Abstract

To the Editor.— I read with fascination the reports of the 1974-1976 National Institute of Child Health and Human Development Randomized, Controlled Trial of Phototherapy for Neonatal Hyperbilirubinemia.1 The results of this well-designed cooperative study are extremely important for the care of newborn infants. Focusing on the smallest infants reported, we find that the use of prophylactic phototherapy was associated with a significant reduction in the need for exchange transfusion.2 The study group, however, used a liberal set of criteria for exchange transfusion compared to others published recently.3-5

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