Page 442 - 16Neonatal Jaundice_compressed
P. 442

Neonatal jaundice


              Bibliographic   Study Type &   Number of            Intervention & Comparison   Dichotomous outcomes   Continuous Outcomes
              Information    Evidence Level   Patients/Characteristics                       (E:C)             (Mean:SD: N)
                                            Mean BW: NA           back)was record < 2mm, 2–5mm,
                                            Mean age at entry to study: N/A  > 5mm
                                            Mean TSB: N/A
              Author:        Methodology:   N:                    Group 1: Intensive phototherapy              Mean duration of phototherapy:
              Ayclcek A      Case control study   65                                                           Group 1: 54 ± 6 hours
                                                                  Group 2: Conventional phototherapy
              Year:          Blinding:      Inclusion:                                                         Group 2: 61 ± 10 hours
              2008           Not reported   Indirect hyperbilirubinaemia   Group 3: No phototherapy            Group 3: N/A
                                            TSB > 222 micromol/litre
              Country:       Randomisation:                       Phototherapy consisted of six white
              Turkey         Not reported   Exclusion:            fluorescent tubes 40cm above the baby.       DNA damage (arbitrary units):
                                            Severe congenital malformation,  12–16 microwatt/cm² per nm.       Group 1: 32 ± 9
                179
              ID:            Evidence level:   Preterm birth or postmaturity,
                             2 -            Maternal diabetes,                                                 Group 2: 28 ± 9
                                            Birth asphyxia,       Intensive phototehrpay consisted of 12       Group 3: 21 ± 10
                                            Sepsis,               white fluorescent tubes 20cm above and       P < 0.001
                                            Haemolysis due to ABO/Rh   below the baby.
                                            incompatibility,      30–34 microwatt/cm² per nm.
                                            Phototherapy before blood was
                                            collected,            DNA damage was measured in blood
                                            Bilirubin rising by more than   samples taken after phototherapy. The
                                            85 micromol./litre day in first   images of 100 randomly selected nuclei
                                            24 hour,              (50 from each of two replicate slides)
                                            Tsb > 410 micromol/litre   were analysed visually.

                                            Demographics:
                                            Gender (M/F) 35/28
                                            Mean GA: Not reported
                                            Mean BW: Not reported
                                            Mean age at entry to study: Not
                                            reported
                                            Mean TSB: Not reported





















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