Comparison of UK and US screening criteria for detection of retinopathy of prematurity in a developing nation

Uğurbaş, Sılay Cantürk; Gülcan, Hande; Canan, Handan; Ankaralı, Handan; Törer, Birgin; Akova, Yonca A.

doi:10.1016/j.jaapos.2010.07.012

Cited by 20 publications

(17 citation statements)

References 22 publications

(12 reference statements)

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“…Although four (2.6%) infants with GA > 30 weeks had Stage 3 ROP, none met the criteria for laser treatment. The incidence of ROP in this institute was comparable to that in Saudi Arabia (61.4% for GA 29e32 weeks) and in Turkey (49.4% for BW < 1250 g) [10,11] but was higher than that in Sweden (55.6% for GA Z 26 weeks) and in USA (7.75% for GA 29e30 weeks) [12,13]. Further study of ROP morbidity in the 49 infants with GA 28 weeks showed that 41 (83.7%) had ROP.…”

Section: Logistic Analysissupporting

confidence: 67%

Neonatal intensive care unit‐specific screening criteria for retinopathy of prematurity

Lai

Tseng

Yang

et al. 2012

The Kaohsiung J of Med Scie

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This study investigated the incidence of retinopathy of prematurity (ROP) and its risk factors in a tertiary referral hospital in Taiwan to evaluate the applicability of the ROP screening guidelines published by the American Academy of Pediatrics, American Academy of Ophthalmology, and American Association for Pediatric Ophthalmology and Strabismus in 2006 (2006 guidelines). A pediatric ophthalmologist applied the 2006 guidelines to screen for ROP and to treat with laser photocoagulation in each case. We retrieved all records of premature infants referred for ROP screening at the hospital during 2004 to 2008. Univariate logistic regression analysis was applied firstly to identify factors correlating with stage 3 ROP or with laser treatment, and then those significant (p < 0.05) risk factors were analyzed by multivariate logistic regression. In the 138 male and 118 female premature infants in this study, mean gestation age was 30.8 ± 2.8 weeks, and mean birth weight was 1464.7 ± 434.2 g. The percentage of infants with ROP in at least one eye was 38.7%. Thirty two (12.5%) had ROP stage 3 or higher in at least one eye. Multivariate logistic regression analysis showed that the best predictors of type 1 pre-threshold ROP (requiring laser treatment) were young gestational age, low birth weight and male gender. As medical care of extremely premature infants improves, timely identification and treatment of conditions such as ROP are essential. Although the incidence of ROP in this institute was comparable to that in developing countries and higher than that in developed countries, the 2006 guidelines originally developed for a United States population were still applicable. However, the 2006 guidelines should be modified for a Taiwan population by considering gender.

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Section: Logistic Analysissupporting

confidence: 67%

Neonatal intensive care unit‐specific screening criteria for retinopathy of prematurity

Lai

Tseng

Yang

et al. 2012

The Kaohsiung J of Med Scie

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“…5 For this reason, international screening guidelines generally recommend screening neonates born at a gestational age less than 32 weeks or birth weight under 1,500 g. 13 However, particularly in developing nations, older neonates have also been reported to develop ROP which may require treatment due to less than ideal neonatal intensive care conditions. 14,15,16,17 In our study, 5 neonates (3.9%) with gestational ages over 32 weeks required laser treatment, and 1 neonate born at 33 weeks developed retinal detachment despite laser treatment. Therefore, it is important that screening programs be designed according to local conditions and that screening also include neonates at gestational ages over 32 weeks who have additional risk factors or are indicated for screening by a neonatal specialist.…”

Section: Discussionmentioning

confidence: 56%

Bedside Diode Laser Photocoagulation Under Remifentanil Analgesia for Retinopathy of Prematurity: Early Structural Outcomes

