Page 376 - 16Neonatal Jaundice_compressed
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Appendix H: Evidence tables



            Phototherapy



              Bibliographic   Study Type &   Number of            Intervention & Comparison   Dichotomous outcomes   Continuous Outcomes
              Information    Evidence Level   Patients/Characteristics                       (E:C)             (Mean:SD: N)
              Author: NICHHD   Methodology:   n: 1339             Group 1:                   ET:
                             RCT                                  Usual care                 BW less than 2000 g
              Year:1985                     Inclusion:                                       Group 1: 22/462
                             Blinding:      BW < 2000gms          Group 2:                   Group 2: 110/460
              Country: USA   Not reported   or                    Conventional phototherapy
                                            BW between 2000 gms and                          BW between 2000 gms
                129
              ID:            Randomisation:   2500 gms and TSB    Conventional Phototherapy (Air   and 2500 gms
                             Random numbers   > 171 micromol/litre in 96 hours  Shields) consisted of 96 hours (with 30  Group 1: 3/70
                             table,         or                    min breaks every 4 hours for feeding   Group 2: 18/71
                             Sealed envelopes   BW > 2500 and TSB   etc)
                                            > 222 micromol/litre in 96 hours  Daylight fluorescent bulbs 35 – 55cm   BW above 2500 gms
                             Evidence level:                      above the baby.            Group 1: 14/140
                             1 ++           Exclusion:                                       Group 2: 23/136
                                            Rh hemolysis          Baby naked and with eye pads (changed
                                            TSB > 171 micromol/litre in   every 8 hours)
                                            24 hours                                         :
                                            Babies with severe    Irradiance measured with a light
                                            conditions/anomalies who care   monitoring badge
                                            would be compromised by
                                            protocol              Babies received 25ml/kg of body weight
                                                                  extra fluids
                                            Demographics:
                                            BW less than 2000 gms
                                            Gender (M/F) :Not reported
                                            Mean GA: Not reported
                                            Mean BW: Not reported
                                            Mean age at entry to study:
                                            24.2 ± 8.0 hours
                                            Mean TSB:
                                            97 ± 33 micromol/litre

                                            BW between 2000 gms and
                                            2500 gms
                                            Gender (M/F): 73/66
                                            Mean GA: Not reported
                                            Mean BW: Not reported
                                            Age at entry to study:
                                            62.6 ± 17.1 hours

                                            Mean TSB:
                                            212 ± 37 micromol/litre



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