Screening premature infants for retinopathy of prematurity in a tertiary hospital in Saudi Arabia

Mgharbil, Enas; Raffa, Lina; Alessa, Sara; Alamri, Aliaa

doi:10.5144/0256-4947.2020.87

Cited by 12 publications

(12 citation statements)

References 28 publications

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“…Premature infants often require lengthy hospital stays in NICU due to immature organ functioning that require them to establish respiratory stability and learn how to eat by mouth. During hospitalization they can also experience complications such as sepsis due to impaired immunological functioning [ 12 , 13 ].The closed NICU can cause separation of mother and infant, resulting in difficulties for mothers to adapt to their new role, and even though nursing staff provides adequate health promotion education to parents, parents still lack the ability to care for their preterm infants, often leading to readmission of preterm infants due to inadequate care [ 14 ]. In many countries, parents of preterm infants are allowed to enter the NICU, kangaroo cuddling and family-centered care (FCC), all of which can improve the prognosis of patients and promote the development of family bonding, enabling parents to establish their parental role early and acquire knowledge and skills in neonatal care [ 15 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

The effect of family integrated care on the prognosis of premature infants

Chen

Liu

2022

BMC Pediatr

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Background The purpose of this study was to investigate the effect of family integrated care (FICare) on the prognosis of children hospitalized with preterm infants. Methods Two hundred thirty preterm infants admitted to our hospital from January 2019 to April 2021 were enrolled in a prospective randomized study and divided into 115 cases in the intervention group and 115 cases in the control group according to the random number table method, and given the FICare and the conventional care, respectively. The duration of nasogastric tube retention, time to achieve total enteral nutrition, rate of weight gain, exclusive breastfeeding rate, length of hospital stay, growth and development, readmission rate, parental self-efficacy, family functioning and complications related to prematurity were compared between the two groups. Results Compared with the control group, the intervention group had shorter nasogastric tube retention time, shorter time to achieve total enteral nutrition, higher exclusive breastfeeding rate, shorter time of hospital stay and better growth rate. Before the intervention, there was no difference in parental self-efficacy and family functioning between the two groups; after the intervention, the intervention group had higher parental self-efficacy and higher ratings of family functioning, and the difference was statistically significant. Compared with the control group, the intervention group had a lower readmission rate and significantly lower incidence of infection and choking. Conclusion The FICare can shorten the time of nasogastric tube retention, shorten time to achieve total enteral nutrition and hospital stay, increase the rate of exclusive breastfeeding and the rate of weight gain, finally improve the prognosis of preterm infants and have a positive effect on parents.

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Section: Discussionmentioning

confidence: 99%

The effect of family integrated care on the prognosis of premature infants

Chen

Liu

2022

BMC Pediatr

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“…In Saudi Arabia, ROP incidence ranges from 23% to 56%. 3 - 7 Preterm infants that are primarily at highest risk for ROP are those with very low birth weight (BW, approximately ≤1500 g) or gestational age (GA, those born at or before 30 weeks). 8 Accordingly, an infant who is smaller or younger at birth is expected to have a greater likelihood of developing ROP.…”

Section: Introductionmentioning

confidence: 99%

Jeddah Retinopathy of Prematurity (JED-ROP) Screening Algorithm

Raffa,

Alamri,

Alosaimi

et al. 2023

Global Pediatric Health

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Background. The Jeddah retinopathy of prematurity (JED-ROP) algorithm, which is more specific to the population in Saudi Arabia, was established to decrease the number of infants screened without missing type 1 ROP cases. Methods. The data reviewed were birth weight (BW), gestational age (GA), weekly postnatal weight gain (PWG), and relevant perinatal risk factors. The sensitivities and specificities for detecting type 1 ROP were calculated. Results. Of the 502 infants included in the study, 148 developed ROP. The JED-ROP algorithm demonstrated 100% sensitivity and 38.9% specificity for recommending the screening of infants with GA ≤30 weeks and BW <1501 g and blood transfused <6 weeks and/or 3-week PWG <100 g in the type 1 ROP group. Conclusion. The JED-ROP algorithm can reduce the number of infants requiring ROP screening by 35.7% without missing type 1 ROP. The algorithm can be an adjunct to current national screening guidelines.

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“…Furthermore, the molecular diagnostic methods and diagnostic criteria of ROP have not yet been clarified. A balance between the accurate identification of newborns with ROP that need therapy and a reduction in workload is required to save resources and avoid the unnecessary inspection of prematurity ( 22 ).…”

Section: Introductionmentioning

confidence: 99%

Novel Potential Biomarkers for Retinopathy of Prematurity

Tan

Wang

et al. 2022

Front. Med.

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Retinopathy of prematurity (ROP) is the main risk factor for vision-threatening disease in premature infants with low birth weight. An accumulating number of independent studies have focused on ROP pathogenesis and have demonstrated that laser photocoagulation therapy and/or anti-VEGF treatment are effective. However, early diagnosis of ROP is still critical. At present, the main method of ROP screening is based on binocular indirect ophthalmoscopy. However, the judgment of whether ROP occurs and whether treatment is necessary depends largely on ophthalmologists with a great deal of experience. Therefore, it is essential to develop a simple, accurate and effective diagnostic method. This review describes recent findings on novel biomarkers for the prediction, diagnosis and prognosis of ROP patients. The novel biomarkers were separated into the following categories: metabolites, cytokines and growth factors, non-coding RNAs, iconography, gut microbiota, oxidative stress biomarkers, and others. Biomarkers with high sensitivity and specificity are urgently needed for the clinical applications of ROP. In addition, using non-invasive or minimally invasive methods to obtain samples is also important. Our review provides an overview of potential biomarkers of ROP.

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Screening premature infants for retinopathy of prematurity in a tertiary hospital in Saudi Arabia

Cited by 12 publications

References 28 publications

The effect of family integrated care on the prognosis of premature infants

The effect of family integrated care on the prognosis of premature infants

Jeddah Retinopathy of Prematurity (JED-ROP) Screening Algorithm

Novel Potential Biomarkers for Retinopathy of Prematurity

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