Effects Of Phototherapy On Serum Calcium Level In Neonates With Hyperbilirubinemia
Objective: To study the frequency of hypocalcemia in neonates receiving phototherapy with indirect hyperbilirubinemia Materials and Methods: Descriptive case series study was conducted from September 5, 2018, to March 5, 2019, in the NICU of the Paediatric Department Benazir Bhutto Hospital, Rawalp...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Rawalpindi Medical University
2023-06-01
|
| Series: | Journal of Rawalpindi Medical College |
| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/2052 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832086931135004672 |
|---|---|
| author | Qura-tul-Ain Javaid Salma Aziz Noor-ul-Ain Uzma Abid Ayesha Afzal Umer Javaid |
| author_facet | Qura-tul-Ain Javaid Salma Aziz Noor-ul-Ain Uzma Abid Ayesha Afzal Umer Javaid |
| author_sort | Qura-tul-Ain Javaid |
| collection | DOAJ |
| description |
Objective: To study the frequency of hypocalcemia in neonates receiving phototherapy with indirect hyperbilirubinemia Materials and Methods: Descriptive case series study was conducted from September 5, 2018, to March 5, 2019, in the NICU of the Paediatric Department Benazir Bhutto Hospital, Rawalpindi.
Approval was sought from the hospital’s ethical committee. Neonates fulfilling inclusion criteria were enrolled in the study after obtaining informed consent from the parents. Before giving phototherapy, serum calcium levels were checked. Phototherapy was given for 48 hours. Serum calcium levels were reassessed after 48 hours of phototherapy. Data was entered on a structured proforma and statistical analysis of data was performed.
Results: Out of 150 patients enrolled in the study 83(55.33%) were male and 67(44.67%) were female. The mean age of patients was 52.52 hours with minimum and maximum ages of 26 hours and 80 hours. The mean Indirect serum bilirubin level was 15.59 ± 2.36. A total of 50(33.33%) cases had hypocalcemia after 48 hours of phototherapy, all of these neonates had normal calcium levels before phototherapy. When hypocalcaemia was stratified for gestational age, birth weight and serum bilirubin levels at baseline, there was no significant difference in the frequency of hypocalcaemia concerning these effect modifiers.
Conclusion: It is concluded that the frequency of hypocalcemia is higher in neonates with indirect hyperbilirubinemia after receiving phototherapy. One needs to be vigilant in dealing with neonates in this context, while serial measurements of calcium levels and monitoring for complications of hypocalcaemia should be included in every institution’s policy
|
| format | Article |
| id | doaj-art-62a20f0a45a541efb835a8ba302eaebf |
| institution | Kabale University |
| issn | 1683-3562 1683-3570 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | Rawalpindi Medical University |
| record_format | Article |
| series | Journal of Rawalpindi Medical College |
| spelling | doaj-art-62a20f0a45a541efb835a8ba302eaebf2025-02-06T08:41:52ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702023-06-0127210.37939/jrmc.v27i2.2052Effects Of Phototherapy On Serum Calcium Level In Neonates With Hyperbilirubinemia Qura-tul-Ain JavaidSalma AzizNoor-ul-AinUzma AbidAyesha AfzalUmer Javaid Objective: To study the frequency of hypocalcemia in neonates receiving phototherapy with indirect hyperbilirubinemia Materials and Methods: Descriptive case series study was conducted from September 5, 2018, to March 5, 2019, in the NICU of the Paediatric Department Benazir Bhutto Hospital, Rawalpindi. Approval was sought from the hospital’s ethical committee. Neonates fulfilling inclusion criteria were enrolled in the study after obtaining informed consent from the parents. Before giving phototherapy, serum calcium levels were checked. Phototherapy was given for 48 hours. Serum calcium levels were reassessed after 48 hours of phototherapy. Data was entered on a structured proforma and statistical analysis of data was performed. Results: Out of 150 patients enrolled in the study 83(55.33%) were male and 67(44.67%) were female. The mean age of patients was 52.52 hours with minimum and maximum ages of 26 hours and 80 hours. The mean Indirect serum bilirubin level was 15.59 ± 2.36. A total of 50(33.33%) cases had hypocalcemia after 48 hours of phototherapy, all of these neonates had normal calcium levels before phototherapy. When hypocalcaemia was stratified for gestational age, birth weight and serum bilirubin levels at baseline, there was no significant difference in the frequency of hypocalcaemia concerning these effect modifiers. Conclusion: It is concluded that the frequency of hypocalcemia is higher in neonates with indirect hyperbilirubinemia after receiving phototherapy. One needs to be vigilant in dealing with neonates in this context, while serial measurements of calcium levels and monitoring for complications of hypocalcaemia should be included in every institution’s policy https://www.journalrmc.com/index.php/JRMC/article/view/2052 |
| spellingShingle | Qura-tul-Ain Javaid Salma Aziz Noor-ul-Ain Uzma Abid Ayesha Afzal Umer Javaid Effects Of Phototherapy On Serum Calcium Level In Neonates With Hyperbilirubinemia Journal of Rawalpindi Medical College |
| title | Effects Of Phototherapy On Serum Calcium Level In Neonates With Hyperbilirubinemia |
| title_full | Effects Of Phototherapy On Serum Calcium Level In Neonates With Hyperbilirubinemia |
| title_fullStr | Effects Of Phototherapy On Serum Calcium Level In Neonates With Hyperbilirubinemia |
| title_full_unstemmed | Effects Of Phototherapy On Serum Calcium Level In Neonates With Hyperbilirubinemia |
| title_short | Effects Of Phototherapy On Serum Calcium Level In Neonates With Hyperbilirubinemia |
| title_sort | effects of phototherapy on serum calcium level in neonates with hyperbilirubinemia |
| url | https://www.journalrmc.com/index.php/JRMC/article/view/2052 |
| work_keys_str_mv | AT quratulainjavaid effectsofphototherapyonserumcalciumlevelinneonateswithhyperbilirubinemia AT salmaaziz effectsofphototherapyonserumcalciumlevelinneonateswithhyperbilirubinemia AT noorulain effectsofphototherapyonserumcalciumlevelinneonateswithhyperbilirubinemia AT uzmaabid effectsofphototherapyonserumcalciumlevelinneonateswithhyperbilirubinemia AT ayeshaafzal effectsofphototherapyonserumcalciumlevelinneonateswithhyperbilirubinemia AT umerjavaid effectsofphototherapyonserumcalciumlevelinneonateswithhyperbilirubinemia |