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

MA Pritchard, EM Beller, B Norton

Research output: Contribution to journalArticleResearchpeer-review

2 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)270-274
Number of pages5
JournalJournal of Paediatrics and Child Health
Volume40
Issue number5-6
DOIs
Publication statusPublished - 2004
Externally publishedYes
Event14th Physical and Developmental Environment of the High Risk Infant Conference - Tampa, United States
Duration: 31 Jan 20043 Feb 2004

Cite this

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title = "Skin exposure during conventional phototherapy in preterm infants: A randomized controlled trial",
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.",
author = "MA Pritchard and EM Beller and B Norton",
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language = "English",
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Skin exposure during conventional phototherapy in preterm infants : A randomized controlled trial. / Pritchard, MA; Beller, EM; Norton, B.

In: Journal of Paediatrics and Child Health, Vol. 40, No. 5-6, 2004, p. 270-274.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Skin exposure during conventional phototherapy in preterm infants

T2 - A randomized controlled trial

AU - Pritchard, MA

AU - Beller, EM

AU - Norton, B

PY - 2004

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N2 - 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.

AB - 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.

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JO - Australian Paediatric Journal

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SN - 1034-4810

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