Şekeroğlu¹,

Hekimoğlu²,

Özcan³

et al. 2016

tjo

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Objectives:To evaluate one-year structural outcomes of bedside diode laser photocoagulation with remifentanil analgesia for retinopathy of prematurity (ROP) and discuss clinical and demographic characteristics of infants and other possible risk factors that may affect the outcome.Materials and Methods:The medical records of premature infants who were treated with bedside transpupillary diode laser photocoagulation under remifentanil analgesia for ROP were evaluated for clinical and demographic characteristics, accompanying systemic risk factors, laser parameters, complications of treatment, retreatment rate and one-year structural outcomes.Results:One-hundred and ninety-five eyes of 99 infants (59 males, 40 females) were recruited for the study. The mean gestational age and birth weight were 27.4±2.3 weeks (23-34) and 1003.3±297.8 g (570-2250), respectively. Laser therapy was performed for high-risk prethreshold ROP in 66.2% of eyes, aggressive posterior ROP (APROP) in 15.4% and threshold ROP in 18.4%. The mean number of laser spots was 1510.4±842.1 per laser session. No adverse effects of laser photocoagulation were observed except small lens opacities in two eyes and corneal opacity in one eye. Retreatment was needed in only three eyes, and vitreoretinal surgery was needed in six eyes of six patients despite laser treatment. Anatomic outcome was favorable in 189 eyes (96.9%) at the end of a 1-year follow-up. Presence of dilated and tortuous iris vessels (p=0.002) and tunica vasculosa lentis (p=0.009) along with type of ROP (APROP and stage 4a ROP at initial presentation) (p=0.001) were associated with poor anatomical outcome.Conclusion:Accurate and timely bedside transpupillary diode-laser photocoagulation under remifentanil analgesia is an effective and safe treatment modality for ROP, and may prevent vision-threatening retinal detachment and reduce the need for vitreoretinal surgery.

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“…Most of these patients (69.6%) have birth weights of 1000 g or less. ROP rates in infants with birth weights of 1000 g or more are generally higher in developing countries [28][29][30]. NEC is another crucial disease observed in infants with low birth weights, and its occurrence rate has been reported to be 6%-28% [31].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of very low birth weight infants in the neonatal intensive care unit of a university hospital

Gebeşçe¹,

Uslu²,

Keleş³

et al. 2015

Dicle Med J

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Şubat 2007 ile Şubat 2013 tarihleri arasında Fatih Üniversitesi Hastanesi yenidoğan yoğun bakım ünitesinde takip edilen doğum ağırlıkları 1500gr ve altı bebeklerin hastalık ve ölüm oranlarını belirlemek amacıyla hastalar retrospektif olarak incelendi. Yöntemler: Çalışma doğum kilosu 1000 gram ve daha az (31 bebek), 1001-1500 gram arası (41 bebek) olarak ikiye bölünen 72 prematüre bebek ile yapılmıştır. Bu bebeklerin verileri dosyalardan kaydedilip, istatiksel olarak değerlendirildi. Bebeklerin doğum ağırlıkları 670 ile 1500 gram arasında, doğum haftaları 25 ile 35 hafta arasında değişmekteydi. Bulgular: Çalışmamızda çok düşük doğum ağırlıklı bebeklerin ölüm oranı %7,6 idi. 1000gr ve altı bebeklerde oksijen ve antibiyotik tedavi süreleri anlamlı olarak uzun bulundu(p<0,01). Bütün çalışma grubunda en sık görülen hastalıklar %54,2 (39) prematüre retinopatisi (ROP), %51,4 (n=37) bronkopulmoner displazi (BPD), %34,5 (n=20) intraventriküler hemoraji (İVH) idi. 1000 gr altı bebeklerde kronik akciğer hastalığı ve prematüre retinopatisi (ROP) görülme oranları istatiksel olarak anlamlı bulundu (p<0,01). Sonuç: Ünitemizde mortalite oranımız düşük, ancak ROP, İVH, BPD oranlarımızın yüksek olması nedeniyle bu hastalıkların risk faktörlerinin iyi değerlendirilerek önlemlerin alınması ve böylece çok düşük ağırlıklı prematüre bebeklerimizin uzun dönemde yaşam kalitelerinin arttırılması gerektiğini düşünmekteyiz.

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Comparison of UK and US screening criteria for detection of retinopathy of prematurity in a developing nation

Cited by 20 publications

References 22 publications

Neonatal intensive care unit‐specific screening criteria for retinopathy of prematurity

Neonatal intensive care unit‐specific screening criteria for retinopathy of prematurity

Bedside Diode Laser Photocoagulation Under Remifentanil Analgesia for Retinopathy of Prematurity: Early Structural Outcomes

Evaluation of very low birth weight infants in the neonatal intensive care unit of a university hospital

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