Page 464 - 16Neonatal Jaundice_compressed
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Appendix H: Evidence tables


              Bibliographic   Study Type &   Number of          Intervention & Comparison   Dichotomous outcomes   Continuous Outcomes   Comments
              Information    Evidence Level   Patients/Characteristics                      (E:C)             (Mean:SD: N)
                             Evidence level:   anaemia                                      Respiratory distress: 2/66
                             3                                                              Bradycardia: 1/66
                                            Demographics:                                   Hypokalemia: 1/66
                                            Gender (M/F): 30/25                             Acute renal failure: 1/66
                                            Mean GA: 35 ± 4 weeks                           Omphalitis: 1/66
                                            Mean BW:2388 ± 973 g
                                            Age at entry to study: Not
                                            reported
                                            Mean TSB:
                                            307.8 ± 136.8 micromol/litr
                                            e

              Author:        Methodology:   N:                  Group 1:                    Mortality:
              Wishingrad L   RCT            100                 Double volume exchange transfusion   Group 1: 3/50
                                                                                            Group 2: 3/50
              Year:          Blinding:      Inclusion:          Group 2:
              1965           Not reported   Indirect serum Bilirubin   No treatment         Abnormal neurological
                                            > 307.8 micromol/litre                          examination (1 – 2 years)
              Country:       Randomisation:   No anomalies,     The double volume exchange transfusion  Group 1: 7/50
              USA            Stratified     Less than 7 days old   (based on an estimated blood volume of   Group 2: 6/50
                             randomisation                      75ml/kg) was carried out with type
                193
              ID:            And sealed envelopes  Exclusion:   specific blood, less than 72 hours old, and
                             used           Not reported        warmed to room temperature. The
                                                                umbilical vein was cannulated with a
                             Evidence level:   Demographics:    plastic catheter and plastic disposable
                             1 +            Gender (M/F): Unclear   equipment used. 10ml aliquots were used.
                                            Mean GA:            Small amounts (0.5ml) of 10% calcium
                                            Not reported        gluconate were given after each 100ml of
                                            Mean BW:            donor blood with continuous auscultation
                                            Not reported        of the heart. All babies in exchange
                                            Age at entry to study: Not   transfusion group received penicillin and
                                            reported            streptomycin.
                                            Mean TSB:
                                            Not reported

              Author:        Methodology:   N:                  Group 1:                    Mortality:due to ET
              Jackson J      Retrospective chart   106          Exchange transfusion        2/106 (1.9 %)
                             review
              Year:                         Inclusion:                                      Permament serious
              1997           Blinding:      Babies who had an exchange                      sequelae due to ET
                             None           transfusion                                     4/106 (3.8%)
              Country:
              USA            Randomisation:   Exclusion:                                    Serious prolonged
                             None           None                                            sequelae due to ET
                204
              ID:                                                                           5/106 (4.7%)
                             Evidence level:   Demographics:


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