Pediatrics & Neonatal Biology Open Access (PNBOA)

ISSN: 2640-2726

Research Article

The Comparison of Single and Double Phototherapy Effects in Blood Calcium Level in Neonates with Jaundice

Authors: Sadeghian A, Yarmohammadi M, Zolfaghari P, Fasaei N, Kalantar MH, Sohrabi MB*

DOI: 10.23880/pnboa-16000203

Abstract

Background: Given the high prevalence of infant’s jaundice and the importance of rapid and timely diagnosis and treatment, selecting the appropriate treatment, such as the type of phototherapy is necessary which can be done in single and double phototherapy. The aim of this study is to compare the effect of single and double phototherapy in neonates with jaundice in Imam Hossain hospital of Shahroud. Methods: A cross-sectional study was conducted on 130 infants with jaundice who had been referred to Bahar Hospital, Shahroud, between March 2020 and February 2021. The patients were randomly divided into two equal groups: A (double phototherapy) and B (single phototherapy), and calcium levels were measured 24, 48 and 72 hours later and compared with each other. Results: The results showed that the groups were matched for demographic and clinical characteristics that there was no significant difference between the two groups. The calcium reduction after 72 hours in the double phototherapy group was 9.9± 0.5 to 8.3± 0.7 mg/dl and in the single phototherapy group it was 9.9± 0.4 to 8.6± 0.4 mg/dl, which did not differ significantly (p = 0.125). Conclusion: This study showed that although single and standard phototherapy is an effective and common method to control hyperbilirubinemia, it seems that double phototherapy can accelerate the reduction of serum bilirubin and does not have significant changes in calcium levels, but according to the contradictory results of different studies, more studies and a larger sample size are needed for final confirmation.

Keywords: Jaundice, Phototherapy Single, Double Phototherapy, Calcium Level

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