¿Es la persistencia de ductus arterioso un factor de riesgo para la retinopatía del prematuro?

Viejo, I. González; Novella, C. Ferrer; Pueyo, Victoria; Martín, Elena García; Gracia, Segundo Rite; Pérez, Victoria Caballero; Bárbara, B. Romera Santa; Pérez, D. Royo

doi:10.1016/j.anpedi.2010.08.003

Cited by 7 publications

(1 citation statement)

References 16 publications

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“…sepsis, intraventricular hemorrhage, patent ductus arteriosus and hydrocephalus, respiratory distress syndrome, hyperbilirubinemia, use of surfactant). Many studies have suggested their association with ROP development [19, 32], while others did not [33, 34]. Among them, respiratory distress syndrome was the only variable that showed statistically significant association with the development of ROP but only in univariate analysis.…”

Section: Discussionmentioning

confidence: 99%

Incidence and risk factors of retinopathy of prematurity in three neonatal intensive care units in Palestine

et al. 2019

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Background Severe Retinopathy of Prematurity (ROP) is a serious vasoproliferative disorder that can affect extremely premature infants. It continues to be one of the most important preventable causes of blindness in children. Our study is aimed at finding the incidence of ROP and its association with some risk factors in Palestine. Methods From the 1st of January 2016 to 31st December 2016, a total number of 115 infants who met the criteria for ROP screening in three neonatal intensive care units were included in the study. The medical records of infants were reviewed retrospectively and multiple factors that may be associated with the development of ROP were collected manually. Results The incidence of ROP and severe type 1 ROP that require treatment was 23.5 and 11.3% respectively. After conducting univariate analysis of risk factors, statistically significant risk factors affecting the development of ROP in our study were: low gestational age, low birth weight, type of multiple gestation, the presence of affected sibling, low level of Hemoglobin at birth, respiratory distress syndrome, low Hemoglobin level, blood transfusion and days on oxygen supplements with either mechanical, non-mechanical methods or both combined. High bilirubin levels were found as a protective factor against the development of ROP. However, when a multivariate analysis was performed, only low gestational age, total days on oxygen supplement and high bilirubin levels were significant regarding the development of ROP. Conclusion The incidence of ROP is considered a relatively low percentage compared to neighboring countries that have higher levels of human development index. Statistically significant risk factors need to be considered when clinicians deal with premature infants.

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Section: Discussionmentioning

confidence: 99%

Incidence and risk factors of retinopathy of prematurity in three neonatal intensive care units in Palestine

et al. 2019

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Early echocardiographic prediction of ductal closure in neonates ⩽30 weeks gestation

et al. 2012

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Refining evidence-based retinopathy of prematurity screening guidelines: The SCREENROP study

Sabri

Shivananda

Farrokhyar

et al. 2019

Paediatrics &Amp; Child Health

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Purpose Retinopathy of prematurity (ROP) is a potentially blinding condition affecting premature infants for which less than 10% of babies undergoing screening require treatment. This study assessed and validated predictors of developing clinically significant ROP (type 2 or worse) and ROP requiring treatment. Design Nationwide retrospective cohort study. Methods This study included infants born between January 2014 and June 2016, admitted to level 3 neonatal intensive care units across Canada who underwent ROP screening. Data were derived from the Canadian Neonatal Network database. Predefined ≥ 1% risk for clinically significant retinopathy or prematurity and ROP requiring treatment was set as threshold for screening. Thirty-two potential predictors were analyzed, to identify and validate the most important ones for predicting clinically significant ROP. The predictors were determined on a derivation cohort and tested on a validation cohort. Multivariable logistic regression modeling was used for analysis. Results Using a sample of 4,888 babies and analyzing 32 potential predictors, capturing babies with ≥1% risk of developing clinically significant ROP equated to screening babies with birth weight (BW) <1,300 g or gestational age (GA) <30 weeks while capturing babies with ≥1% risk of requiring ROP treatment equated to screening babies with BW <1,200 g or GA <29 weeks. Conclusions The Canadian ROP screening criteria can be modified to screen babies with BW <1,200 g or GA <30 weeks. Using these criteria, babies requiring treatment would be identified while reducing the number of babies screened unnecessarily.

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¿Es la persistencia de ductus arterioso un factor de riesgo para la retinopatía del prematuro?

Abstract: The presence of PDA does not increase the risk of developing ROP or its severity, once considered the effect of gestational age in PDA.

Cited by 7 publications

References 16 publications

Incidence and risk factors of retinopathy of prematurity in three neonatal intensive care units in Palestine

Incidence and risk factors of retinopathy of prematurity in three neonatal intensive care units in Palestine

Early echocardiographic prediction of ductal closure in neonates ⩽30 weeks gestation

Refining evidence-based retinopathy of prematurity screening guidelines: The SCREENROP study

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