Cochrane · systematic review · CD012011

Use of reflective materials during phototherapy for newborn infants with unconjugated hyperbilirubinaemia

Van Rostenberghe, H, Ho, JJ, Lim, CH, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

NeonatalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
4
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 8 · 66.7%Very low 1 · 8.3%Low 2 · 16.7%Moderate 1 · 8.3%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Phototherapy with reflective curtains compared to phototherapy alone for newborn infants with unconjugated hyperbilirubinaemia

Population: newborn infants with unconjugated hyperbilirubinaemia
6 questions
OutcomeEffectEvidenceStatus / GRADE
Decline in bilirubin at 4 to 8 hours (μmol/L)
Phototherapy with reflective curtains vs phototherapy alone
no estimate extracted3 studies · 281 participantsModerate
Downgraded: inconsistency
Decline in serum bilirubin (over 24 hours)
Phototherapy with reflective curtains vs phototherapy alone
no estimate extracted9 studies · 893 participantsVery low
Downgraded: risk of bias, inconsistency
Exchange transfusion
Phototherapy with reflective curtains vs phototherapy alone
no estimate extracted2 studies · 2 participantsUngraded
Acute life‐threatening events
Phototherapy with reflective curtains vs phototherapy alone
no estimate extracted11 studies · 11 participantsUngraded
Parental satisfaction
Phototherapy with reflective curtains vs phototherapy alone
no estimate extracted11 studies · 11 participantsUngraded
Breastfeeding ondischarge
Phototherapy with reflective curtains vs phototherapy alone
no estimate extracted11 studies · 11 participantsUngraded

Reflective curtains compared to intensified phototherapy for newborn infants with unconjugated hyperbilirubinaemia

Population: newborn infants with unconjugated hyperbilirubinaemia
6 questions
OutcomeEffectEvidenceStatus / GRADE
Decline in bilirubin (first measurement)
Reflective curtains vs intensified phototherapy
no estimate extracted1 study · 159 participantsLow
Downgraded: risk of bias
Duration of phototherapy (in hours)
Reflective curtains vs intensified phototherapy
no estimate extracted1 study · 159 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Exchange transfusion
Reflective curtains vs intensified phototherapy
no estimate extracted1 study · 159 participantsUngraded
Acute life‐threatening events
Reflective curtains vs intensified phototherapy
no estimate extracted1 study · 159 participantsUngraded
Patient satisfaction
Reflective curtains vs intensified phototherapy
no estimate extracted1 study · 159 participantsUngraded
Breastfeeding on discharge
Reflective curtains vs intensified phototherapy
no estimate extracted1 study · 159 participantsUngraded