Skin exposure during conventional phototherapy in preterm infants: A randomized controlled trial

Pritchard, M. A., Beller, E. M. and Norton, B. (2004) Skin exposure during conventional phototherapy in preterm infants: A randomized controlled trial. Journal of Paediatrics and Child Health, 40 4: 270-274. doi:10.1111/j.1440-1754.2004.00362.x


Author Pritchard, M. A.
Beller, E. M.
Norton, B.
Title Skin exposure during conventional phototherapy in preterm infants: A randomized controlled trial
Journal name Journal of Paediatrics and Child Health   Check publisher's open access policy
ISSN 1034-4810
Publication date 2004
Sub-type Article (original research)
DOI 10.1111/j.1440-1754.2004.00362.x
Volume 40
Issue 4
Start page 270
End page 274
Total pages 5
Editor F. Oberklaid
Place of publication Carlton South, Australia
Publisher Blackwell Publishing Asia
Collection year 2004
Language eng
Subject C1
321014 Obstetrics and Gynaecology
730204 Child health
Abstract 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.
Keyword Pediatrics
Parental Stress
Physiologic Hyperbilirubinemia
Preterm
Randomized Controlled Trial
Single Phototherapy
Newborn-infant
Jaundice
Hyperbilirubinemia
Age
Q-Index Code C1

 
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Created: Wed, 15 Aug 2007, 05:02:23 EST