en تخصصي Special پژوهشي Research <p><span style="color:#008080;"><strong><em>Background:</em></strong> </span>The readmission rate for neonatal jaundice has been increased in recent years. This has been attributed to shorter length of postpartum hospital stays without comprehensive follow-up. The purpose of this study was to determine the diagnostic value of pre-discharge transcutaneous bilirubin (TcB) levels for prediction of subsequent hyperbilirubinemia in healthy term neonates.</p> <p><span style="color:#008080;"><strong><em>Methods:</em></strong> </span>Between October and December 2013, a total of 99 healthy term neonates born at the Babol Clinic Hospital of healthy mother were enrolled in a prospective cross sectional study. The TcB levels were measured in all enrolled neonates between 12 and 24 hours of age just before discharge. All newborns were followed-up for jaundice to 10th day. Newborns with clinical jaundice were recalled and their serum bilirubin levels were measured. Appropriate treatment was performed based on the Amirkola Children&#39;s Hospital Protocol. TcB levels were compared between the non-treatment and treatment groups.</p> <p><span style="color:#008080;"><strong><em>Results:</em></strong></span> The mean age of the TcB measuring was 17.5&plusmn;2.6 hours. A total of 18.1% neonates (18 of 99) were developed severe hyperbilirubinemia (need for treatment). The mean of cutaneous bilirubin level in the non-treatment and treatment groups was 5.2&plusmn;1.6mg/dl and 6.3&plusmn;0.9 mg/dl, respectively. The cutaneous bilirubin level at cut-off 6 mg/dl was associated with 80.0% sensitivity and 63.0% specificity. The negative predictive value was 94.6%.</p> <p><span style="color:#008080;"><strong><em>Conclusion:</em></strong> </span>Single TcB measurements at the first 24 hours predict hyperbilirubinemia with a reasonably high degree of accuracy.</p> <p><span style="font-size: 10pt"><!--stripped--><!--stripped--></span></p> Neonates, Transcutaneous Bilirubinometry, Hyperbilirubinemia 45 49 http://caspianjp.ir/browse.php?a_code=A-10-50-1&slc_lang=en&sid=1 Yadollah Zahed Pasha 1003194753284600832 1003194753284600832 No Non-Communicable Pediatric Diseases Research Center, Health Research Institute Mousa Ahmadpour-Kacho 1003194753284600833 1003194753284600833 No Non-Communicable Pediatric Diseases Research Center, Health Research Institute Abdollah Dehvari dehvari.abdh@yahoo.com 1003194753284600834 1003194753284600834 Yes Children and Adolescent Health Research Center Ali Bijani 1003194753284600835 1003194753284600835 No Non-Communicable Pediatric Diseases Research Center, Health Research Institute Tahereh Jahangir 1003194753284600836 1003194753284600836 No Non-Communicable Pediatric Diseases Research Center, Health Research Institute Mehrangiz Baleghi 1003194753284600837 1003194753284600837 No Babol University of Medical Sciences