The efficacy of home phototherapy for physiological and non-physiological neonatal jaundice: a systematic review

Anderson, Candice Megan;Kandasamy, Yogavijayan;Kilcullen, Meegan

Abstract

Objective: To evaluate the efficacy and safety of home phototherapy for physiological and non-physiological neonatal jaundice compared to in-patient phototherapy. Method: A systematic review of English articles using Medline, CINAHL complete, SCOPUS, and Informit was completed. Additional articles were obtained by a hand-search of the reference lists of obtained articles and Google Scholar. All types of quantitative and qualitative studies were included. Results: 20 articles were identified from our search. Home phototherapy conveyed equal efficacy with inpatient phototherapy with the daily decrement in total serum bilirubin. Home phototherapy was not associated with an increased risk of developing adverse effects. Most of the parents preferred home phototherapy to inpatient phototherapy. Treatment with home phototherapy is more cost effective than inpatient phototherapy. Conclusions: Home phototherapy is a safe and effective treatment for uncomplicated pathological and physio-logical jaundice. Implications include reduced parental anxiety and decreased healthcare expenditure.

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Journal of Neonatal Nursing

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1878-089X

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Elsevier

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DOI

10.1016/j.jnn.2021.08.010