Page 465 - 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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