Page 388 - 16Neonatal Jaundice_compressed
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Appendix H: Evidence tables


              Bibliographic   Study Type &   Number of            Intervention & Comparison   Dichotomous outcomes   Continuous Outcomes
              Information    Evidence Level   Patients/Characteristics                       (E:C)             (Mean:SD: N)
                                                                                 2
                                                                  33.7 ± 1.6microW/cm /nm and not
                                                                  reported for the unit underneath the
                                                                  baby


                                                                  Phototherapy was discontinued at TSB
                                                                  < 222 micromol/litre or phototherapy
                                                                  > 48 hours


              Author: Sarici S   Methodology:   N: 100            Group 1:                   ET:               Mean duration:
                             RCT                                  Conventional phototherapy   Group 1: 0/50    Group 1: 49.4 ± 14.4 hours
              Year:                         Inclusion:                                       Group 2: 0/50
              2001           Blinding:      Birthweight > 2500 gms,   Group 2:               :                 Group 2: 61.0 ± 13.1 hours
                             Blind allocation   Nonhemolytic indirect   Fiberoptic phototherapy   Erythema:
              Country:                      hyperbilirubinaemia, Normal                      Group 1: 1/50     Mean change in TSB:
              Turkey         Randomisation:   Reticulocyte count,   Conventional Phototherapy (Ohio   Group 2: 1/50   Group 1: 125 ± 39 micromol/litre
                             Sequential     Negative DAT,         Medical Products) consisted of a bank
                139
              ID:                           No evidence of blood group   of 5 daylight fluorescent lamps 30cm   Watery stools:   Group 2: 111 ± 42 micromol/litre
                             Evidence level:   isoimmunisation    above the baby             Group 1: 3/50
                             1 +            TSB ≥ 256 micromol/litre                         Group 2: 3/50
                                                                  Fiberoptic phototherapy (Walley II
                                            Exclusion:            Phototherapy System) consisted of a   Rebound jaundice:
                                            Direct hyperbilirubinaemia,   single pad (7.6 X 35.5 cm)   Group 1: 3/50
                                            Enclosed haemorrhage,                            Group 2: 2/50
                                            Infection, congenital   Babies in both groups were placed in a
                                            malformations         prone position and all babies wore   Treatment failure:
                                                                  disposable diapers. Babies in the   Group 1: 0/50
                                            Demographics:         phototherapy group wore eye patches   Group 2: 4/50
                                            Gender (M/F): 54/46
                                            Mean GA: 39.0 ± 0.7 weeks   Irradiance and light range were not
                                                                  reported
                                            Mean BW: 3380 ± 359 gms
                                            Age at entry to study   Phototherapy considered to have failure
                                            105.4 ± 42.8 hours    if two consecutive measures showed an
                                                                  increase in TSB
                                            Mean TSB:
                                            308 ± 47 micromol/litre
              Author: Gale R   Methodology:   N: 42               Group 1:                   ET:               Mean duration of phototherapy
                             RCT                                  Conventional phototherapy   Group 1: 0/22    Group 1: Not reported
              Year:                         Inclusion:                                       Group 2: 0/20     Group 2: Not reported
              1990           Blinding:      Full-term (> 37 weeks),   Group 2:
                             Not reported   No haemolytic jaundice   Fiberoptic phototherapy
              Country: USA                  TSB > 200 micromol/litre but if
                             Randomisation:   babies had rapidly increasing   Conventional Phototherapy (Air Shields
              ID:            Not reported   TSB levels they could be   PT 53–3) consisted of a standard
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                                            entered into the study before   phototherapy unit (both daylight and


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