Randomized controlled trial of compact fluorescent lamp versus standard phototherapy for the treatment of neonatal hyperbilirubinemia.

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dc.contributor.authorSarin, Monicaen_US
dc.contributor.authorDutta, Sourabhen_US
dc.contributor.authorNarang, Anilen_US
dc.date.accessioned2006-07-08en_US
dc.date.accessioned2009-05-27T06:05:52Z
dc.date.available2006-07-08en_US
dc.date.available2009-05-27T06:05:52Z
dc.date.issued2006-07-08en_US
dc.description.abstractBACKGROUND: Special blue tube lights of standard length are used in most neonatal units to deliver phototherapy. Of late, special blue compact fluorescent lamp phototherapy equipments have been introduced in India, which are claimed to be better than standard tube lights. AIM: To compare special blue compact fluorescent lamp (CFL) phototherapy with special blue standard-length tube lights (STL). METHODS: This randomized, controlled trial was conducted in a level III NICU. Neonates, otherwise healthy, of gestation greater than 34 weeks with hyperbilirubinemia requiring phototherapy, were included. Rh iso-immunized babies, those who underwent prior exchange transfusion and whose parents declined to consent were excluded. By stratified block randomization, babies were allocated to receive phototherapy by CFL or STL. CFL and STL were both special blue lights with irradiance maintained above 15 microWatts/nm/cm2. Total serum bilirubin (TSB) was measured 12 hourly till phototherapy was stopped or an exchange transfusion was done. Temperature and clinical and laboratory parameters of dehydration were recorded 12 hourly till 72 hrs. Nursing staff answered an objectivized proforma about the disadvantageous effects on nurses. RESULTS: Fifty babies were enrolled in each group. Baseline characteristics, causes of jaundice, hemolysis, baseline TSB and irradiance were similar in both groups. Mean duration of phototherapy (P = 0.98) was similar in both groups. Kaplan-Meier analysis of phototherapy duration showed no difference in the survival curves of the 2 groups (P = 0.6). Axillary temperature was similar in both groups and no baby was dehydrated. Nursing staff reported no significant differences between CFL and STL visavis glare hurting the eyes, giddiness and headache. CONCLUSIONS: CFL phototherapy has no superiority over STL phototherapy in terms of efficacy and adverse effects on the neonate and effects on nursing staff.en_US
dc.description.affiliationDivision of Neonatology, Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh 160 012, India.en_US
dc.identifier.citationSarin M, Dutta S, Narang A. Randomized controlled trial of compact fluorescent lamp versus standard phototherapy for the treatment of neonatal hyperbilirubinemia. Indian Pediatrics. 2006 Jul; 43(7): 583-90en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/14909
dc.language.isoengen_US
dc.source.urihttps://indianpediatrics.neten_US
dc.subject.meshFemaleen_US
dc.subject.meshFluorescenceen_US
dc.subject.meshHumansen_US
dc.subject.meshHyperbilirubinemia, Neonatal --nursingen_US
dc.subject.meshIndiaen_US
dc.subject.meshInfanten_US
dc.subject.meshInfant, Newbornen_US
dc.subject.meshIntensive Care Units, Neonatalen_US
dc.subject.meshIntensive Care, Neonatal --methodsen_US
dc.subject.meshJaundice, Neonatal --nursingen_US
dc.subject.meshMaleen_US
dc.subject.meshPhototherapy --instrumentationen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleRandomized controlled trial of compact fluorescent lamp versus standard phototherapy for the treatment of neonatal hyperbilirubinemia.en_US
dc.typeJournal Articleen_US
dc.typeRandomized Controlled Trialen_US
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