Waals-van de Wal C M, Plötz F B, Kollée L A, Baldew I M, Jansen F H, Okken A
Academisch Ziekenhuis, afd. Kindergeneeskunde, Nijmegen.
Ned Tijdschr Geneeskd. 1993 Nov 6;137(45):2319-23.
To determine what guidelines are used in Dutch hospitals in the management of neonatal hyperbilirubinaemia.
Descriptive.
Paediatricians in 63 hospitals were sent a standard guideline diagram of phototherapy management and asked to describe how their management differed. The 10 neonatal intensive care units in the Netherlands were asked to send their phototherapy guidelines in more detail.
Thirty-four hospitals (54%) and the 10 neonatal centres (100%) responded. The data obtained showed no general agreement; several different guidelines were used, notably with respect to the serum bilirubin concentration levels and the number of postnatal hours.
We recommend that consensus should be reached on the use of phototherapy. A more restricted use of phototherapy probably would save costs without loss of quality.
确定荷兰医院在新生儿高胆红素血症管理中使用哪些指南。
描述性研究。
向63家医院的儿科医生发送了光疗管理的标准指南图表，并要求他们描述其管理方式的不同之处。荷兰的10家新生儿重症监护病房被要求更详细地发送其光疗指南。
34家医院（54%）和10家新生儿中心（100%）做出了回应。获得的数据未显示出普遍共识；使用了几种不同的指南，特别是在血清胆红素浓度水平和出生后小时数方面。
我们建议就光疗的使用达成共识。更严格地使用光疗可能会在不降低质量的情况下节省成本。
Zotero 插件