Retinopathy of Prematurity Incidence and Risk Factors in a Tertiary Hospital in Riyadh, Saudi Arabia

Alqahtani, Bader; Alotaibi, Mohammed; Alabdulajabbar, Khaled; Selayem, Nawaf Bin; Alshehri, Waleed; Omair, Aamir; Alsaif, Saif

doi:10.4103/meajo.meajo_131_18

Cited by 26 publications

(22 citation statements)

References 16 publications

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“… 2 In Saudi Arabia, a study in Riyadh found that 38.6% of preterm infants were diagnosed with ROP. 3 A different survey from Jeddah estimated that 33.7% of preterm infants were affected with ROP. 4 A similar percentage of infants diagnosed with ROP (33.3%) was reported in a study from Tabuk.…”

Section: Introductionmentioning

confidence: 99%

Retinopathy of Prematurity as Multidisciplinary Approach, a Pediatricians Standpoint, and Practice

ALBalawi¹,

Hashem²,

Alharbi³

et al. 2022

JMDH

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Purpose This study aims to measure the knowledge levels toward retinopathy of prematurity (ROP) among pediatricians covering neonatal intensive care units (NICUs) in the major hospitals in Tabuk, Saudi Arabia. To our knowledge, this is the first report to assess the awareness level of ROP in the NICU pediatricians in the region. Patients and Methods This is a quantitative, non-experimental, cross-sectional, descriptive study using self-administered electronic questionnaires to assess the knowledge level among NICU pediatricians at the main hospitals of Tabuk city. We used a self-administer online validated knowledge, attitude, and practice (KAP) questionnaire. A scoring system was implemented in the data analysis, depending on the correct chosen answers on the KAP questionnaire, to present the ROP knowledge level in the participants. Results The study included 41 NICU pediatricians. Most of the participants’ age exceeded 40 years (51.2%). The majority were recruited from either King Salman Military hospital (34.1%) or King Khalid hospital (31.7%). The average frequency of preterm infants seen per month exceeded 15 infants among 41.4% of the respondents. Most pediatricians recognized the important treatment modalities available for ROP (92.7%); however, only 24.4% of them could recognize that 32 weeks or less is the gestational age of the screening criteria for ROP. The overall knowledge score ranged between 4 and 10, out of a possible maximum of 12 with a mean ± SD of (6.68±1.47). The majority (75.6%) believe that the ROP treatment can successfully prevent blindness. Conclusion Our study demonstrated that the NICU pediatricians have good knowledge about the treatment modalities of ROP. However, their knowledge about the inclusion criteria of ROP screening was insufficient. Thus, we highlighted the necessity of raising the awareness level and the strict application of the clinical guidelines among NICU pediatricians and healthcare workers involved in managing ROP.

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Section: Introductionmentioning

confidence: 99%

Retinopathy of Prematurity as Multidisciplinary Approach, a Pediatricians Standpoint, and Practice

ALBalawi¹,

Hashem²,

Alharbi³

et al. 2022

JMDH

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“…( 15) Contrary to the findings of this research, two previous studies in Saudi Arabia and Iran reported significant relation between birth weight and ROP (p=0.04, p=0.007). (35,36) Even as much as 11.60 times higher odds (95% CI 1.07-126.02) for the occurrence of ROP among infants weighing < 1500 g at birth in the Saudi Arabian based study. (35) Premature infants are more prone than term infants to hypoxia.…”

Section: Discussionmentioning

confidence: 86%

Risk Factors of Retinopathy of Prematurity in Tertiary Hospital

Raniasari¹,

Prastyani²,

Etika³

et al. 2021

IJRP

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Introduction: Retinopathy of prematurity is a potentially blinding disease of the eye due to abnormal retinal vascularization. Gestational age, preterm birth, oxygen therapy, and RBC transfusion are some of the factors associated with ROP. Purpose: This study aims to determine the relation between gestational age, birth weight, duration of oxygen therapy, and RBC transfusion with ROP. Methods: This research is a case-control study using medical records data from Dr. Soetomo General Hospital in the period of January -June 2019. Data is analyzed using logistic regression analysis in SPSS v. 25. Results: The case group consists of 22 patients with ROP while the control group consists of 66 patients without ROP. Gestational age (p=0.030; OR=3.10, 95% CI 1.113-8.606) and duration of oxygen therapy (p=0.012; OR=3.75, 95% CI 1.342-10.481) shows a statistically significant relation with ROP. There is no relation between birth weight (p=0.098; OR= 2.30, 95% CI 0.857-6.171) and RBC transfusion (p=0.881; OR=1.09; 95% CI 0.343-3.480) with ROP. Conclusions: There is a relation between gestational age and duration of oxygen therapy with ROP. Meanwhile, birth weight and RBC transfusion have no relation with ROP.

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“…It stems from incomplete vascularization of the retina in preterm infants, causing ischemia and consequent abnormal vascularization and fibrosis [ 4 ]. Major risk factors for development of ROP include low birth weight, low gestational age, a history of blood transfusion, sepsis, intraventricular haemorrhage, and necrotizing colitis [ 5 , 6 , 7 , 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Haemoglobin Levels in Early Life among Infants with and without Retinopathy of Prematurity

Pheng

Lim

Tai

et al. 2021

IJERPH

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Retinopathy of prematurity (ROP) is a proliferative retinal vascular disorder attributed to an ischaemic stimulus in preterm infants. Haemoglobin, the main component for oxygen transportation, may be implicated in ROP development. This retrospective study compared the mean weekly haemoglobin levels between infants with and without ROP over the first six weeks of life. Premature infants of less than 32 weeks gestational age and less than 1.5 kg birth weight were grouped into age and birth weight-matched ROP cases and controls. Weekly mean haemoglobin levels were documented. An independent t-test was used to analyze the difference in mean haemoglobin levels between infants with ROP and infants without ROP. Adjustment for confounders was performed using one-way analysis of covariance. There was a statistically significant difference in adjusted mean haemoglobin levels between the ROP and non-ROP group during the first week of life (p = 0.038). No significant intergroup differences were observed at the other weeks. Haemoglobin monitoring during the first week of postnatal life may be useful to guide ROP screening in premature infants.

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Retinopathy of Prematurity Incidence and Risk Factors in a Tertiary Hospital in Riyadh, Saudi Arabia

Cited by 26 publications

References 16 publications

Retinopathy of Prematurity as Multidisciplinary Approach, a Pediatricians Standpoint, and Practice

Retinopathy of Prematurity as Multidisciplinary Approach, a Pediatricians Standpoint, and Practice

Risk Factors of Retinopathy of Prematurity in Tertiary Hospital

Haemoglobin Levels in Early Life among Infants with and without Retinopathy of Prematurity

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