Effectiveness of LED phototherapy to reduce neonatal hyperbillirubin in critical patients

Abstract

Objective. To demonstrate the effectiveness of phototherapy LED light (Light Emitting Diode) in critically ill newborns to reduce bilirubin. Methodology. research with an integrative review approach from the formulation of a structured question, the terms were translated into documentary language through DeCS and MeSH, the bases consulted were PubMed, Cochrane and Redalyc, As a search strategy, the Boolean AND operator was used, the critical reading was through the critical reading cards FLC 3.0 the OXFORD scale was used for grading the evidence. Result. 29 articles were found, of which 15 were eliminated for being older than 10 years old and 5 for having a descriptive design. Finally, 9 were eligible for evaluation, resulting in 7 eligible articles whose designs are: 4 with clinical trial design and 3 systematic reviews, and 2 were eliminated for presenting biases. Conclusions. It is concluded that phototherapy with LED light of 40uW / cm2 / nm is more effective at 30uW / cm2 / nm in a time of 12 hours of treatment than conventional light, reducing serum bilirubin levels, decreasing the days of treatment and the use of white sheets increase the effectiveness of phototherapy with LED.