Incidência e gravidade da retinopatia da prematuridade e sua associação com morbidade e tratamentos instituídos no Hospital Universitário Antonio Pedro, entre 2003 a 2005

Schumann, Raphael de Faria; Barbosa, António; Valete, Cristina Ortiz Sobrinho

doi:10.1590/s0004-27492010000100008

Cited by 10 publications

(21 citation statements)

References 11 publications

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“…All were exclusively stay-at-home mothers; in terms of educational level, two had incomplete higher education, three had completed high school (secondary) education and one had incomplete high school education. Regarding the type of delivery, all were submitted to cesarean sections as justified by: preterm labor with a child in the seated position (2), placenta detachment (2), cervical incompetence (1), specific gestational hypertensive disease and gestational diabetes mellitus (1). Regarding the number of children, one was primiparous, four were multiparous with 2 pregnancies, and one was multiparous with 4 pregnancies.…”

Section: Resultsmentioning

confidence: 99%

“…Retinopathy of prematurity (ROP), a complication associated with the premature birth of children, is characterized as abnormal retinal vascularization disorder (1) , and blindness stands out among its possible consequences. Its incidence in newborns (NB) with birth weight lower than 1000g is around 82.0%, of which 9.3% evolve into sequelae which threaten vision (2) .…”

Section: Introductionmentioning

confidence: 99%

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(Un)receptiveness in interactions with professionals: experiences of parents of children with retinopathy of prematurity

Facio

Marski

Higarashi

et al. 2016

Rev. esc. enferm. USP

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Objective:To analyze the influence of health professionals' receptiveness on parental care of children with retinopathy of prematurity (ROP). Method: A qualitative study developed under the theoretical framework of Symbolic Interactionism and using a narrative research methodology. Six women and three men, being parents of children with retinopathy of prematurity were individually interviewed in depth. Results: From the scope of information, emotions and their rights, the parents experienced receptiveness from some professionals and unreceptiveness from others. The predominance of unreceptive attitudes in the parental narratives originated the following analysis themes: Informational (un)receptiveness, Emotional (un)receptiveness, and (Un)receptiveness of rights. Conclusion: The study supports human and comprehensive healthcare in the context of retinopathy of prematurity by pointing out the interactive process with health professionals as a potential stressor of parental care. The results signal a nuclear of attitudinal changes and reinforce challenges to the child and family-centered approach. DESCRIPTORSRetinopathy of Prematurity; Parents; Professional-Family Relations; Neonatal Nursing; User Embracement.(Un)receptiveness in interactions with professionals: experiences of parents of children with retinopathy of prematurity* (Des)acolhimento nas interações com os profissionais: experiências de pais de crianças com retinopatia da prematuridade (Des)acogida en las interacciones con los profesionales: experiencias de padres de niños con retinopatía de la prematuridad

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

(Un)receptiveness in interactions with professionals: experiences of parents of children with retinopathy of prematurity

Facio

Marski

Higarashi

et al. 2016

Rev. esc. enferm. USP

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“…Papers with screening inclusion criteria for patients that mentioned birth weight ≤1500 g and/or gestational age ≤32 weeks originated from Argentina,8 Brazil,4,15–20 Chile,9,21 and Colombia 11,22. In this group of papers, the prevalence of any stage ROP ranged from 24.2% in Brazil18 to 62% in Colombia 22.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of retinopathy of prematurity in Latin America

Carrion

Filho²,

Tartarella³

et al. 2011

OPTH

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The purpose of this work was to review the studies published over the last 10 years concerning the prevalence of retinopathy of prematurity (ROP) in Latin American countries, to determine if there was an improvement in ROP prevalence rates in that period, and to identify the inclusion criteria for patients at risk of developing ROP in the screening programs. A total of 33 studies from ten countries published between 2000 and 2010 were reviewed. Prevalence of any ROP stage in the regions considered ranged from 6.6% to 82%; ROP severe enough to require treatment ranged from 1.2% to 23.8%. There was no routine screening for ROP, and there was a lack of services for treatment of the disease in many countries. Inclusion criteria for patients in the studies ranged between birth weight ≤1500 g and ≤2000 g and gestational age ≤32 and <37 weeks. Use of different inclusion criteria regarding birth weight and gestational age in several Latin American studies hindered comparative analysis of the published data. Highly restrictive selection criteria for ROP screening in relation to birth weight and gestational age should not be used throughout most Latin American countries because of their different social characteristics and variable neonatal care procedures. The studies included in this review failed to provide adequate information to determine if the prevalence of ROP has decreased in Latin America.

