Efficacy of light‐emitting diode versus other light sources for treatment of neonatal hyperbilirubinemia: a systematic review and meta‐analysis
- 9 January 2012
- journal article
- review article
- Published by Wiley in Acta Paediatrica
- Vol. 101 (5), 458-465
- https://doi.org/10.1111/j.1651-2227.2011.02561.x
Abstract
Various light-emitting diode (LED) phototherapy devices have been trialled on the assumption of a more effective spectral distribution of the light emitted. We reviewed the current literature to determine whether LED is more effective than other types of phototherapy. Eligible studies were randomized controlled trials of LED versus other phototherapies. Studies were found to be of medium quality based on a components approach. Data were statistically aggregated within a very homogeneous population (term or late preterm neonates). Results appeared robust at sensitivity analysis. Five hundred and eleven neonates were included in the meta-analysis. LED and other phototherapy devices appeared to be equally effective in reducing total serum bilirubin (TSB) in term or late preterm neonates. The pooled mean TSB rate of decrease was 3.269 mu mol/L/h (0.191 mg/dL/h) and 3.074 mu mol/L/h (0.18 mg/dL/h) in the LED and conventional arms, respectively [average difference in TSB rate of decrease = 0.194 mu mol/L/h (0.011 mg/dL/h) in favour of LED phototherapy; p = 0.378]. Conclusion: No significant difference in TSB rate of decrease was detected between LED and other types of phototherapy. Further randomized controlled trials are needed to ascertain whether LED phototherapy may be more effective when increasing the spectral power, or in certain selected subpopulations.Keywords
This publication has 29 references indexed in Scilit:
- Standardized bench method for evaluating the efficacy of phototherapy devicesActa Paediatrica, 2008
- Efficacy of new microprocessed phototherapy system with five high intensity light emitting diodes (Super LED)Jornal de Pediatria, 2007
- Transepidermal water loss and cerebral hemodynamics in preterm infants: conventional versus LED phototherapyEuropean Journal of Pediatrics, 2007
- In vitro and in vivo Efficacy of New Blue Light Emitting Diode Phototherapy Compared to Conventional Halogen Quartz Phototherapy for Neonatal JaundiceJournal of Korean Medical Science, 2005
- Phototherapy — Traditional and NontraditionalJournal of Perinatology, 2001
- Phototherapy: From Ancient Egypt to the New MillenniumJournal of Perinatology, 2001
- QUANTUM YIELDS FOR LASER PHOTOCYCLIZATION OF BILIRUBIN IN THE PRESENCE OF HUMAN SERUM ALBUMIN. DEPENDENCE OF QUANTUM YIELD ON EXCITATION WAVELENGTHPhotochemistry and Photobiology, 1989
- Meta-analysis in clinical trialsControlled Clinical Trials, 1986
- Phototherapy for neonatal jaundice: Optimal wavelengths of lightThe Journal of Pediatrics, 1983