Page 422 - 16Neonatal Jaundice_compressed
P. 422

Neonatal jaundice


              Bibliographic   Study Type &   Number of            Intervention & Comparison   Dichotomous outcomes   Continuous Outcomes
              Information    Evidence Level   Patients/Characteristics                       (E:C)             (Mean:SD: N)
              Author:        Methodology:   N:                    Group 1:                                     Mean duration of phototherapy
              Vogl T         RCT            76                    Continuous Phototherapy                      Group 1: 64 ± 50 hours

              Year:          Blinding:      Inclusion:            Group 2:                                     Group 2: 57 ± 45 hours
              1978           Not reported   Birthweight between 1200 and   Intermittent Phototherapy – 15 minutes   Group 3: 79 ± 40 hours
                                            2400gms,              on – 15 minutes off
              Country:       Randomisation:   TSB > 137 micromol/litre                                         Group 4: 80 ± 50 hours
              USA            Not reported                         Group 3:
                                            Exclusion:            Intermittent Phototherapy – 15 minutes
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              ID:            Evidence level:   Haemolytic anaemia,   on – 30 minutes off
                             1 -            Positive Coombs tests,
                                            Respiratory distress syndrome   Group 4:
                                                                  Intermittent Phototherapy – 15 minutes
                                            Demographics:         on – 60 minutes off
                                            Gender (M/F) :
                                            Mean GA: 34.7 ± 2.0 weeks   Therapy was discontinued when TSB
                                                                  < 137 micromol/litre on two successive
                                            Mean BW: 1836 ± 299 gms   occasions
                                            Age at entry to study
                                            56.8 ± 10.8 hours
                                            Mean TSB:
                                            150 ± 19 micromol/litre
              Author:        Methodology:   N:                    Group 1:                   Prurient eye discharge   Mean duration of phototherapy
              Fok T          RCT            203                   Eye patches                Group 1: 23/102   Group 1: 67.2 ± 33.6 hours
                                                                                             Group 2: 9/101
              Year:          Blinding:      Inclusion:            Group 2:                                     Group 2: 64.5 ± 26.6 hours
              1995           Not reported   Gestational age > 35 weeks,   Headbox            Features of Conjunctivitis
                                            Birthweight > 2300 gms,                          Group 1: 13/102
              Country:       Randomisation:                       Eye patches were obtained   Group 2: 2/101   HC Professional satisfaction:
              Hong Kong      Computer generated   Exclusion:      commercially, were removed during            76 (70.4%) of nurse preferred the headbox while 17 (15.7%)
                             random numbers   Other systemic illness,   feeding and were replaced daily        preferred the eye patches.
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              ID:                           Eye infection,
                             Evidence level:   Haemolysis,        Headbox consisted of an opaque plastic
                             1 +            Treatment with antibiotics,   box (20 x 20 x 16cm). Holes were used
                                            History of infection,   for ventilation.

                                            Demographics:
                                            Gender (M/F): 106/97
                                            Mean GA: 38.6 ± 2.56 weeks
                                            Mean BW: 3087 ± 611 gms
                                            Age at entry to study
                                            89.5 ± 27.6 hours
                                            Mean TSB:
                                            258 ± 27 micromol/litre
              Author: Paludetto R   Methodology:   N:             Group 1:                                     Mean duration of phototherapy


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