Page 440 - 16Neonatal Jaundice_compressed
P. 440

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)

              Country:       Randomisation:
              USA            Not reported

                177
              ID:            Evidence level:
                             1 -

              Author:        Methodology:   N:                    Phototherapy consisted of                    Heart Rate variability – SD1
              Weissman A     Before–after study   30              an overhead LED unit (neoBLUE)               Before: 12 ± 8 ms
                                                                  Irradiance was 34 microwatt/cm² per
              Year:          Blinding:      Inclusion:            nm.                                          After : 8 ± 4ms
              2009           None           Jaundice                                                           P < 0.02
                                            GA = 37 – 42 weeks
              Country:       Randomisation:   Apgar (1 min) > 7                                                Heart Rate variability – SD2
              Israel         None           Apgar (5 min) > 8                                                  Before: 33 ± 16 ms

                189
              ID:            Evidence level:   Exclusion:                                                      After : 22 ± 10 ms
                             3              Haemolysis,                                                        P < 0.01
                                            G6PD,
                                            Fever,                                                             Heart Rate variability – SDDN
                                            Maternal use of narcotic                                           Before: 30 ± 14 ms
                                            analgesic drugs during labour,
                                            Ruptured membranes > 18ours                                        After : 18 ± 7 ms
                                                                                                               P < 0.01
                                            Demographics:
                                            Gender (M/F)16/14                                                  Heart Rate variability – RMSSD
                                            Mean GA: 39.1 ± 1.5 weeks                                          Before: 18 ± 12 ms
                                            Mean BW: 3116 ± 392 g                                              After : 11 ± 6 ms
                                            Mean age at entry to study:                                        P < 0.02
                                            53 ± 31 hours
                                            Mean TSB:
                                            238 ± 43 micromol/litre
              Author:        Methodology:   N:                    Collected information included,   Received   There was no difference in nevus counts as a function of
              Mahe E         RCT            828                   Phototype (Fitzpatrick’s classification),  phototherapy = 180   exposure to neonatal phototherapy.
                                                                  Behaviour in the sun,
              Year:          Blinding:      Inclusion:            Sun protection policy,     Controls = 648    Mean melanocytic count:
              2009           Not reported   Primary school children (age 8 –  History of phototherapy for neonatal   Phototherapy 16.8 ± 9.8
                                            9)                    jaundice
              Country:       Randomisation:                                                                    Controls:16.7 ± 10.5
              France         Not reported   Exclusion:            A melanocytic nevus count was
                                            Not reported          conducted by trained nurses who was
                181
              ID:            Evidence level:                      blind to whether the child had received
                             1+             Demographics:         phototherapy
                                            Gender (M/F) 415/413
                                            Mean GA: N/A          The size of exposed body parts (arm and



                                                                                                                                                     293
   435   436   437   438   439   440   441   442   443   444   445