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“…Neste estudo, a prevalência da ROP foi de 10,81%, percentual abaixo do esperado, se comparado a outros estudos brasileiros, como o de Graziano et al 13 , com 29,9%, Bonotto et al 14 , com 20%, de Tomé et al 1 , que foi de 44,6%, de Shinsato et al 15 , com 35,71% e o estudo de Schumann et al 16 , em que a ROP chegou a atingir mais da metade da população, com prevalência de 53,14%. Dentre os estudos citados, a grande maioria avalia, para o estudo da ROP, os recém-nascidos com peso menor ou igual a 1.500 gramas e/ou idade gestacional menor ou igual que 32 semanas.…”

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Fatores associados e predição da retinopatia da prematuridade

et al. 2018

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Cad. Saúde Colet., 2018, Rio de Janeiro, 26 (1) ResumoIntrodução: A retinopatia da prematuridade (ROP) é uma doença vasoproliferativa, que afeta a retina das crianças que nascem prematuramente; assim, este estudo propôs identificar fatores associados e predizer a retinopatia na prematuridade. Método: Realizou-se um estudo transversal, com recém-nascidos prematuros, dividindo-os em dois grupos: com e sem retinopatia. As variáveis foram categorizadas por meio do teste da razão de verossimilhança e as variáveis que obtiveram p-valores menores que 0,2 foram analisadas por um modelo logístico múltiplo. A capacidade de predição do modelo foi realizada por meio da construção da curva ROC. Resultados: Dos 296 recém-nascidos, 32 (10,81%) apresentaram retinopatia. No modelo logístico, as variáveis que apresentaram fator de risco foram idade gestacional ≤ 30 semanas (p-valor=0,0214), peso ao nascer ≤ 1.250 gramas (p-valor=0,0013) e escore Apgar no primeiro minuto < 7 (p-valor=0,0352). A curva ROC com sensibilidade 0,771 e especificidade 0,774 evidenciou o modelo com precisão de 0,8448 e ponto de probabilidade de 0,79. Conclusões: Este modelo pode ser usado para predição de retinopatia em recém-nascidos prematuros com um fator de risco de 0,79, destacando que estes necessitam de maior atenção. Palavras-chave: retinopatia da prematuridade; fatores de risco; modelos logísticos. Abstract Introduction: Retinopathy of prematurity (ROP) is a vasoproliferative disease that affects the retina of prematurely born children. Therefore, this study proposed to identify associated factors and to predict retinopathy in prematurity. Method: A cross-sectional study including preterm newborns divided into two groups: with and without retinopathy. The variables were categorized using the likelihood ratio test, and the variables with p-values less than 0.2 were analyzed by a multiple logistic model. The model used the construction of a Receiver Operating Characteristic (ROC) curve as predicting tool. Results: Of the 296 newborns, 32 (10.81%) had retinopathy. The following variables represented a risk factor according to the logistic model: gestational age ≤ 30 weeks (p-value = 0.0214), birth weight ≤ 1250 grams (p-value = 0.0013) and Apgar score at 1 minute <7 (p-value = 0.0352). The ROC curve with sensitivity of 0.771 and specificity of 0.774 was a precise model, showing accuracy of 0.8448 and a probability point of 0.79. Conclusions: This model can be used to predict retinopathy in premature newborns with a risk factor of 0.79, emphasizing that the need for additional attention.

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Incidência e gravidade da retinopatia da prematuridade e sua associação com morbidade e tratamentos instituídos no Hospital Universitário Antonio Pedro, entre 2003 a 2005

Cited by 10 publications

References 11 publications

(Un)receptiveness in interactions with professionals: experiences of parents of children with retinopathy of prematurity

(Un)receptiveness in interactions with professionals: experiences of parents of children with retinopathy of prematurity

Prevalence of retinopathy of prematurity in Latin America

Fatores associados e predição da retinopatia da prematuridade

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