Intermittent versus continuous phototherapy for the treatment of neonatal non-hemolytic moderate hyperbilirubinemia in infants more than 34 weeks of gestational age: a randomized controlled trial

Sachdeva, Monica; Murki, Srinivas; Oleti, Tejo Pratap; Kandraju, Hemasree

doi:10.1007/s00431-014-2373-8

Cited by 44 publications

(44 citation statements)

References 8 publications

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“…All neonatal units in Norway routinely allowed phototherapy to be interrupted for 30-60 minutes for breastfeeding, clinical examinations, parental visits and skin-toskin contact (Table 4). This was in accordance with studies that concluded that intermittent phototherapy was as effective as continuous phototherapy (23,24). Routinely increasing fluid supplementation during phototherapy is not indicated, as specifically stated in the national guidelines, and only one NICU continued to follow this outdated practice.…”

Section: Discussionsupporting

confidence: 92%

Uniform national guidelines do not prevent wide variations in the clinical application of phototherapy for neonatal jaundice

et al. 2017

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Section: Discussionsupporting

confidence: 92%

Uniform national guidelines do not prevent wide variations in the clinical application of phototherapy for neonatal jaundice

et al. 2017

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“…Additionally, in a 1975 article, 11 Dobbs and Cremer noted that intermittent phototherapy produced better results than continuous exposure. Other studies 30,34 have also suggested that, in the absence of severe haemolysis, intermittent phototherapy is at least equivalent to continuous phototherapy. In fact, a study 34 by Sachdeva and colleagues suggested that, in near-term and term infants with moderate hyperbilirubinaemia but without haemolysis, 12 h of phototherapy followed by a 12 h break is as effective as continuous phototherapy for 24 h.…”

Section: Discussionmentioning

confidence: 93%

Filtered sunlight versus intensive electric powered phototherapy in moderate-to-severe neonatal hyperbilirubinaemia: a randomised controlled non-inferiority trial

Slusher

Vreman

Brearley

et al. 2018

The Lancet Global Health

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“…14 O PMT-T apresenta também com maior frequência quadros de icterícia, 8 com indicação de uso de fototerapia. 15 Embora os quadros de hipotermia pareçam ser mais frequentes entre os PMT-T, não encontramos diferença estatística entre os grupos quanto à ocorrência de hipotermia, o que nos leva a especular ser um achado possivelmente relacionado à assistência efetuada e não à IG.…”

Section: Discussionunclassified

Intercorrências e procedimentos neonatais no recém-nascido pré-termo tardio comparado ao recém-nascido a termo

Gomes¹,

Costa²,

Gabriel³

et al. 2018

Rev Ped Soperj

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ResumoIntrodução: os recém-nascidos pré-termo tardios representam atualmente cerca de 70% do total de prematuros e, quando comparados aos recém-nascidos a termo, apresentam maiores riscos de complicações clínicas neonatais. Objetivo: comparar o perfil da morbidade neonatal dos recém-nascidos pré-termo tardios ao dos recém--nascidos a termo. Métodos: estudo transversal, descritivo, envolvendo todos os recém-nascidos com idade gestacional a partir de 34 semanas nascidos entre fevereiro e junho de 2016 na maternidade de um hospital universitário, divididos em dois grupos, de acordo com a idade gestacional -recém-nascidos pré-termo tardios (34 0/7 a 36 6/7 semanas) e recém-nascidos a termo (37 0/7 semanas ou mais) -, cujos dados foram coletados dos prontuários dos recém-nascidos e de suas mães. Foram calculadas a prevalência e a razão de chance de uma intercorrência ocorrer e de um procedimento ser realizado entre os recém-nascidos dos grupos. Resultados: a prevalência da prematuridade tardia foi de 8,8%, de um total de 898 nascimentos. Quando comparado aos recém-nascidos a termo, os pré-termo tardios apresentaram maior chance de necessitar internação em UTI neonatal e assistência ventilatória (RC = 26,0), reanimação (RC = 3,0), de apresentar hipoglicemia (RC = 9,8), icterícia neonatal com fototerapia (RC = 10,8), sepse neonatal (RC = 8,8), dificuldade de sucção (RC = 13,8), necessidade de complementação alimentar (RC = 9,4) e coleta de sangue para exames complementares (RC = 22,5). Conclusões: os pré-termo tardios devem ser lembrados como recém-nascidos diferenciados que necessitam receber especial atenção durante seus cuidados, em virtude da maior frequência de morbidade a que estão sujeitos. AbstractIntroduction: late preterm newborns currently account for around 70% of all premature babies and, when compared to newborns at term, show an increased risk of neonatal complications. Objective: to compare the neonatal morbidity profile of late preterm newborn to newborn at term. Methods: a descriptive, cross-sectional study involving all newborns from the gestational age of 34 weeks, born between February and June 2016 in the maternity ward of an university hospital. They were divided into two groups, according to the gestational age, in late preterm newborns (34 0/7 to 36 6/7 weeks) and newborns at term (37 0/7 or more weeks), and the data was collected from the records of newborns and their mothers. The prevalence and the odds ratio of morbidity occurring in the groups was calculated. Results: the prevalence of late prematurity was 8.8%, out of a total of 898 births. When compared to newborns at term, the late preterm newborns had more chances of requiring hospitalization in neonatal ICU and ventilatory assistance (OR = 26.0), resuscitation (OR = 3.0), and to present hypoglycemia (OR = 9.8), neonatal jaundice with phototherapy (OR = 10.8), neonatal sepsis (OR = 8.8), sucking difficulty (OR = 13.8), food supplementation (OR = 9.4) and need for blood collection for complementary tests (OR = 22.5). Conclusions: late pre...

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Intermittent versus continuous phototherapy for the treatment of neonatal non-hemolytic moderate hyperbilirubinemia in infants more than 34 weeks of gestational age: a randomized controlled trial

Abstract: In term and late preterm infants with non-hemolytic moderate hyperbilirubinemia, intermittent phototherapy with 12 h on and 12 h off cycles is as efficacious as continuous phototherapy.

Cited by 44 publications

References 8 publications

Uniform national guidelines do not prevent wide variations in the clinical application of phototherapy for neonatal jaundice

Uniform national guidelines do not prevent wide variations in the clinical application of phototherapy for neonatal jaundice

Filtered sunlight versus intensive electric powered phototherapy in moderate-to-severe neonatal hyperbilirubinaemia: a randomised controlled non-inferiority trial

Intercorrências e procedimentos neonatais no recém-nascido pré-termo tardio comparado ao recém-nascido a termo

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