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Arch Dis Child Fetal Neonatal Ed. 2006 Nov;91(6):F439-42. Epub 2006 Jul 28.

Efficacy of phototherapy for neonatal jaundice is increased by the use of low-cost white reflecting curtains.

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  • 1Department of Paediatrics, Universiti Sains Malaysia, Kelantan, Malaysia.

Abstract

OBJECTIVE:

To determine whether the addition of low-cost reflecting curtains to a standard phototherapy unit could increase effectiveness of phototherapy for neonatal jaundice.

DESIGN:

Randomised controlled clinical trial.

SETTING:

Level-one nursery of the Hospital Universiti Sains Malaysia, Kelantan, Malayasia.

PATIENTS:

Term newborns with uncomplicated neonatal jaundice presenting in the first week of life.

INTERVENTIONS:

Phototherapy with white curtains hanging from the sides of the phototherapy unit (study group, n = 50) was compared with single phototherapy without curtains (control group, n = 47).

MAIN OUTCOME MEASURES:

The primary outcome was the mean difference in total serum bilirubin measured at baseline and after 4 h of phototherapy. The secondary outcome was the duration of phototherapy.

RESULTS:

The mean (standard deviation) decrease in total serum bilirubin levels after 4 h of phototherapy was significantly (p<0.001) higher in the study group (27.62 (25.24) micromol/l) than in the control group (4.04 (24.27) micromol/l). Cox proportional hazards regression analysis indicated that the median duration of phototherapy was significantly shorter in the study group (12 h) than in the control group (34 h; chi(2) change 45.2; p<0.001; hazards ratio 0.20; 95% confidence interval 0.12 to 0.32). No difference in adverse events was noted in terms of hyperthermia or hypothermia, weight loss, rash, loose stools or feeding intolerance.

CONCLUSION:

Hanging white curtains around phototherapy units significantly increases efficacy of phototherapy in the treatment of neonatal jaundice without evidence of increased adverse effects.

PMID:
16877479
PMCID:
PMC2672760
DOI:
10.1136/adc.2006.095687
[PubMed - indexed for MEDLINE]
Free PMC Article
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