Are the Indian retinopathy of prematurity criteria appropriate for Indian babies?

Shah, Nikunj J

doi:10.4103/0301-4738.18917

Cited by 2 publications

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“…Gilbert et al [16] suggested that ROP prevails among preterm infants weighing less than 1,000 g at birth in industrialized countries and has emerged as a major cause of childhood blindness in developing countries, such as Brazil, and in several other places in Latin America, Asia, and Eastern Europe due to a sharp increase in the survival of very low birth weight (VLBW) preterm infants [17, 18]. Although these figures vary greatly among countries, survival rates of infants between 27 and 28 weeks’ GA at birth have been reported to reach approximately 90% [19].…”

Section: Discussionmentioning

confidence: 99%

The influence of gestational age on the dynamic behavior of other risk factors associated with retinopathy of prematurity (ROP)

Filho

Eckert

Valiatti

et al. 2009

Graefes Arch Clin Exp Ophthalmol

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BackgroundImproved survival of preterm neonates has increased the incidence of retinopathy of prematurity (ROP) in many middle-income countries.AimThis study aimed to verify the main risk factors for the development of ROP according to different gestational age (GA) groups.MethodsA prospective cohort study including infants weighing ≤1,500 g or GA ≤32 weeks at birth was conducted. The main clinical outcomes were the occurrence of any stage of ROP and severe ROP. The perinatal variables considered for the study were: birth weight; GA; gender; to be small for GA (SGA); weight gain from birth to the sixth week of life; use of oxygen in mechanical ventilation or nasal CPAP; multiple gestations; therapeutic use of surfactant, indomethacin, and erythropoietin; occurrence of sepsis, meningitis, intraventricular hemorrhage, and patent ductus arteriosus; need for and volume of blood transfusion; and 10-min Apgar score. The patients were divided into three groups according to GA: (group 1) infants of GA ≤28 weeks at birth (n = 100); (group 2) infants of GA = 29–31 weeks at birth (n = 215); and (group 3) infants of GA ≥32 weeks at birth (n = 152).ResultsA total of 467 newborn infants were included. Mean BW and GA in the total cohort were 1,216.5 g (±278.3) and 30.3 weeks (±2.2), respectively. Gestational age groups were not matched for BW and SGA. Any stage of ROP occurred in 111 patients (23.8%) and 24 (5.1%) patients developed severe ROP. Only BW and volume of blood transfusion were significant factors for the occurrence of any stage of ROP in all groups. In group 1, GA, the twin situation, and use of erythropoietin were statistically significant factors. In group 2, only GA and need for blood transfusion were significant. In group 3, use of oxygen in mechanical ventilation, sepsis, and need for blood transfusion were significant for ROP onset. The logistic regression determined that patients in groups 2 and 3 were less likely to develop ROP than patients in group 1.ConclusionsPatients in groups 1 and 2 developed ROP due to general immaturity, whereas bigger babies, of GA ≥32 weeks, developed ROP because they were “sicker” babies with more comorbidities.

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Section: Discussionmentioning

confidence: 99%

The influence of gestational age on the dynamic behavior of other risk factors associated with retinopathy of prematurity (ROP)

Filho

Eckert

Valiatti

et al. 2009

Graefes Arch Clin Exp Ophthalmol

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“…to occur in Eastern Europe as well as in some Asian countries (e.g., India) once progress in science and technology has permitted improvement in neonatal care of preterm infants (7,8).…”

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confidence: 99%

Prevalence of retinopathy of prematurity: an institutional cross-sectional study of preterm infants in Brazil

Filho¹,

Eckert²,

Valiatti³

et al. 2009

Rev Panam Salud Publica

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Are the Indian retinopathy of prematurity criteria appropriate for Indian babies?

Cited by 2 publications

References 0 publications

The influence of gestational age on the dynamic behavior of other risk factors associated with retinopathy of prematurity (ROP)

The influence of gestational age on the dynamic behavior of other risk factors associated with retinopathy of prematurity (ROP)

Prevalence of retinopathy of prematurity: an institutional cross-sectional study of preterm infants in Brazil

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