Beaumont Children's Hospital and Department of Pediatrics, Oakland University William Beaumont School of Medicine, Royal Oak, MI, USA.
Research Institute, Biostatistics, Beaumont Health, Royal Oak, MI, USA.
J Perinatol. 2018 Sep;38(9):1246-1251. doi: 10.1038/s41372-018-0153-4. Epub 2018 Jun 19.
To evaluate the frequency, age at phototherapy (PT) initiation, and duration of PT use in infants 23 to 34 weeks of gestation in two neonatal intensive care units (NICUs) over 4 time periods.
We reviewed the charts of all infants born at 23-34 weeks of gestational age (GA) and admitted to the NICUs of two hospitals between January 2009 and September 2015. We calculated the proportion of infants who received PT and the total duration of PT exposure.
Overall 2023 (81.8%) received PT, and PT use was inversely related to GA and birthweight. More infants received PT when GA was added as a criterion for initiating PT. The median duration (interquartile range (IQR)) of PT for all infants was 50 (27-85) h and in the lowest GA group was 74 (42-111) h.
Recent US consensus guidelines appear to have led to an increased use of PT in our NICUs and studies from Norway indicate that we use PT considerably more frequently and for longer durations than do our Norwegian colleagues.
评估在两个新生儿重症监护病房（NICU）的 4 个时间段内，胎龄为 23 至 34 周的婴儿接受光疗（PT）的频率、开始 PT 的年龄和 PT 使用持续时间。
我们回顾了 2009 年 1 月至 2015 年 9 月期间在两家医院的 NICU 中出生的所有胎龄为 23-34 周的婴儿的病历。我们计算了接受 PT 的婴儿比例和 PT 暴露的总持续时间。
总体而言，2023 名（81.8%）婴儿接受了 PT，PT 的使用与胎龄和出生体重呈负相关。当将胎龄作为开始 PT 的标准时，更多的婴儿接受了 PT。所有婴儿的 PT 中位数持续时间（四分位距（IQR））为 50（27-85）h，最低胎龄组为 74（42-111）h。
最近的美国共识指南似乎导致我们的 NICU 中 PT 的使用增加，而挪威的研究表明，我们比挪威的同行更频繁和更长时间地使用 PT。
