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. 2020 Jul 1;2020(7):CD012011. doi: 10.1002/14651858.CD012011.pub2

Rashmi 2015.

Study characteristics
Methods Randomised controlled trial
Participants Inclusion criteria:
  1. Term infants > 2500 grams, SB between 300 and 340 micromol/L, aged 48 hours to 14 days


Exclusion criteria:
  1. Infants with haemolysis

  2. Infants on phenobarbitone or herbal preparations


Mean (SD) age in days at recruitment:
Intervention = 4.47 (1.4)
Control = 3.80 (1.26)
Mean (SD) body weight in kg of participants:
Intervention = 2.19 (0.31)
Control = 2.23 (0.43)
Interventions Intervention: standard phototherapy with white reflective curtains around the phototherapy unit (15 infants)
Control: standard phototherapy without reflective curtains (15 infants)
Outcomes Mean SB at 24 and 48 hours
Mean duration of phototherapy in hours
Notes Nature of reflective material used not reported. Study conducted in Uttarakhand, India. Only one outcome reported. Data on adverse effects (skin turgor, skin rash, loose stools, body temperature, pulse respiration, blood pressure) collected but not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "Newborns were randomly assigned into experimental and control groups" ‐ exact method of random sequence generation not reported
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of participants and personnel (performance bias)
All outcomes High risk Blinding not described
Comment: we judged that blinding of parents and caregivers would not be possible
Blinding of outcome assessment (detection bias)
All outcomes Low risk Not reported. We judged bilirubin measurement to be an objective measurement not affected by lack of blinding
Incomplete outcome data (attrition bias)
All outcomes Low risk 30 patients randomly assigned to 2 groups. Results tables provide data for 30 neonates (15 per group). We judged no loss to follow‐up
Selective reporting (reporting bias) High risk Adverse effects monitored but not reported
Other bias Unclear risk None detected