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- W4323063945 abstract "Kernicterus and severe jaundice are major contributors to neonatal morbidity in Nigeria, and they are commonly treated using invasive exchange blood transfusion (EBT) techniques. Total body phototherapy exposure (TBPE) is a new technique that avoids the risks of EBT and has been shown to be effective. The aim of this study was to evaluate the typical economic savings that result from the clinical success of the TBPE as provided by the Firefly® system in a Nigerian new-born centre. Severely jaundiced neonates who were treated using EBT between January 2017 and December 2017 were assessed as control cases. These neonates were compared to neonates who received TBPE using the Firefly® system (MTTS Asia, Hanoi Vietnam) as a first course intervention (test cases) after February 2018 onward. A total of 82 severely jaundiced new-borns qualified for inclusion, including 19 control cases and 63 test cases. All TBPE cases were successfully discharged, but two mortalities relating to EBT complications were recorded. The mean direct cost of treatment per patient was ₦94,553 (US$262) in the control group and ₦18,897 (US$52) in the test group. The mean patient burdens for other parameters (control: test) were bacterial infection burden (100% : 11%), human labour man-hours (9.8 : 1.2), and blood contamination burden (25% : 3%). The huge relative amount of savings recorded in this study has clearly demonstrated that Firefly® TBPE is an application that is both affordable and effective in a resource-constrained setting. Hence, we recommend its use in low- and middle-income countries." @default.
- W4323063945 created "2023-03-05" @default.
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- W4323063945 date "2019-12-16" @default.
- W4323063945 modified "2023-09-28" @default.
- W4323063945 title "Economic cost savings with the use of total body phototherapy for the treatment of severe neonatal jaundice in Nigeria" @default.
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- W4323063945 doi "https://doi.org/10.15406/jpnc.2019.09.00401" @default.
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