Skin exposure during conventional phototherapy in preterm infants: A randomized controlled trial
Contribuinte(s) |
F. Oberklaid |
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Data(s) |
01/01/2004
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Resumo |
Objective: To assess the effect of reduced skin exposure in preterm infants receiving overhead phototherapy treatment on total serum bilirubin (TSB). Methods: Randomized controlled trial. Preterm infants (>1500 g birthweight and less than or equal to 36 weeks gestation) were randomized to being nursed either partially clothed with only disposable nappies and in posturally supported positions (n = 30) or naked without postural support (n = 29). Primary outcome was mean TSB percentage change at 24 h of completed conventional overhead phototherapy treatment (irradiance of 6 muWcm(-2)/nm at a wavelength of 425-475 nm). The incidence of rebound jaundice, number of infants continuing to receive phototherapy treatment at 24 h periods, parental stress, mother-infant interaction and mean TSB percentage change at 24 h of completed conventional overhead phototherapy treatment were examined. Results: Mean TSB percentage change at 24 h of completed treatment for the partially clothed group was 15.4% (+/-18) and for the naked group 19% (+/-15) (mean difference 3.6% 95% CI -5.1, 12.3). No other outcomes were significantly affected by reduced skin exposure to overhead phototherapy treatment. Conclusion: Our results show no statistically significant difference in TSB level change using either nursing practice. |
Identificador | |
Idioma(s) |
eng |
Publicador |
Blackwell Publishing Asia |
Palavras-Chave | #Pediatrics #Parental Stress #Physiologic Hyperbilirubinemia #Preterm #Randomized Controlled Trial #Single Phototherapy #Newborn-infant #Jaundice #Hyperbilirubinemia #Age #C1 #321014 Obstetrics and Gynaecology #730204 Child health |
Tipo |
Journal Article |