Page 396 - 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)
                             RCT                                  Conventional Phototherapy   Group 1: 0/21    Group 1: Not reported
              Year:                         Inclusion:                                       Group 2: 0/20     Group 2: Not reported
              2002           Blinding:                            Group 2:
                             Not reported   Exclusion:            Fiberoptic Phototherapy
              Country:                                                                                         Mean change in TSB:
              Italy          Randomisation:   Demographics:       Conventional phototherapy ( ‘Photo-          Group 1: -55 ± 16 micromol/litre
                             Not report but sealed  Gender (M/F) : Not reported   Therapie 800’) consisted of a unit
                142
              ID:            envelopes used   Mean GA: 39.6 ± 1.2 weeks   incorporating a metal vapour discharge   Group 2: -51 ± 23 micromol/litre
                                                                  blue lamp with 2 filters (an infrared
                             Evidence level:   Mean BW: 3236 ± 425 gms   filter and a Plexiglas ultraviolet filter).
                             1 +            Age at entry to study   A fan was fitted to remove heat
                                            Not reported          generated by lamp.
                                            Mean TSB:
                                            296 ± 32 micromol/litre   Fiberoptic phototherapy (BiliBlanket
                                                                  PT) consisted of a 140W quartz halogen
                                                                  lamp with a built-in dichroic reflector
                                                                  with low infrared and ultraviolet
                                                                  radiation reflectivity. Light range was
                                                                  restricted to 400 – 550 nm.

                                                                  All babies were naked in a supine
                                                                  position at a stabilised room
                                                                  temperature.
              Author:        Methodology:   N: 136                Group 1:                   ET:               Mean duration of phototherapy
              Romagnoli C    RCT                                  Conventional phototherapy   Group 1: 2/33    Group 1: 90.2 ± 24.3 hours
                                            Inclusion:                                       Group 2: 2/35
              Year:          Blinding:      TSB> 103 micromol/litre   Group 2:               Group 3: 1/35     Group 2: 92.1 ± 43.3 hours
              2006           No reported    GA < 30 weeks         Fiberoptic (Wallaby) phototherapy   Group 4: 0/33   Group 3: 94.4 ± 43.3 hours
                                            Exclusion:
              Country:       Randomisation:   Not reported        Group 3:                   Erythema:         Group 4: 75.1 ± 23.6 hours
              Italy          Not reported but                     Fiberoptic (BiliBlanket) phototherapy   Group 1: 10/33
                             sealed envelopes used  Demographics:                            Group 2: 9/35
                152
              ID:                           Gender (M/F): 72/64   Group 4:                   Group 3: 8/35     Max TSB::
                             Evidence level:   Mean GA: 27.9 ± 1.4 weeks   Combined conventional and Fiberoptic  Group 4: 12/33   Group 1: 157 ± 43 micromol/litre
                             1 +                                  (Wallaby) phototherapy
                                            Mean BW: 1019 ± 283 gms                          Treatment failure:   Group 2: 169 ± 56 micromol/litre
                                            Age at entry to study   Conventional phototherapy consisted of  Group 1: 2/33   Group 3: 161 ± 44 micromol/litre
                                            38.3 ± 7.1 hours      standard phototherapy composed of 4   Group 2: 4/35   Group 4: 130 ± 22 micromol/litre
                                            Mean TSB: 109         fluorescent lamps and 4 blue lamps   Group 3: 1/35
                                                                                             Group 4: 0/33
                                                                  40cm above the baby.
                                             ± 5 micromol/litre    Irradiance at skin level was
                                                                               2
                                                                  22 – 24 microW/cm /nm. Babies were
                                                                  naked except for eye patches and
                                                                  disposable diapers. Baby position was
                                                                  changed from prone to supine and vice
                                                                  versa every 6 hours.

                                                                  Fiberoptic Wallaby phototherapy

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