Survival and Short Term Outcomes of Very Preterm Infants

Kumar, R. Kishore; Natarajan, Chandra Kumar; Girish, Sunitha; Nagar, Nandini; Suma, A R

doi:10.1007/s12098-016-2258-0

“…Retinopathy of prematurity (ROP) is a retinal vascular condition, commonly seen in preterm, low birthweight babies. With the improvement in health care facilities, the number of preterm infants who survive annually is on the rise; thus, making ROP a leading public health problem globally and in India (Varughese et al, 2001;Blencowe et al , 2016;Dogra et al, 2017;Kumar et al, 2017). The prevalence of ROP in India is reported at 38-47% (Charan et al, 1995;Gopal et al, 1995;Rekha et al, 1996;Varughese et al, 2001;Chattopadhyay et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

ROP examination of premature babies at an eye hospital referred from urban and semi-urban NICUs

Venkatesh

¹

,

Dave²,

Gurav³

et al. 2020

Nep J Oph

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Introduction: Retinopathy of prematurity (ROP) is seen in low gestational age (GA) and birth weight (BW) babies leading to retinal vascular damage. Screening of preterm would help in early identification of this, sight-threatening disease. Multiple factors play an important role in planning screening strategies for these preterm. The objective of this study was done to find the differences and the reasons affecting the proportion of ROP distribution between urban and semi-urban regions in North India. Materials and methods: In this retrospective, comparative study, all babies referred for ROP examination by paediatricians or other general ophthalmologists between 2013 to 2016 were included in the study. Demographic, clinical and treatment related findings were recorded. Results: Five hundred and fifty eight babies (467: urban and 91: semi urban) were examined for ROP. The mean BW in urban and semi-urban settings was 1348.6 ± 395.21 gm and 1703.77 ± 401.76 gm respectively. The mean GA was 30.99 ± 2.93 weeks and 30.73 ± 2.08 weeks in the urban and semi-urban cohorts respectively. The average time for first ophthalmic examination following birth was 23.82 ± 13.69 (range: 3-77) days in urban and 101.16 ± 238.26 (range: 13- 330) days in semi-urban settings. 94% of the babies completed all screening examination visits. Any ROP was identified in 12% and 33.0% of urban and semi-urban cohorts respectively; Type 1 was detected in 7.5% of urban babies and 24% of semi-urban babies. Conclusion: Proportion of ROP in the urban region was 3 times lesser than the semiurban region. Differences in proportion of babies developing any ROP and Type 1 ROP between semi-urban and urban groups is likely due to selection bias, as a high proportion of semi-urban babies did not attend for examination or failed to complete all the examinations necessary. This was particularly true for females. More needs to be done to increase access to regular, systematic screening of preterm babies within neonatal units.

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“…With the improvement in health care facilities, the number of preterm infants who survive annually is on the rise; thus, making ROP a leading public health problem globally and in India. [1][2][3][4] The prevalence of ROP in India is reported at 24-47%. [2,[5][6][7] In low and middle income countries more mature and heavier preterm babies develop ROP than in high income countries.…”

Section: Introductionmentioning

confidence: 99%

Examination of preterm babies for ROP referred to an eye department from an urban and semi-urban neonatal intensive care unit: implications for practice.

Venkatesh

¹

,

Dave

²

,

Gurav

³

et al. 2019

Preprint

0

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Background: To study and analyse the factors affecting the proportion of retinopathy of prematurity (ROP) distribution between the urban and semi-urban regions in North India. Methods: Retrospective, observational, cross-sectional study. All babies referred for ROP examination by paediatricians or other general ophthalmologists between 2013 – 2016 were included in the study. Demographic, clinical and treatment related findings were recorded. Results: Five hundred and fifty-eight (467: urban & 91: semi urban) babies were examined for ROP. The mean birth weight in the urban and semi-urban setting was 1348.6 ± 395.21 gm and 1703.77 ± 401.76 gm respectively. The mean gestational age was 30.99 ± 2.93 weeks and 30.73 ± 2.08 weeks in the urban and semi-urban cohorts respectively. The average time for first ophthalmic examination following birth was 23.82 ± 13.69 (range: 3-77) days in the urban and 101.16 ± 238.26 (range: 13- 330) days in the semi-urban setting. 94% of the babies completed all screening examination visits. Any ROP was identified in 11.6% and 33.0% of the urban and semi-urban cohorts respectively; Type 1 was detected in 7.5% of urban babies and 23.1% of semi-urban babies Conclusion: Differences in the proportion of babies developing any ROP and Type 1 ROP between the semi-urban and urban groups is likely due to selection bias, as a high proportion of semi-urban babies did not attend for examination or failed to complete all the examinations necessary. This was particularly true for females. More needs to be done to increase access to regular, systematic screening of preterm babies within neonatal units.

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“…With the improvement in health care facilities, the number of preterm infants who survive annually is on the rise; thus, making ROP a leading public health problem globally and in India. [1][2][3][4] The prevalence of ROP in India is reported at 24-47%. [2,[5][6][7] The profile of babies who develop ROP in the low and middle income countries are older and heavier babies.…”

Section: Introductionmentioning

confidence: 99%

Examination of preterm babies for ROP referred to an eye department from an urban and semi-urban neonatal intensive care unit: implications for practice.

Venkatesh

¹

,

Dave

²

,

Gurav

³

et al. 2019

Preprint

0

View full text Add to dashboard Cite

Background: To study and analyse the factors affecting the proportion of retinopathy of prematurity (ROP) distribution between the urban and semi-urban regions in North India. Methods: Retrospective, observational, cross-sectional study. All babies referred for ROP examination by paediatricians or other general ophthalmologists between 2013 – 2016 were included in the study. Demographic, clinical and treatment related findings were recorded. Results: Five hundred and fifty-eight (467: urban & 91: semi urban) babies were examined for ROP. The mean birth weight in the urban and semi-urban setting was 1348.6 ± 395.21 gm and 1703.77 ± 401.76 gm respectively. The mean gestational age was 30.99 ± 2.93 weeks and 30.73 ± 2.08 weeks in the urban and semi-urban cohorts respectively. The average time for first ophthalmic examination following birth was 23.82 ± 13.69 (range: 3-77) days in the urban and 101.16 ± 238.26 (range: 13- 330) days in the semi-urban setting. 94% of the babies completed all screening examination visits. Any ROP was identified in 11.6% and 33.0% of the urban and semi-urban cohorts respectively; Type 1 was detected in 7.5% of urban babies and 23.1% of semi-urban babies Conclusion: Differences in the proportion of babies developing any ROP and Type 1 ROP between the semi-urban and urban groups is likely due to selection bias, as a high proportion of semi-urban babies did not attend for examination or failed to complete all the examinations necessary. This was particularly true for females. More needs to be done to increase access to regular, systematic screening of preterm babies within neonatal units.

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Survival and Short Term Outcomes of Very Preterm Infants

Cited by 3 publications

References 4 publications

ROP examination of premature babies at an eye hospital referred from urban and semi-urban NICUs

ROP examination of premature babies at an eye hospital referred from urban and semi-urban NICUs

Examination of preterm babies for ROP referred to an eye department from an urban and semi-urban neonatal intensive care unit: implications for practice.

Examination of preterm babies for ROP referred to an eye department from an urban and semi-urban neonatal intensive care unit: implications for practice.

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