Document Detail

Efficacy of phototherapy for neonatal jaundice is increased by the use of low-cost white reflecting curtains.
MedLine Citation:
PMID:  16877479     Owner:  NLM     Status:  MEDLINE    
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.
S Djokomuljanto; B S Quah; Y Surini; R Noraida; N Z N Ismail; T W R Hansen; H Van Rostenberghe
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2006-07-28
Journal Detail:
Title:  Archives of disease in childhood. Fetal and neonatal edition     Volume:  91     ISSN:  1359-2998     ISO Abbreviation:  Arch. Dis. Child. Fetal Neonatal Ed.     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-10-23     Completed Date:  2007-03-05     Revised Date:  2010-09-14    
Medline Journal Info:
Nlm Unique ID:  9501297     Medline TA:  Arch Dis Child Fetal Neonatal Ed     Country:  England    
Other Details:
Languages:  eng     Pagination:  F439-42     Citation Subset:  AIM; IM    
Department of Paediatrics, Universiti Sains Malaysia, Kelantan, Malaysia.
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MeSH Terms
Bedding and Linens
Bilirubin / blood
Equipment Design
Infant, Newborn
Jaundice, Neonatal / economics,  therapy*
Phototherapy / economics,  instrumentation*
Treatment Outcome
Reg. No./Substance:

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