Page 398 - 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)
consisted of a 10.1 X 15.2 cm pad
linked to a 150W quartz halogen lamp.
A light filter is placed between the lamp
and the fiberoptic bundle to allow only
400 – 550 nm range through. Irradiance
at skin level was 8 –
2
10 microW/cm /nm.
Baby position was changed from prone
to supine and vice versa every 6 hours.

Fiberoptic BiliBlanket phototherapy
consisted of an 11 X 13 cm pad linked
to a 150W tungsten halogen lamp. A
light filter is placed between the lamp
and the fiberoptic bundle to allow only
400 – 550 nm range through. Irradiance
2
at skin level was 35microW/cm /nm.
Baby position was changed from prone
to supine and vice versa every 6 hours.

Combined phototherapy consisted of
conventional phototherapy as above and
the fiberoptic Wallaby system as above.
Author: Methodology: N: 171 Group 1: ET: Mean duration of phototherapy
Tan K RCT Conventional Phototherapy Group 1: 0/44 Group 1: 62.6 ± 24.8 hours
Inclusion: Group 2: 0/42
Year: Blinding: Nonhemolytic jaundice, Group 2: Group 3: 0/43 Group 2: 87.0 ± 39.5 hours
1997 Not reported TSB > 256 micromol/litre or Fiberoptic phototherapy - Standard Group 4: 0/42 Group 3: 82.6 ± 38.3 hours
> 222 micromol/litre before
Country: Randomisation: 48 hours, Group 3: Rebound jaundice: Group 4: 64.8 ± 35.2 hours
Singapore Lottery method Fiberoptic phototherapy – Large Group 1: 1/44 :
Exclusion: Group 2: 0/42
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ID: Evidence level: Not reported Group 4: Group 3: 0/43
1 + Fiberoptic phototherapy - Double Group 4: 1/42
Demographics:
Gender (M/F): 96/75 Treatment failure:
Mean GA: 38.5 ± 1.5 weeks Conventional phototherapy consisted of Group 1: 0/44
seven overhead daylight fluorescent Group 2: 4/42
Mean BW: 3114 ± 415 gms lamps arrange din an arc 35cm above Group 3: 3/43
Age at entry to study the baby. The baby was kept unclothed Group 4: 0/42
96.9 ± 30.9 days except for eye coverings. Irradiance was
2
Mean TSB: 6.73 microW/cm /nm
262 ± 17 micromol/litre
The standard fiberoptic (BiliBlanket)
phototherapy consisted of a pad, 11 X
20 cm (illuminated part was 11 X 13cm)
which was used without its sheath and

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