Der frühe postnatale Gewichtsverlauf als Prädiktor einer Frühgeborenenretinopathie

Flückiger, Simone Sophia; Bucher, HU; Hellström, Ann; Lövqist, C.; Sturm, Veit; Arri, S. J.

doi:10.1055/s-0031-1273217

Cited by 12 publications

(10 citation statements)

References 24 publications

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“…The sensitivity of WINROP to predict patients at high risk of treatment-demanding ROP was only 64.7% in the current study, which is not as high as in previous studies. [13][14][15][16]18 In addition, it missed all the treatment-demanding ROP in infants with a BW more than 1,250 g and a GA more than 30 þ0 weeks. This shows that the WINROP is not an appropriate screening tool for Taiwan, a middle income, moderately developed country, especially for predicting severe ROP in larger preterm infants.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies have reported good efficacy of this newly developed screening tool. [13][14][15][16] However, the data gathered so far mainly includes highly developed countries, such as Sweden and the United States, and some data are currently available for moderately or lowdeveloped countries, such as Mexico, Korea, and China. [17][18][19] In such countries, ROP in larger preterm infants is more common than in highly developed countries, and whether or not WINROP can predict severe ROP in these countries is unknown.…”

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confidence: 99%

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Using WINROP as an Adjuvant Screening Tool for Retinopathy of Prematurity in Southern Taiwan

Kuo

Chen

et al. 2014

Amer J Perinatol

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Using WINROP as an Adjuvant Screening Tool for Retinopathy of Prematurity in Southern Taiwan

Kuo

Chen

et al. 2014

Amer J Perinatol

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“…Recently, clinical prediction models to early identify patients in risk of ROP were presented. WINROP [29][30][31] and PINT-ROP 32 were presented using postnatal longitudinal weight gain measurements. ROPScore, by the other hand, uses the BW and the weight measured at completed 6 weeks of life as weighted values in the final calculation of the score.…”

Section: Discussionmentioning

confidence: 99%

A predictive score for retinopathy of prematurity in very low birth weight preterm infants

Eckert

Filho

Maia

et al. 2011

Eye

104

102

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Aims This study describes the development of a score based on cumulative risk factors for the prediction of severe retinopathy of prematurity (ROP) comparing the performance of the score against the birth weight (BW) and gestational age (GA) in order to predict the onset of ROP. Methods A prospective cohort of preterm infants with BWp1500 g and/or GAp32 weeks was studied. The score was developed based on BW, GA, proportional weight gain from birth to the 6th week of life, use of oxygen in mechanical ventilation, and need for blood transfusions from birth to the 6th week of life. The score was established after linear regression, considering the impact of each variable on the occurrences of any stage and severe ROP. Receiver operating characteristic (ROC) curves were used to determine the best sensitivity and specificity values for the score. All variables were entered into an Excel spreadsheet (Microsoft) for practical use by ophthalmologists during screening sessions. Results The sample included 474 patients. The area under the ROC curve for the score was 0.77 and 0.88 to predict any stage and severe ROP, respectively. These values were significantly higher for the score than for BW (0.71) and GA (0.69) when measured separately. Conclusions ROPScore is an excellent index of neonatal risk factors for ROP, which is easy to record and more accurate than BW and GA to predict any stage ROP or severe ROP in preterm infants. The scoring system is simple enough to be routinely used by ophthalmologists during screening examination for detection of ROP.

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“…The WINROP monitoring tool was introduced and evaluated with satisfactory results in different preterm populations worldwide [13,15,16]. These studies have all retrospectively included both very and extremely preterm infants.…”

Section: Introductionmentioning

confidence: 99%

WINROP Identifies Severe Retinopathy of Prematurity at an Early Stage in a Nation-Based Cohort of Extremely Preterm Infants

et al. 2013

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ObjectiveTo evaluate the ability of a postnatal weight-gain algorithm (WINROP) to identify sight-threatening retinopathy of prematurity (ROP type 1) in a nation-based extremely preterm infant cohort.MethodsThis study enrolled all 707 live-born extremely preterm (gestational age [GA] <27 weeks) infants, born 2004–2007 in Sweden; the Extremely preterm Infants in Sweden Study (EXPRESS). WINROP analysis was performed retrospectively in 407 of the infants using weekly weight gain to assess the preterm infant’s risk of developing ROP type 1 requiring treatment. GA, birthweight (BW), and weekly postnatal weight measurements were entered into WINROP. WINROP signals with an alarm to indicate if the preterm infant is at risk for ROP type 1.ResultsIn this extremely preterm population, WINROP correctly identified 96% (45/47) of the infants who required treatment for ROP type 1. The median time from alarm to treatment was 9 weeks (range, 4–20 weeks).ConclusionsWINROP, an online surveillance system using weekly weight gain, identified extremely preterm infants at risk for ROP type 1 requiring treatment at an early stage and with high sensitivity in a Swedish nation-based cohort.

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Der frühe postnatale Gewichtsverlauf als Prädiktor einer Frühgeborenenretinopathie

Abstract: The high predictive value of the WINROP-algorithm was confirmed in our population of Swiss preterms. This instrument has the potential to simplify the current ROP screening procedure. Accordingly, the amount of ophthalmoscopies could be reduced significantly.

Cited by 12 publications

References 24 publications

Using WINROP as an Adjuvant Screening Tool for Retinopathy of Prematurity in Southern Taiwan

Using WINROP as an Adjuvant Screening Tool for Retinopathy of Prematurity in Southern Taiwan

A predictive score for retinopathy of prematurity in very low birth weight preterm infants

WINROP Identifies Severe Retinopathy of Prematurity at an Early Stage in a Nation-Based Cohort of Extremely Preterm Infants

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