Evidence map›Paper›PMID 25794186›Full record

Trial reportPediatric research2015

Early formation of bilirubin isomers during phototherapy for neonatal jaundice: effects of single vs. double fluorescent lamps vs. photodiodes.

Khalaf Mreihil, Poul Madsen, Britt Nakstad, Jūratė Šaltytė Benth, Finn Ebbesen, Thor Willy Ruud Hansen

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Pediatric research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. High- versus low-dose phototherapy for neonatal jaundice.The Cochrane database of systematic reviews · 2026
    Pooled it
  2. Trial
  3. Double versus single intensive phototherapy with LEDs in treatment of neonatal hyperbilirubinemia.Journal of perinatology : official journal of the California Perinatal Association · 2018
    Trial
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Phototherapy in dermatological maladies (Review).Experimental and therapeutic medicine · 2022
    Review
  9. Sixty years of phototherapy for neonatal jaundice - from serendipitous observation to standardized treatment and rescue for millions.Journal of perinatology : official journal of the California Perinatal Association · 2020
    Review
  10. LED Photo-polymerization, a Novel Strategy for Triggered Release Liposomes.Iranian journal of pharmaceutical research : IJPR · 2020
    Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Khalaf Mreihil1] Department of Pediatric and Adolescent Medicine, Akershus University Hospital, Lørenskog, Norway [2] Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Poul MadsenDepartment of Pediatrics, Aalborg University Hospital, Aalborg, Denmark.
Britt Nakstad1] Department of Pediatric and Adolescent Medicine, Akershus University Hospital, Lørenskog, Norway [2] Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Jūratė Šaltytė Benth1] Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway [2] HØKH, Research Center, Akershus University Hospital, Lørenskog, Norway.
Finn Ebbesen1] Department of Pediatrics, Aalborg University Hospital, Aalborg, Denmark [2] Faculty of Medicine, Aalborg University, Aalborg, Denmark.
Thor Willy Ruud Hansen1] Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway [2] Department of Neonatal Critical Care, Women and Children's Division, Oslo University Hospital, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn neonatal jaundice, phototherapy converts bilirubin to more polar photoisomers which can be excreted without conjugation. We measured changes in the concentration of bilirubin Z,E-photoisomer during the first 4 h of intensive phototherapy using single fluorescent lights as a reference, compared to double fluorescent lights, and a single unit of photodiodes.

methodsNeonates (N = 42; birth weight: 1,200-4,690 g; gestational age: 28-42 wk) were studied during phototherapy. Infants were randomized to: (i) single, or (ii) double fluorescent phototherapy; or (iii) single unit photodiodes. Irradiance was measured. Serum bilirubin (by cooximetry) and Z,E bilirubin (by high-pressure liquid chromatography) were measured at 0,15, 30, 60, 120, and 240 min after the start of phototherapy. Data were analyzed with a linear mixed model.

resultsThere was a highly significant increase of Z,E-bilirubin over time (P < 0.0001), starting at 15 min. Photoisomers reached ~25% of total bilirubin concentration after 4 h. However, there were no significant differences between the three randomized groups in spite of significantly higher irradiance using double fluorescent lights vs. single fluorescent or photodiodes.

conclusionFormation of bilirubin photoisomers is rapid, and occurs early during intensive phototherapy for neonatal jaundice. The rate and level of photoisomerization was not influenced by irradiance and light source.

Indexed as

LightBilirubinBirth WeightChromatography, High Pressure LiquidEquipment DesignGestational AgeHumansInfant, NewbornJaundice, NeonatalLinear ModelsPhototherapyBilirubin

Identifiers

PMID25794186

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.