Page 392 - 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)
                                            63.2 ± 15.0 hours     relative humidity of 60%.
                                            Mean TSB:
                                            241 ± 9 micromol/litre
              Author: Al-Alaiyan S  Methodology:   N: 46          Group 1:                   ET:               Mean duration of phototherapy
                             RCT                                  Conventional phototherapy   Group 1: 0/15    Group 1: 52.8 ± 24.8 hours
              Year:                         Inclusion:                                       Group 2: 0/16
              1996           Blinding:      GA > 36 weeks,        Group 2:                   Group 3: 0/15     Group 2: 47.5 ± 24.8 hours
                             Not reported   Nonhemolytic jaundice   Fiberoptic phototherapy                    Group 3: 50.7 ± 24.8 hours
              Country:                      Age > 1 day,                                     Rebound jaundice:
              Saudi Arabia   Randomisation:   Normal hemoglobin,   Group 3:                  Group 1: 0/15       Mean change in TSB:
                             Allocation method   No evidence of blood group   Combined phototherapy and fiberoptic   Group 2: 0/16
                135
              ID:            not reported but   incompatibility,   phototherapy              Group 3: 0/15     Group 1: -14 ± 28 micromol/litre
                             shuffled, sealed                                                                  Group 2: 19 ± 35 micromol/litre
                             envelopes used   Exclusion:          Conventional Phototherapy (Air Shields
                                            Not reported          Fluoro-Lite) consisted of a standard unit    Group 3: -23 ± 39 micromol/litre
                             Evidence level:                      of blue and white fluorescent bulbs 50       :
                             1 -            Demographics:         cm from the baby.
                                            Gender (M/F): 23/23   Mean irradiance was
                                                                                 2
                                            Mean GA: 37.9 ± 2.08 weeks   11.6 ± 2.2microW/cm /nm
                                            Mean BW: 2921 ± 696 gms   Light range = 425 – 475 nm
                                            Age at entry to study   Phototherapy was interrupted for
                                                                  feeding etc for an average of 115
                                            37.9 ± 24.1 hours     minutes per day.
                                            Mean TSB:             Babies were naked except for eye
                                            185 ± 56 micromol/litre   patches.

                                                                  Fiberoptic phototherapy (BiliBlanket)
                                                                  consisted of a halogen lamp linked to a
                                                                  fiberoptic blanket.
                                                                  Mean irradiance was
                                                                                 2
                                                                  22.3 ± 2.2microW/cm /nm
                                                                  Light range = 400 – 500 nm
                                                                  Fiberoptic phototherapy was
                                                                  continuous.

                                                                  Combined therapy consisted of both
                                                                  conventional and fiberoptic
                                                                  phototherapy as above.
              Author: Pezzati M   Methodology:   N: 39            Group 1:                   ET:
                             RCT                                  Conventional phototherapy   Group 1: 0/19
              Year:                         Inclusion:                                       Group 2: 0/20
              2000           Blinding:      Preterm babies with   Group 2:
                             Clinician blinded   hyperbilirubinaemia   Fiberoptic phototherapy
              Country:                      > 171 micromol/litre
              Italy          Randomisation:
                             Allocation method   Exclusion:       Conventional Phototherapy (Photo grph


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