Page 484 - 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)
              Year: 1974                    Inclusion: physiological                        Group 2: 0/34     Group 2: 67 ± 33 hours        between groups
                             Blinding: Not   jaundice           Group 2:                    Group 3: 1/31
                             reported                           Usual nursery care + Conventional             Group 3: 72 ± 31 hours        No reason given
              Country: New                  Exclusion:          phototherapy                Mortality:                                      for mortality
              Zealand        Randomisation:   Not reported                                  Group 1: 2/35     Mean rise to max TSB:
                             ‘allocated in rotation’            Group 3:                    Group 2: 0/34     Group 1: 80.4 ± 49.6 micromol/litre
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              ID:                           Demographics:       Usual nursery care + phototherapy +   Group 3: 1/31
                             Evidence level:2   -  Gender (M/F) : 49/51   phenobarbitone (for babies with      Group 2: 22.2 ± 29.1 micromol/litre
                                            Mean GA: 34.8 ± 2.7 weeks   birthweight ≥ 3kg, 8mg x 3 per day,   Group 3: 18.8 ± 29.1 micromol/litre
                                                                For babies with birthweight < 3kg,
                                            Mean BW: 2155 ± 632 gms  2mg/kg x 3 per day)                      Time to max TSB (hours):
                                            Age at entry to study
                                            48.1 ± 14.7 hours     Conventional Phototherapy consisted of a    Group 1: 51 ± 23 hours
                                            Mean TSB:           single bank of eight 30 watt fluorescent      Group 2: 14 ± 19 hours
                                            174 ± 40 micromol/litre   tubes behind a Perspex screen  50cm     Group 3: 13 ± 18 hours
                                                                above the baby in a bassinet
                                                                Light intensity = 2500 lux
                                                                Light band = 441 nm
                                                                Baby naked and with eyes covered
                                                                No deliberate attempt to sequentially
                                                                rotate the baby
              Author:        Methodology:   N:                  Group 1:                                      Mean duration of Phototherapy   15 babies excluded
              Odell G        CCT            52                  Phototherapy                                  Group 1: 48.1 ± 23.0 hours    retrospectively

              Year:          Blinding:      Inclusion:          Group 2:                                      Group 2: 37.6 ± 18.0 hours
              1983           Not reported   Hyperbilirubinaemia   Phototherapy + Agar 250mg orally every
                                            requiring phototherapy   8 hours during phototherapy
              Country:       Randomisation:
              USA            By patient number   Exclusion:     Phototherapy initiated at
                                            Not reported        239.4 micromol/litre for term babies and
                222
              ID:            Evidence level:                    171 micromol/litre for preterm babies
                             2 -            Demographics:
                                            Gender (M/F): 31/21   Phototherapy discontinued
                                            GA: Not reported    188.1 micromol/litre for term babies and
                                            BW:2767 ± 69 g      171 micromol/litre for preterm babies
                                            Mean age at entry to study:
                                            80.6 ± 28.7 hours
                                            Mean TSB:
                                            234 ± 46.8 micromol/litre
              Author:        Methodology:   N:                  Group 1:                                      Mean decrease in TsB
              Ebbesen F      CCT            49                  Phototherapy                                  Group 1: 87 ± 39 micromol/litre

              Year:          Blinding:      Inclusion:          Group 2:                                      Group 2: 85 ± 40 micromol/litre
              1977           Not reported   Hyperbilirubinaemia   Phototherapy + Agar 250mg orally at
                                            requiring phototherapy   feedings every three hours               Mean duration of Phototherapy



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