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نوع الوثيقة |
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مقال في مجلة دورية |
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عنوان الوثيقة |
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Rebound Hyperbilirubinemia in Term Infants after Phototherapy Rebound Hyperbilirubinemia in Term Infants after Phototherapy |
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الموضوع |
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حديثي الولادة والخدج |
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لغة الوثيقة |
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الانجليزية |
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المستخلص |
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OBJECTIVE: To determine whether a rebound in serum bilirubin level occurs within 24 hours after discontinuation of phototherapy in term infants with hyperbilirubinemia.
METHODS: A retrospective medical record review of term infants with hyperbilirubinemia requiring phototherapy who were admitted over 24 months, June 1999 to December 2001, at King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia was completed. Total serum bilirubin levels (TSB) at and up to 24 hours after termination of phototherapy (follow-up levels) were recorded. The difference between mean TSB level at termination of phototherapy and at follow-up was calculated using the paired t test.
RESULTS: Three hundred and one infants, 53% (n=161) were boys, mean standard deviation (SD) for gestational age was 39.4 +/- 1.4 weeks, mean birth weight was 3200 +/- 600 g, mean TSB SD at termination of phototherapy was 193 +/- 46 micromole/liter (micromol/l) and at follow-up was 188 +/- 45 micromol/l for all infants with either positive or negative direct coombs' test results. The difference in mean TSB level at discontinuation of phototherapy and at follow-up was statistically significant, (t=3.12, P=0.002). The mean TSB level at termination of phototherapy was 179 +/- 47 micromol/l and at follow-up was 177 +/- 47 micromol/l for 65 infants with positive direct coombs' test results. This difference was statistically insignificant (t=0.725, P=0.47). The mean time interval between the termination of phototherapy and the measurement of follow-up TSB level was 8.3 +/- 5.3 hour.
CONCLUSION: The rebound of bilirubin level after termination of phototherapy in otherwise healthy term infants is minimal; thus measurement of serum bilirubin is not required after termination of phototherapy and adds unnecessary expense, prolongs hospitalization, or both |
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ردمد |
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0379-5284 |
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اسم الدورية |
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المجلة الطبية السعودية |
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المجلد |
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23 |
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العدد |
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11 |
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سنة النشر |
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1423 هـ
2002 م |
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نوع المقالة |
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مقالة علمية |
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تاريخ الاضافة على الموقع |
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Monday, August 31, 2009 |
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الباحثون
| سعد الصاعدي | Al-Saedi, Saad | باحث | دكتوراه | |
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