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Home-use icterometry in neonatal hyperbilirubinaemia: Cluster-randomised controlled trial in Vietnam
- Source :
- Journal of Paediatrics and Child Health. 50:674-679
- Publication Year :
- 2014
- Publisher :
- Wiley, 2014.
-
Abstract
- Aim To determine whether home-use icterometry improves parental recognition of neonatal jaundice, early care seeking and treatment to minimize risks of bilirubin encephalopathy. Methods Cluster-randomised controlled trial of community-level icterometry used at home by mothers in Chi Linh, Vietnam. Rural health-care workers identified and enrolled term newborns. Post-partum mothers received jaundice education and icterometry instructions and were cluster-randomised by commune. Cases received icterometers (icterometer group (IG)) and controls did not (control group (CG)). Subjects received mobile telephone calls from post-natal days 2–7 to determine maternal recognition by visual inspection and icterometer detection of jaundice (≥3.0 on five-point scale). Mothers without telephones, premature newborns ( 5 days were excluded. Results Three hundred fifty-two subjects were enrolled (183 IG and 169 CG), of whom 11 (3.4%) were lost to telephone follow-up. Jaundice was recognised and/or detected in 94 (27%) of all newborns. Icterometry helped 11 mothers (6%) detect neonatal jaundice that was not visually recognised by IG mothers. Detection by IG mothers was not statistically greater than CG mothers (P = 0.09). Follow-up care seeking was 8% in both groups (P = 0.2), and 11% of jaundiced newborns received treatment (9% IG vs. 16% CG, P = 0.3). Newborns who received care had bilirubin measurements that averaged 257 μmol/L IG vs. 322 μmol/L CG (P = 0.3). There were no deaths. Conclusions In this pilot study, home-use icterometry may help improve parental detection of jaundice in rural Vietnam. However, larger studies are necessary to determine the changes in recognition, care seeking and treatment.
- Subjects :
- Pediatrics
medicine.medical_specialty
Care seeking
Bilirubin
business.industry
Home use
Jaundice
Mobile telephone
Bilirubin encephalopathy
law.invention
chemistry.chemical_compound
chemistry
Randomized controlled trial
law
Pediatrics, Perinatology and Child Health
Medicine
Cluster randomised controlled trial
medicine.symptom
business
Subjects
Details
- ISSN :
- 10344810
- Volume :
- 50
- Database :
- OpenAIRE
- Journal :
- Journal of Paediatrics and Child Health
- Accession number :
- edsair.doi...........26bfd037c357304b2fdac6b16b1ed725