{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:27:25Z","timestamp":1791937645936,"version":"4.3.4"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,8,19]],"date-time":"2015-08-19T00:00:00Z","timestamp":1439942400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>In Victoria, neonates with severe unconjugated hyperbilirubinaemia at risk of requiring exchange transfusion are retrieved by the Paediatric Infant Perinatal Emergency Retrieval Service and transferred to a Neonatal Intensive Care Unit where an exchange transfusion can be performed if necessary. Transfer may result in prolonged periods without phototherapy in neonates at risk of developing bilirubin encephalopathy. We aimed to describe our experience of the introduction of phototherapy using a portable phototherapy unit during transport.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Neonates with a primary diagnosis of severe unconjugated hyperbilirubinaemia were identified from the Paediatric Infant Perinatal Emergency Retrieval clinical database over an 11\u2010year period. Demographic and clinical data including gestation, age at transport, serum bilirubin levels pre\u2010 and post\u2010transport, use of phototherapy during transport (<jats:styled-content style=\"fixed-case\">PTDT<\/jats:styled-content>), likely diagnosis, and use of exchange transfusion were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 147 neonates were included with 104 neonates receiving <jats:styled-content style=\"fixed-case\">PTDT<\/jats:styled-content> and 43 who did not. Neonates who received <jats:styled-content style=\"fixed-case\">PTDT<\/jats:styled-content> were less likely to require exchange transfusion, 19.2% versus 34.9%, odds ratio 0.44 (95% CI 0.2\u20130.98), <jats:italic>P<\/jats:italic> = 0.05. However, after correction for factors appearing to be related to use of exchange transfusion, the odds ratio increased to 0.58 (95% CI 0.21\u20131.63), <jats:italic>P<\/jats:italic> = 0.3. There was a greater reduction in the pre\u2010 to post\u2010transport total serum bilirubin levels (\u03bcmol\/L) for the group receiving <jats:styled-content style=\"fixed-case\">PTDT<\/jats:styled-content> (mean 46.3, SD 64.6) versus no <jats:styled-content style=\"fixed-case\">PTDT<\/jats:styled-content> (mean 26.1, SD 62.5), but this did not reach significance, <jats:italic>P<\/jats:italic> = 0.08.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Phototherapy during neonatal transport is feasible and safe and may result in a decreased requirement for subsequent exchange transfusion.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.12984","type":"journal-article","created":{"date-parts":[[2015,8,20]],"date-time":"2015-08-20T01:41:11Z","timestamp":1440034871000},"page":"67-71","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Phototherapy in transport for neonates with unconjugated hyperbilirubinaemia"],"prefix":"10.1111","volume":"52","author":[{"given":"Michelle","family":"Waterham","sequence":"first","affiliation":[{"name":"Paediatric Infant Perinatal Emergency Retrieval Service Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Risha","family":"Bhatia","sequence":"additional","affiliation":[{"name":"Paediatric Infant Perinatal Emergency Retrieval Service Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Donath","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology and Biostatistics Unit Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Molesworth","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology and Biostatistics Unit Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth","family":"Tan","sequence":"additional","affiliation":[{"name":"Monash Newborn Monash Medical Centre  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Stewart","sequence":"additional","affiliation":[{"name":"Paediatric Infant Perinatal Emergency Retrieval Service Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,8,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2008.150714"},{"key":"e_1_2_8_3_1","unstructured":"NHS National Institute for Health and Clinical Excellence.Recognition and treatment of neonatal jaundice2010[cited 2013 Apr 3]. 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