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A randomized control trial of phototherapy and 20% albumin versus phototherapy and saline in Kilifi, Kenya.


ABSTRACT: OBJECTIVE:The study evaluated the efficacy of phototherapy and 20% albumin infusion to reduce total serum bilirubin (TSB) in neonates with severe hyperbilirubinemia. The primary outcome was a reduction of TSB at the end of treatment. The secondary outcomes were the need for exchange transfusion, inpatient mortality, neurological outcomes at discharge, and development outcomes at 12-months follow-up. RESULTS:One hundred and eighteen neonates were randomly assigned to phototherapy and 20% albumin (n?=?59) and phototherapy and saline (n?=?69). The median age at admission was 5 (interquartile range (IQR) 3-6) days, and the median gestation was 36 (IQR 36-38) weeks. No significant differences were found in the change in TSB (Mann-Whitney U?=609, p?=?0.98) and rate of change in TSB per hour after treatment (Mann-Whitney U?=?540, p?=?0.39) between the two groups. There were no significant differences between the two groups in the proportion of participants who required exchange transfusion (?2 (2)?=?0.36, p?=?0.546); repeat phototherapy (?2 (2)?=?2.37, p?=?0.123); and those who died (?2 (2)?=?0.92, p?=?0.337). Trial registration The trial was registered in the International Standardized Randomized Controlled Trial Number (ISRCTN); trial registration number ISRCTN89732754.

SUBMITTER: Magai DN 

PROVIDER: S-EPMC6757356 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature

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A randomized control trial of phototherapy and 20% albumin versus phototherapy and saline in Kilifi, Kenya.

Magai Dorcas N DN   Mwaniki Michael M   Abubakar Amina A   Mohammed Shebe S   Gordon Anne L AL   Kalu Raphael R   Mwangi Paul P   Koot Hans M HM   Newton Charles R CR  

BMC research notes 20190923 1


<h4>Objective</h4>The study evaluated the efficacy of phototherapy and 20% albumin infusion to reduce total serum bilirubin (TSB) in neonates with severe hyperbilirubinemia. The primary outcome was a reduction of TSB at the end of treatment. The secondary outcomes were the need for exchange transfusion, inpatient mortality, neurological outcomes at discharge, and development outcomes at 12-months follow-up.<h4>Results</h4>One hundred and eighteen neonates were randomly assigned to phototherapy a  ...[more]

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