut&#225;neo evaluado presenta una alta precisi&#243;n&#44; pero su validez debe ser cuestionada por la existencia de un importante margen de error respecto a la bilirrubina s&#233;rica&#44; especialmente en los pacientes con concentraciones elevadas&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Transcutaneous bilirubinometers are useful in screening and monitoring neonatal hyperbilirubinemia&#46; These instruments reduce the number of blood samples needed&#44; but their validity has been questioned&#46; The aim of this study was to evaluate the accuracy and reliability of a classic transcutaneous bilirubinometer&#46;</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Descriptive observational cross-sectional study of a sample of 117 simultaneous measurements of transcutaneous and serum bilirubin in 82 jaundiced newborn infants&#46; We analyzed the agreement between repeat measurements and measurements in different sites&#46; We developed predictive models of serum bilirubin and analyzed their validity&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">All points of measurement displayed excellent agreement between repeat measures &#40;intraclass correlation coefficient higher than 0&#46;92&#41;&#46; Forehead measurements had a linear correlation coefficient of 0&#46;75&#59; in the sternum linear correlation coefficient varied according to the absence or presence of phototherapy &#40;0&#46;86 and 0&#46;54 respectively&#41;&#46; The error intervals in which predictions of serum bilirubin were found were &#35;&#43; 2 mg&#47;dl for low values and &#35;&#43; 4 mg&#47;dl for high values &#40;&#35;&#62; 15 mg&#47;dl&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Reliability of the transcutaneous bilirubinometer evaluated was high&#44; but the substantial degree of error in serum bilirubin make its accuracy questionable&#44; especially in patients with high levels&#46;</p>"
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Evaluación de un instrumento de medición de la bilirrubina transcutánea
Evaluation of a transcutaneous bilirubinometer
C. Ochoa Sangrador
Autor para correspondencia
cochoas@meditex.es

Correspondencia' Servicio de Pediatría. Hospital Virgen de la Concha. Avda. Requejo, 35. 49029 Zamora.
, V.M. Marugán Isabel, R. Tesoro González, M.T. García Rivera, M.T. Hernández Calvo
Servicio de Pediatría. Hospital Virgen de la Concha. Zamora.
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los bilirrubin&#243;metros transcut&#225;neos son instrumentos que permiten detectar y monitorizar la hiperbilirrubine-mia neonatal&#44; reduciendo el n&#250;mero de extracciones sangu&#237;neas necesarias para su control&#46; Estos dispositivos&#44; de uso rutinario&#44; presentan&#44; no obstante&#44; un amplio rango de error que debe ser evaluado&#46; Nos planteamos establecer la precisi&#243;n y validez en nuestro medio de un bilirrubin&#243;metro transcut&#225;neo cl&#225;sico&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio transversal&#44; observacional&#44; descriptivo sobre una muestra de 117 determinaciones simult&#225;neas de bilirrubina transcut&#225;nea y s&#233;rica&#44; en 82 neonatos ict&#233;ricos&#46; An&#225;lisis de la concordancia entre mediciones repetidas y de distintas localizaciones&#46; Desarrollo de modelos predictivos de la bilirrubina s&#233;rica y an&#225;lisis de la validez de dichas predicciones&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Todos los puntos de medici&#243;n presentaron una concordancia entre medidas repetidas excelente &#40;coeficiente de correlaci&#243;n intraclase superior a 0&#44;92&#41;&#46; Las mediciones en frente ten&#237;an un coeficiente de correlaci&#243;n lineal de 0&#44;75&#59; en estern&#243;n variaba en funci&#243;n de la ausencia o presencia de fototerapia &#40;0&#44;86 y 0&#44;54&#44; respectivamente&#41;&#46; Los intervalos de error en los que se encontraban las predicciones de bilirrubina s&#233;rica eran de &#177;2 mg&#47;dl para valores bajos y &#177;4 mg&#47;dl para valores altos &#62; 15 mg&#47;dl&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El bilirrubin&#243;metro transcut&#225;neo evaluado presenta una alta precisi&#243;n&#44; pero su validez debe ser cuestionada por la existencia de un importante margen de error respecto a la bilirrubina s&#233;rica&#44; especialmente en los pacientes con concentraciones elevadas&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Transcutaneous bilirubinometers are useful in screening and monitoring neonatal hyperbilirubinemia&#46; These instruments reduce the number of blood samples needed&#44; but their validity has been questioned&#46; The aim of this study was to evaluate the accuracy and reliability of a classic transcutaneous bilirubinometer&#46;</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Descriptive observational cross-sectional study of a sample of 117 simultaneous measurements of transcutaneous and serum bilirubin in 82 jaundiced newborn infants&#46; We analyzed the agreement between repeat measurements and measurements in different sites&#46; We developed predictive models of serum bilirubin and analyzed their validity&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">All points of measurement displayed excellent agreement between repeat measures &#40;intraclass correlation coefficient higher than 0&#46;92&#41;&#46; Forehead measurements had a linear correlation coefficient of 0&#46;75&#59; in the sternum linear correlation coefficient varied according to the absence or presence of phototherapy &#40;0&#46;86 and 0&#46;54 respectively&#41;&#46; The error intervals in which predictions of serum bilirubin were found were &#35;&#43; 2 mg&#47;dl for low values and &#35;&#43; 4 mg&#47;dl for high values &#40;&#35;&#62; 15 mg&#47;dl&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Reliability of the transcutaneous bilirubinometer evaluated was high&#44; but the substantial degree of error in serum bilirubin make its accuracy questionable&#44; especially in patients with high levels&#46;</p>"
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Información del artículo
ISSN: 16954033
Idioma original: Español
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