Page 377 - 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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