Document Detail

Effect of infants' position on serum bilirubin level during conventional phototherapy.
MedLine Citation:
PMID:  20528799     Owner:  NLM     Status:  MEDLINE    
AIM: To compare the decrease in total serum bilirubin (TSB) concentration during conventional phototherapy in infants treated in supine position exclusively versus infants alternated between exposure in supine and prone position every third hour. Moreover, to survey current practice patterns in two Scandinavian countries as far as alternating exposure. METHODS: A total of 112 infants with non-haemolytic hyperbilirubinaemia, but otherwise healthy, and a gestational age > or =33 weeks were randomized to one of the treatment groups. All infants received phototherapy for 24 h. TSB was measured at start of phototherapy and after 12 and 24 h of treatment. Questionnaires about routines for position changes in infants during phototherapy were sent to all 41 neonatal departments in Denmark and Norway. RESULTS: No statistically significant differences in the decrease in TSB were observed between the two treatment groups: at 12 h of therapy, TSB decreased 32% in both groups and at 24 h 49% and 50%, respectively. In two-thirds of Danish and Norwegian departments, the infants were routinely turned during phototherapy, most often every third hours. CONCLUSION: The decrease in TSB was not significantly associated with positioning of the infant during conventional phototherapy. Alternating exposure is widely practiced in Scandinavia but is unnecessary.
M L Donneborg; K B Knudsen; F Ebbesen
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2010-06-02
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  99     ISSN:  1651-2227     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-19     Completed Date:  2010-09-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  1131-4     Citation Subset:  IM    
Department of Paediatrics, Aalborg Hospital, Aarhus University Hospital, Aalborg, Denmark.
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MeSH Terms
Bilirubin / blood*
Hyperbilirubinemia / therapy
Infant, Newborn
Intensive Care, Neonatal / methods
Patient Positioning / methods*
Phototherapy / methods*
Prone Position
Supine Position
Treatment Outcome
Reg. No./Substance:
Comment In:
Acta Paediatr. 2010 Aug;99(8):1117-8   [PMID:  20528792 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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