Djokomuljanto 2006.
| Study characteristics | ||
| Methods | Randomised controlled trial | |
| Participants | Inclusion criteria:
Exclusion criteria:
Mean (SD) age in days at recruitment: Intervention = 4.30 (2.08) Control = 4.45 (2.07) Mean (SD) body weight in kg of participants: Intervention = 3.01 (0.49) Control = 3.07 (0.44) |
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| Interventions | Single phototherapy with reflective curtains vs single phototherapy | |
| Outcomes | Mean decrease in SB after 4 hours phototherapy Median duration phototherapy (hours) Side effects including hypothermia, hyperthermia, dehydration, weight loss, skin rash, bronze discolouration |
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| Notes | Breastfeeding not reported. Study author contacted for mean SB at 24 hours and replied that this was not available Study performed in Kelantan, Malaysia, from 1 September 2005 until 1 December 2005 |
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| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Low risk | Block randomisation generated via computer software by a staff member who was not involved in the study (information provided by study authors) |
| Allocation concealment (selection bias) | Low risk | "The investigators were blinded to the allocation until the inclusion of the infant in the study had been confirmed" |
| Blinding of participants and personnel (performance bias) All outcomes | High risk | Participants: neonates by definition blinded, but parents not blinded. Clinicians/Nurses not blinded. The type of intervention may have influenced handling of the baby by parents and healthcare providers |
| Blinding of outcome assessment (detection bias) All outcomes | Low risk | "The laboratory staff were blinded to the study"; we judged bilirubin measurement to be objective. Lack of blinding of participants and staff unlikely to have an effect on the outcomes reported (changes in bilirubin levels) |
| Incomplete outcome data (attrition bias) All outcomes | Low risk | Dropout rate < 5% |
| Selective reporting (reporting bias) | High risk | In the methods, stated that bilirubin levels taken after 4, 8, 16, and 24 hours, but only changes in levels after 4 hours reported |
| Other bias | Low risk | No other sources of bias identified |