A Novel, Low-Cost Method of Enrolling Infants at Risk for Retinopathy of Prematurity in Centers with No Screening Program: The REDROP Study

Vinekar, Anand; Avadhani, Kavitha; Dogra, Mangat R; Sharma, Praveen; Gilbert, Clare; Braganza, Sherine; Shetty, Bhujang

doi:10.3109/09286586.2012.698358

Cited by 24 publications

(25 citation statements)

References 9 publications

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“…Whereas the government centres show a more even gender ratio distribution, private hospitals show a higher proportion of males enrolled (Table 4, P < 0001). We have reported this unfortunate trend from a citybased public hospital, and it is likely that parents would preferentially use financial resources for the treatment of a male child in a private hospital or because practitioners could be more aggressively managing male infants [20]. (6) Our data show that 20% of babies who required treatment would have been missed for screening if the American screening guidelines (1500 g and 30 weeks) [23] had been used.…”

Section: Discussionmentioning

confidence: 84%

“…The KIDROP method of screening has been described before [5,19,20]. Briefly, after initiation in 200 as a stand-alone program by Narayana Nethralaya Postgraduate Institute of Ophthalmology (NNPIO), Bangalore, the program was expanded a publiceprivate partnership under the aegis of the National Rural Health Mission (NRHM), Ministry of Health and Family Welfare, Government of Karnataka in 2009.…”

Section: Kidrop Outreach Teammentioning

confidence: 99%

“…Besides these scheduled centers, other NICUs were visited "on call" or babies were brought into one of the visited centers using the REDROP method [20]. All government district hospitals in each zone were covered.…”

Section: Enrollmentmentioning

confidence: 99%

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Role of tele-medicine in retinopathy of prematurity screening in rural outreach centers in India – a report of 20,214 imaging sessions in the KIDROP program

Vinekar

Jayadev

Mangalesh

et al. 2015

Seminars in Fetal and Neonatal Medicine

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109

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Middle-income countries such as India are suffering from the third epidemic of retinopathy of prematurity (ROP). Improved survival and lower infant mortality rates have resulted in an increased number of preterm survivors in rural areas that unfortunately lack ROP specialists. We report our experience of a public-private partnership in rural India of an ongoing telemedicine program Karnataka Internet Assisted Diagnosis of Retinopathy of Prematurity program KIDROP that provides ROP screening by non-physicians. The analysis of 20,214 imaging sessions of 7106 from 36 rural centers in 77 months of activity are presented. The overall incidence of any stage and treatment requiring ROP was 22.39% and 3.57% respectively. We found a higher incidence of severe ROP in private (7.1%) vs government centers (1.7%). Fifty of the 254 babies (19.69%) who underwent treatment were outside the American screening guidelines cut-off. The report compares other "real-world" tele-ROP programs, summarizes the impact, and provides future strategies for outreach ROP screening in middle-income countries.

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Section: Discussionmentioning

confidence: 84%

Section: Kidrop Outreach Teammentioning

confidence: 99%

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Role of tele-medicine in retinopathy of prematurity screening in rural outreach centers in India – a report of 20,214 imaging sessions in the KIDROP program

Vinekar

Jayadev

Mangalesh

et al. 2015

Seminars in Fetal and Neonatal Medicine

Self Cite

109

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“…Postnatal oxygen administration was recognized as an additional risk factor [12], but the detrimental effects of oxygen administration have been minimized in many clinical settings in the developing world [13]. Postnatal weight gain, in contrast, has only recently received attention among clinicians as a novel method to independently predict which infants are at risk of developing sight-threatening ROP [7,11,14,15,16,17]. …”

Section: Introductionmentioning

confidence: 99%

The Use of the WINROP Screening Algorithm for the Prediction of Retinopathy of Prematurity in a Chinese Population

et al. 2013

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Background: Retinopathy of prematurity (ROP) is a gestational age (GA)-related illness that can lead to blindness in premature infants. Timely screening of premature infants could improve visual prognosis. Objective: To evaluate the WINROP algorithm as a method of predicting severe ROP in a Chinese population. Methods: 590 infants with a GA <32 weeks wereentered into an online surveillance system (www.winrop.com) that included ROP evaluations and weekly weight measurements from birth to a corrected GA of 40 weeks. If the rate of weight gain decreased to a certain degree, the algorithm signaled an alarm that the infant was at risk for developing sight-threatening ROP. Each infant was categorized as having no, mild, or severe ROP. Results: Among the 590 infants with a GA <32 weeks, an alarm was triggered in 85 infants (14.4%), 50 of which developed severe ROP and were identified in this alarm group. Twenty-seven infants triggered the alarm signal in the first week after birth and 7 infants triggered the alarm at birth. Seven of the infants developed proliferative ROP and the median GA at birth for these infants was 31 weeks. Conclusions: The WINROP system had a sensitivity of 87.5% in a Chinese population for the early identification of infants that developed severe ROP. Postnatal weight gain may help predict ROP in lower birth weight infants.

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“…A higher proportion of APROP cases have been reported in Indian studies. 15,18,20,21 The low incidence of severe APROP in this study may be attributed to improved neonatal care, strict surveillance, and regular monitoring of the cases.…”

Section: Resultsmentioning

confidence: 98%

A Cross Sectional and Descriptive Study of the Regional and Population Wise Distribution of Graduate Medical Colleges and Graduate Medical Seats (Mbbs) in India

Hanumantharaya¹,

Puttamaligaiah²,

Bhoompuram³

2013

jemds

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A Novel, Low-Cost Method of Enrolling Infants at Risk for Retinopathy of Prematurity in Centers with No Screening Program: The REDROP Study

Abstract: REDROP demonstrates the feasibility of this low-cost method of enrolling unscreened infants into a ROP program. The cost of enrolling each infant was less than 5 rupees (US$0.10). Suggested strategies to improve use require multi-center validation.

Cited by 24 publications

References 9 publications

Role of tele-medicine in retinopathy of prematurity screening in rural outreach centers in India – a report of 20,214 imaging sessions in the KIDROP program

Role of tele-medicine in retinopathy of prematurity screening in rural outreach centers in India – a report of 20,214 imaging sessions in the KIDROP program

The Use of the WINROP Screening Algorithm for the Prediction of Retinopathy of Prematurity in a Chinese Population

A Cross Sectional and Descriptive Study of the Regional and Population Wise Distribution of Graduate Medical Colleges and Graduate Medical Seats (Mbbs) in India

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