Page 387 - 16Neonatal Jaundice_compressed
P. 387

Neonatal jaundice


 Bibliographic   Study Type &   Number of   Intervention & Comparison   Dichotomous outcomes   Continuous Outcomes
 Information   Evidence Level   Patients/Characteristics   (E:C)   (Mean:SD: N)
    72 hours   lights 38 cm above the baby.      Group 2: - 156 ± 67 micromol/litre
 Evidence level:   TSB ≥ 291 micromol/litre at
 1 -   ≥ 72 hours   Double Conventional phototherapy   Stools/day:
        consisted of single phototherapy plus an
 Exclusion:   additional bank of 8 20watt daylight   Group 1: 2.8 ± 1.7
 Babies who had been on   fluorescents lamps 32 cm below the   Group 2: 2.2 ± 1.4
 ventilator support or incubator,  baby.
 Babies who had been on   A ventilated fan was used to prevent
 phototherapy,   overheating
 Direct hyperbilirubinaemia
    Target irradiance was 9–
 Demographics:   10microW/cm /nm
 2
 Gender (M/F) : 34/17
 Mean GA: 38.7 ± 1.29 weeks   Phototherapy was discontinued when
 Mean BW: 3104 ± 284   TSB < 205 micromol/litre at < 96 hours
 of age or TSB < 256 micromol/litre at
 Age at entry to study   > 96 hours of age
 74.6 ± 27.4
 Mean TSB:
 316 ± 47 micromol/litre
 Author:   Methodology:   n: 60   Group 1:   ET:   Mean change in TSB:
 Boonyarittipong P   RCT      Single Conventional phototherapy   Group 1: 0/30   Group 1: -111 ± 39 micromol/litre
       Inclusion:      Group 2: 0/30
 Year: 2008   Blinding:   Full term (37–   Group 2:      Group 2: -144 ± 36 micromol/litre
    Not reported   42 weeks),   Double Conventional phototherapy   Treatment failure:
 Country: Thailand      Birthweight > 2500gms,      Group 1: 0/30   Stools/day:
    Randomisation:   Apgar > 6 T 1 and 5 minutes      Group 2: 0/30   Group 1: 2.8 ± 1.7
 137
 ID:     Not reported   TSB between 222 -  Single Conventional phototherapy
    340 micromol/litre,   consisted of 4 blue and 2 daylight      Group 2: 2.2 ± 1.4
 Evidence level:   Nonhemolytic   fluorescent lamps at least 30 cm above
 1 -   hyperbilirubinaemia   the baby
     Exclusively breastfed,   Mean irradiance was
 2
    32.7 ± 2.6microW/cm /nm
 Exclusion:
 Not reported     Baby wore eye patches and cotton

 Demographics:   diapers
 Gender (M/F): 32/28     Double Conventional phototherapy
 Mean GA: 38.6 ± 1.15 weeks   (Neonatal Jaundice phototherapy
 Mean BW: 3130 ± 311 gms   apparatus/XHZ) was single
 phototherapy and an additional bank of
 Age at entry to study
 Not reported   4 blue fluorescent lamps 25 cm beneath
 Mean TSB:   the bassinet.
 A fan was used to prevent overheating
 260 ± 30 micromol/litre
 Mean irradiance of overhead unit was


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