Evidence to modify guidelines for routine retinopathy of prematurity screening to avoid childhood blindness in middle-income countries

Meraz-Gutiérrez, Miroslava; Olguin-Manríquez, Francisco; Arriola-López, Andrea Elizabeth; Berrones-Medina, David; Price, Kenneth W.; Morales-Cantón, Virgilio; Martínez-Castellanos, María Ana

doi:10.1016/j.mexoft.2015.09.005

Cited by 5 publications

(5 citation statements)

References 23 publications

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“…16,17 This variable incidence and severity of retinopathy of prematurity related mainly to difference in gestational age, birth weight and the provided perinatal care. 17,18,19 In this study the incidence of ROP was 33.6% in the screened infants which was comparable to similar studies that were conducted in different countries. Ekinic et al found the incidence of ROP was 32.4% at tertiary center in Turkey.…”

Section: Discussionsupporting

confidence: 88%

Retinopathy of prematurity: prevalence and severity at maternity and children hospital in Najaf province ,Iraq

2023

JPTCP

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Background: preterm infants are vulnerable to retinopathy of prematurity, which consider as a leading cause of blindness in premature neonates. Low birth weight and small gestational age had been identified as significant risk factors for the development and progression for this disease . Aim of the study: To assess the prevalence and severity of retinopathy of prematurity among preterm infants at neonatal intensive care unit in Al zahraa maternity and children teaching hospital at Najaf convince ,Iraq. Patients and methods: This is a prospective study which enrolled 134 preterm infants who had been referred to ROP unit at al zahraa maternity and children teaching hospital in the period from November 2019 till September 2021. Results: In this study 134 preterm neonate were screened ,of them 45(33.6%) having retinopathy of prematurity and 99(66.4%) were not affected. There were 6 (13.3%) cases of ROP at stage 1 ,28 (62.2%) at stage 2 ,8 (17.2%) at stage 3 and 3 (6.7%) at stage 5. Plus disease was detected in 5 (3.7%) of cases.Type 2 ROP were found in two third of ROP cases (66.6 %) and one third of ROP cases were (33.3%) were classified as sever (type 1 ROP or stage 5). The mean birth weight and gestational age of the screened infants were 1532.3+_507.7(500 to 3000)grams, 30.4+_2.5(26 to 42) weeks respectively.67 (56.7%) of the neonate were males and 58 (43.3%) were females. Conclusion: Retinopathy of prematurity is relatively common disorder affecting premature neonate of Najaf province in Iraq. The mean gestational age and birth weight were less in infants who had ROP when compared to those without ROP.

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Section: Discussionsupporting

confidence: 88%

Retinopathy of prematurity: prevalence and severity at maternity and children hospital in Najaf province ,Iraq

2023

JPTCP

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“…As a result of our study, we recommend increasing the screening criteria in Mexico to incorporate newborns with GA of ≤34 weeks or BW of ≤1750 g regardless of any other diagnosis. 33,34…”

Section: Rop In Mexicomentioning

confidence: 99%

“…Queen Sirikit National Institute of Child Health (QSNICH), a large tertiary referral hospital in Bangkok, reported that from 2006 to 2009, 40.7% (655/1609) of preterm infants born there had any stage of ROP. The mean GA of preterm infants with ROP was 29.1 weeks (range, [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39], and the mean BW was 1254.6 g (range, 545-2670 g). Prethreshold and threshold disease was found in 59% (n = 387), stage 4 and 5 ROP were found in 6% (n = 37), and aggressive posterior ROP (APROP) was found in 7% (n = 47).…”

Section: Rop In Thailandmentioning

confidence: 99%

The current state of retinopathy of prematurity in India, Kenya, Mexico, Nigeria, Philippines, Romania, Thailand, and Venezuela

et al. 2019

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Retinopathy of prematurity (ROP) is one of the leading causes of preventable blindness in children worldwide. Middle-income nations are currently experiencing epidemic levels of ROP, because greater access to neonatal intensive care units has improved survival rates of premature infants, but without sophisticated oxygen regulation. The epidemiology, screening infrastructure, treatment options, and challenges that these countries face are often tied to unique local socioeconomic, cultural, geopolitical, and medical factors. We present an overview and narratives of the current state of ROP in eight countries that are or soon will be experiencing ROP epidemics

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“…The reported rate of ROP in the cohort of 261 patients was 82.76%. Severe ROP with a need for treatment was found in 32.87% of the patients (14).…”

Section: Discussionmentioning

confidence: 98%

Incidence of retinopathy of prematurity in Varna region, Bulgaria, and evaluation of perinatal risk factors

Ilieva,

Manolova

2022

SSM

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INTRODUCTION: Retinopathy of prematurity (ROP) is a vasoproliferative disorder that is still a leading cause of preventable childhood blindness around the world. AIM: The aim of this article is to determine the incidence and evaluate the perinatal risk factors associated with the development of retinopathy of prematurity and its progression. MATERIALS AND METHODS: Eighty-five children, in the period June 2019-January 2021, were prospectively analyzed. All children have fulfilled the screening ROP criteria in the Republic of Bulgaria: gestational age (GA) ≤32 gestational weeks (g.w.) and birth weight (BW) ≤1501 g. Children with higher GA and/ or higher BW were included if additional risk factors were detected, or based on the neonatologist's assessment. RESULTS AND DISCUSSION: Of the screened children, 21 (24.7%) showed no signs of ROP, and 64 (75.3%) developed any stage of ROP. The mean BW for the cohort was 1064.8 g (±227.2), and the mean GA was 28.1±2.2 g.w. After univariate analysis, the following risk factors were found to be significant for ROP development: low birth weight, invasive mechanical ventilation, anemia of prematurity, ≥2 hemotransfusions, and hyaline membrane disease. The above-mentioned factors were also found to be statistically significant for ROP progression, including GA. After multivariate logistic regression analysis, BW was the only independent risk factor both for ROP development and progression (OR: 3.352 (95% CI 2.803-3.902), p<0.001). CONCLUSION: Тhe incidence of ROP in the Varna region of Bulgaria is relatively high. Low BW, anemia of prematurity, and invasive mechanical ventilation are significant and independent risk factors for ROP development.

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Evidence to modify guidelines for routine retinopathy of prematurity screening to avoid childhood blindness in middle-income countries

Cited by 5 publications

References 23 publications

Retinopathy of prematurity: prevalence and severity at maternity and children hospital in Najaf province ,Iraq

Retinopathy of prematurity: prevalence and severity at maternity and children hospital in Najaf province ,Iraq

The current state of retinopathy of prematurity in India, Kenya, Mexico, Nigeria, Philippines, Romania, Thailand, and Venezuela

Incidence of retinopathy of prematurity in Varna region, Bulgaria, and evaluation of perinatal risk factors

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