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Journal : health dynamics

The Relationship Between TSH and Indirect Bilirubin Levels in Neonates Suspected of Having Jaundice Nur Alizah; Anik Handayati; Museyaroh Museyaroh; Suhariyadi Suhariyadi
Health Dynamics Vol 1, No 10 (2024): October 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11006

Abstract

Background: Congenital hypothyroidism (CH) is a condition of thyroid hormone deficiency that occurs at birth. The TSH (thyroid-stimulating hormone) test is crucial for diagnosing hypothyroidism. CH is known to cause prolonged unconjugated hyperbilirubinemia. Therefore, this study aimed to analyze the relationship between TSH and indirect bilirubin levels in neonates suspected of having jaundice. Methods: This is a non-experimental, retrospective study conducted at Lombok Dua Dua Lontar Mother and Child Hospital in Surabaya. The study involved data collection on neonates aged 2–7 days suspected of jaundice, whose TSH and indirect bilirubin levels were measured between November 2022 to April 2024. Results: Among 100 neonates, 62% were aged 2-4 days, while 38% were aged 5-7 days. The majority were male (56%), with female comprising 44%. Of the 100 neonates, only 1 (1%) had borderline TSH levels, while 99% had normal TSH levels. Hyperbilirubinemia was observed in 94% of the neonates, while 6% had normal indirect bilirubin levels. Statistical analysis using the Spearman correlation showed no significant link between TSH and indirect bilirubin levels (p = 0.802). Conclusions: While this study did not find a clear connection between TSH and indirect bilirubin levels in neonates suspected of having jaundice, one case of borderline TSH was identified. This neonate required referral to pediatric endocrinology, as untreated congenital hypothyroidism can lead to mental retardation. Despite limited research linking TSH and bilirubin levels in jaundiced neonates, routine screening for congenital hypothyroidism using TSH testing should be reconsidered. Future studies could benefit from focusing on specific causes of neonatal jaundice to help narrow down research questions in this area.
Co-Authors ., Pestariati Alifa Christin Amalia Putri Khurota Ayyun Amania, Salsabila Anggie Banowati Wibiseno Anggraini, Anita Dwi Arifin, Syamsul Atsania Putri , Puji Lestari Ayu Puspitasari Ayu Puspitasari, Ayu Caesaria, Adela Candra Triana Hikma Devan Andhika Dewa Ayu Puja Satya Dinarta Diah Titik Mutiarawati Edy Haryanto Edy Haryanto Edy Haryanto Ellies Tunjung Sari Maulidiyanti, Ellies Tunjung Sari Endah Astuti, Sri Sulami Endarini, Lully Hanni Evy Diah Woelansari Fa'iqotul Azharil Jauharoh Fadia Rakhmalia Farah Adelia Qotrunnada Fitria Yulfirda Arini Fridayanti, Ni Made Risma Gesang Jukadiarko Hanun Zhalma Hapipah Hapipah Hikma , Candra Triana Ilma Ainun Nisa Istanto, Wisnu Jihan Azzahra Arsyi Juliana Christyaningsih Juliawan Apurwatama Kadek Profit Hartani Kartika Rahayuningsih, Christ Liliek Soetjiatie Linatur Rosyidah Luthfi Rusyadi Mamik Mamik Marina Putri Rahajeng Masdiva Putri Hidayah Maulida Azmi Wimasni Inah Maulida, Nailis Fathna Minarti Minarti Mohd Nazil Salleh Monica Putji Astuti Museyaroh, Museyaroh Musholli Himmatun Nabilah Nada Nabilah Wulandari Ni Wayan Lisna Marheni Ningsih, Agita Fortuna Septa Nur Alina Hidayatur Rizki Nur Alizah Nur Vita Purwaningsih, Nur Vita Patcharanee Pavadhgul Puji Lestari Atsania Putri Putri, Tiara Dewanti Qonita Ardiyanti Maysarah Rahmania, Adelia Prisma Rinza Rahmawati Samsudin Sasongkowati, Retno Sri Sulami Endah Astuti Sri Utami Suhariyadi Suliati Suliati Syamsul Arifin Syamsul Arifin Tjipto Rini Winarni Winarni Yuni Eka Cahyana Yuninda Zebina Salsabillah