Version 2.80

Term Description

The bilirubin excess is the most sophisticated parameter to exclude subarachnoidal hemorrhage in patient with negative cranial CT scan (Apperloo J.J., et al. CCLM FESCC (44), 2006).

Part Description

LP157150-6   Bilirubin excess
Normally bilirubin is thought to enter CSF only by passing through the blood brain barrier bound to albumin. This allows us to predict an "expected" CSF bilirubin concentration. Since bilirubin is a breakdown product of oxyhemoglobin, the bilirubin excess in CSF can be used to predict subarachnoid hemorrhage in the absence of cranial CT findings. Billirubin excess is defined as the surplus CSF bilirubin concentration measured after subtraction of an estimated upper limit for the individual patient. This upper limit, called the ''CSF bilirubin limit'' (CBL), is a calculated by multiplying the serum bilirubin concentration times the albumin quotient: ([bilirubin]serum X [albumin]CSF/[albumin]serum) X 1.25." (Clin Chem Lab Med 2006;44(8):938-948) Source: Regenstrief LOINC , PMID: 16879058

Fully-Specified Name

Component
Bilirubin excess
Property
SCnc
Time
Pt
System
Ser+CSF
Scale
Qn
Method

Additional Names

Long Common Name
Bilirubin excess [Moles/volume] in Serum and CSF
Short Name
Bilirubin excess Ser+CSF-sCnc
Display Name
Bilirubin excess (S+CSF) [Moles/Vol]
Consumer Name Alpha Get Info
Bilirubin excess, Serum+Cerebrospinal fluid

Basic Attributes

Class
CHEM
Type
Laboratory
First Released
Version 2.42
Last Updated
Version 2.42 (MIN)
Order vs. Observation
Observation

Formula (Readable)

Bilirubin Excess = Measured CSF Bilirubin - (1.25 X ([bilirubin]serum X [albumin]CSF/[albumin]serum))

Member of these Panels

LOINC Long Common Name
72264-5 Bilirubin excess and oxyhemoglobin and methemoglobin and xanthochromia and albumin quotient panel - Serum and CSF

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Περίσσεια χολερυθρίνης:SCnc:Pt:Ορός+ΕΝΥ:Qn:
Synonyms: SCnc Περίσσεια χολερυθρίνης Χολερυθρίνη
es-ES Spanish (Spain) Exceso de bilirrubina:Concentración de sustancia:Punto temporal:Suero y Líquido Cefalorraquideo simultaneamente:Qn:
Synonyms: Cuantitativo
es-MX Spanish (Mexico) Exceso de bilirrubina:Concentración de sustancias:Punto temporal:Suero y LCR:Cuantitativo:
fr-FR French (France) Bilirubine excès:Moles/Volume:Ponctuel:Sérum+Liquide céphalorachidien:Numérique:
it-IT Italian (Italy) Bilirubina, eccesso:SCnc:Pt:Siero+LCS:Qn:
Synonyms: Chimica Concentrazione di Sostanza Liquido cerebrospinale Punto nel tempo (episodio) Siero Siero & LCS
nl-NL Dutch (Netherlands) bilirubine excess:mol/volume:moment:serum en liquor cerebrospinalis:kwantitatief:
pl-PL Polish (Poland) Nadmiar bilirubiny:stężenie molowe:punkt w czasie:surowica i płyn mózgowo-rdzeniowy:ilościowy:
pt-BR Portuguese (Brazil) Excesso de Bilirrubina::Pt:Soro+LCR:Qn:
ru-RU Russian (Russian Federation) Билирубина избыток:МолКонц:ТчкВрм:Сыв+ЦСЖ:Колич:
Synonyms: Количественный Молярность;Молярная объёмная концентрация Сыворотка Сыворотка и цереброспинальная жидкость Точка во времени;Момент Цереброспинальная жидкость
tr-TR Turkish (Turkey) Bilirubin yüksek:SubKons:Zmlı:Ser+BOS:Kant:
zh-CN Chinese (China) 胆红素过多:物质的量浓度:时间点:血清+脑脊液:定量型:
Synonyms: CSF CSF;脊髓液;Cerebral spinal fluid;脑脊髓液 TBIL;总胆红素;胆红质 克分子浓度;克分子浓度(单位体积);摩尔浓度;摩尔浓度(单位体积);物质的量浓度(单位体积) 化学;化学检验项目;化学检验项目类;化学类;化学试验;非刺激耐受型化学检验项目;非刺激耐受型化学检验项目类;非刺激耐受型化学试验;非刺激耐受型化学试验类 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 胆红素过量;胆红素过剩;胆红素过高 脊液 脊髓液 脑脊液（Cerebral spinal fluid，CSF） 脑脊髓液 血清 & 脑脊液;血清 & 脑脊髓液;血清+脑脊髓液;血清与脑脊液;血清与脑脊髓液 过剩

Example Units

Unit Source
umol/L Example UCUM Units

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=72261-1