Page 390 - 16Neonatal Jaundice_compressed

Neonatal jaundice

Bibliographic Study Type & Number of Intervention & Comparison Dichotomous outcomes Continuous Outcomes
Information Evidence Level Patients/Characteristics (E:C) (Mean:SD: N)
Evidence level: they reached 200 micromol/litre blue lamps) positioned above the baby.
1 - Babies were naked, with eyes covered,
Exclusion: and were alternate between prone and
Evidence of hemolysis supine position every 6 hours.
Irradiance at blanket level was
Demographics: 7.0 ± 0.5microW/cm /nm.
2
Gender (M/F): Not reported
Mean GA: 39.6 ± 1.6 weeks
Mean BW: 3197 ± 475 Fiberoptic phototherapy (Wallaby
Phototherapy System) consisted of a
Age at entry to study
Not reported single fiberoptic pad linked to a lightbox
Mean TSB: with 150-watt halogen lamp and a fan
2
186 ± 86 micromol/litre with 150.ft /minute air volume.
Irradiance spectrum was between 425
and 475 nm.
Irradiance at blanket level was
2
7.0 ± 0.5microW/cm /nm.
Babies were placed naked on the
blanked. While nursing the mother
could hold the baby wrapped in the
blanket

In both group babies were kept on
phototherapy for 48 hours but could be
withdrawn at any stage.
Author: Methodology: N: 23 Group 1: ET: Mean duration of phototherapy
Dani C RCT Conventional phototherapy Group 1: 0/12 Group 1: 43.0 ± 3.1 hours
Inclusion: Group 2: 0/11
Year: Blinding: Preterm (GA < 34 weeks), Group 2: Group 2: 38.7 ± 4.5 hours
2004 Not reported No haemolytic jaundice, not on Fiberoptic phototherapy
respiratory support, Mean change in TSB:
Country: Randomisation: Clinically stable. Conventional Phototherapy consisted of Group 1: -69 ± 13 micromol/litre
Italy Allocation method a Photo-Therapie 800 system. Baby was
not reported but Exclusion: naked except for eye patches and in a Group 2: -62 ± 17 micromol/litre
ID: sealed envelopes used Major congenital supine position.
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malformations, patent ductus Irradiance and light range not reported
Evidence level: arteriosus, intracranial
1 - haemorrhage, Fiberoptic phototherapy (BiliBlanket)
Perinatal asphyxia, receiving consisted of a mat that covered the baby
cardiovascular drugs up to the upper abdomen.
Irradiance and light range not reported
Demographics:
Gender (M/F): Not reported To avoid trans-epidermal water loss the
Mean GA: 31.0 ± 1.8 weeks babies were placed in incubators with a
thermo-monitoring system to maintain
Mean BW: 1468 ± 400 gms normal body temperature (46.5 C) at a
o
Age at entry to study

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