The efficacy of different type of phototherapy light devices for neonatal jaundice treatment / Mohammad Hanafi Ismail
It has been reported that 60% of term neonates and 80% of the pre-terms develop jaundice in the first week of life and the proportion of jaundice in Malaysia is on the rise. As phototherapy light is the primary source of treatment for jaundice, it is crucial for hospital to have the best photothe...
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| Format: | Thesis |
| Published: |
2020
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| Online Access: | http://studentsrepo.um.edu.my/12121/1/Mohammad_Hanafi_Ismail.jpg http://studentsrepo.um.edu.my/12121/8/hanafi.pdf http://studentsrepo.um.edu.my/12121/ |
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| Summary: | It has been reported that 60% of term neonates and 80% of the pre-terms develop jaundice
in the first week of life and the proportion of jaundice in Malaysia is on the rise. As
phototherapy light is the primary source of treatment for jaundice, it is crucial for hospital
to have the best phototherapy light devices which can help to treat jaundice effectively.
This would help to shorten neonate patient hospital stay, reduce staff workload as well as
increasing treatment capacity of the hospital. Hospitals in Malaysia are using several type
of phototherapy devices in their wards. The most commonly found are Light Emitting
Diode (LED) and conventional fluorescent light devices. This observational study
compares the efficacy of three different types of phototherapy light devices; LED, 6-tubes
fluorescent light & 4-tubes fluorescent light in jaundice treatment. Total of 15 term infant
subject patients were included and assigned into three groups where 5 patients were
treated for each device group. Inclusion criteria for the subject includes term patient,
admission weigh of more than 2.5kg and reached total serum bilirubin (TSB) level which
need phototherapy treatment. The primary outcome measured was the rate of TSB
reduction in jaundice patients within 24 hours period while the secondary outcome
measured was the total treatment time needed for every jaundice patient prior to
discharge. For primary outcome, results showed the rate of mean TSB reduction for LED
is significantly higher than both of the conventional fluorescent light devices (P<0.05).
Meanwhile, the rate of mean TSB reduction for both 6-tubes and 4-tubes fluorescent light
devices were similar (P>0.05). For secondary outcome, although LED recorded the
shortest mean treatment time prior to discharge, there is no significant difference in the
mean treatment time between each group of phototherapy light devices (P>0.05). This
study concludes that LED phototherapy light device is more efficacient that both type of
conventional phototherapy devices; 4-tubes and 6 tubes fluorescent light devices in
reducing TSB level of jaundice patient. |
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