Page 383 - 16Neonatal Jaundice_compressed
P. 383

Neonatal jaundice


 Bibliographic   Study Type &   Number of   Intervention & Comparison   Dichotomous outcomes   Continuous Outcomes
 Information   Evidence Level   Patients/Characteristics   (E:C)   (Mean:SD: N)
 Author: Ju S   Methodology:   n: 29   Group 1:   ET:
    RCT      No treatment   Group 1: 0/13
 Year: 1991      Inclusion: TSB between 205 and     Group 2: 0/13
    Blinding:   256 micromol/litre   Group 2:
 Country: Taiwan   Not reported   Full term singletons   Conventional phototherapy   Treatment failure:
       Normal pregnancy   :   Group 1: 4/17
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 ID:     Randomisation:   Normal birth/caesarean      Group 2: 0/13
 th
 Not reported   Birthweight between 10  and   Conventional Phototherapy consisted of
    th  a portable unit of 4 blue and 4 white 20-
 Evidence level:   90  percentile   watt fluorescent lamps
 1 -   Apgar scores ≥ 7 at 1 and 5   Irradiance at baby skin levels was 5–
 minutes
 2
        6microW/cm /nm
 Exclusion:   Babies moved every 4 hours for feeding
 Perinatal complication
 Congenital anomalies   Phototherapy discontinued at TSB
 Possible haemolysis   < 205 micromol/litre

 Demographics:
 Gender (M/F): 12/14
 Mean GA: 39.0 ± 0.8 weeks
 Mean BW: 3364 ± 334 gms
 Age at entry to study:
 97.2 ± 22.4 hours

 Mean TSB:
 221 ± 13 micromol/litre


 Author: Lewis H   Methodology:   n: 40   Group 1:   ET:
    RCT      Conventional Phototherapy   Group 1: 0/20
 Year: 1982      Inclusion:      Group 2: 0/20
    Blinding:   Birthweight > 2500gms,   Group 2:
 Country: UK   Not reported   Gestational Age > 37 weeks,   Conventional Phototherapy -   Treatment failure:
       TSB ≥ 250 micromol/litre   Delayed (initiated if TSB rose to   Group 1: 0/20
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 ID:     Randomisation:      ≥ 320 micromol/litre   Group 2: 3/20
 Random numbers   Exclusion:   :
 table   Perinatal asphyxia,
    Apgar score < 5 at 4 minutes,   Conventional Phototherapy consisted of
 Evidence level:   Positive DAT test   a Vickers 80 white light phototherapy
 1 +      unit mounted 50 cm above the baby.
     Demographics:
 Gender (M/F): 27/13   Babies were blindfolded, naked except
 Mean GA: Not reported   for a napkin while nursing and were
 Mean BW: 3200 ± 260 gms   turned every 3 hours.

 Age at entry to study: 84 hours

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