Incidence and risk factors for retinopathy of prematurity in Tabuk city, KSA

ALBalawi, Hani B; Albalawi, Nada Saleh; Alsuhaimi, Nada Awad; Albalawi, Amani; Alatawi, Amani Salem; Mirghani, Hyder Osman; Al-Dhibi, Hassan; Alenezi, Saad H

doi:10.4103/meajo.meajo_195_19

Cited by 13 publications

(15 citation statements)

References 19 publications

(31 reference statements)

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“…Arabia [19] Of the patients in this study, 33.3% were diagnosed with ROP. The gestational age was 32 weeks or less in 91.7% of the cases, and 72.2% of patients had a birth weight reported between 1,000 g and 1,500 g.…”

Section: Saudimentioning

confidence: 81%

A Review on the Incidence and Related Risk Factors of Retinopathy of Prematurity Across Various Countries

Nair¹,

Ballushi²,

Anklesaria³

et al. 2022

Cureus

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Retinopathy of prematurity (ROP) is an ophthalmologic condition that is one of the leading causes of preventable childhood blindness. Due to the premature nature of blood vessels in preterm infants, retinal vessels are prone to damage. The incidence of ROP ranges with great variation across countries, and this study aims to identify the incidence and its related risk factors.A compilation of studies investigating the incidence of ROP was acquired through the PubMed and Google Scholar databases with a full free text in English filter set. All members of the study were involved in designating studies based on continent and arranging them into a table format. Following this, reasons for the variation in the incidence of ROP were investigated by individually assessing each study. The variation of an increased incidence of ROP seen in low-income countries (LICs) was most likely due to the availability of resources. As a preterm birth can give rise to further complications such as the development of sepsis, it is important to manage preterm birth with the utmost caution. Evidence has suggested that the two key variables in reducing the morbidity and mortality of ROP are the implementation of a screening and treatment protocol with controlled use of oxygen and the availability of resources in hospitals to adequately identify and manage ROP as early as possible.Through a comprehensive overview of the incidence of ROP, it is vital to review screening and treatment protocols in each hospital for ROP, which would aid in preventing its occurrence and initiating early treatment.

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Section: Saudimentioning

confidence: 81%

A Review on the Incidence and Related Risk Factors of Retinopathy of Prematurity Across Various Countries

Nair¹,

Ballushi²,

Anklesaria³

et al. 2022

Cureus

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“…4 A similar percentage of infants diagnosed with ROP (33.3%) was reported in a study from Tabuk. 5 The major risk factors are gestational age and birth weight. Additionally, using supplemental oxygen in preterm infants, respiratory distress, and blood transfusion are considered common risk factors of ROP.…”

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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“…Moreover, a multicenter trial on 4099 preterm infants revealed that 65.8% of the infants developed ROP, and 81.6% of those who weighed less than 1000 g [ 3 ]. Regarding the etiology of ROP, the major risk factors for the disorder are low birth weight (BW), low gestational age (GA), and oxygen therapy [ 4 - 6 ]. In addition, several studies have suggested that blood transfusions, mechanical ventilation, and sepsis are the other factors that contribute to an increased incidence of ROP in premature infants [ 5 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Effect of Blood Transfusion on Retinopathy of Prematurity at a Tertiary Care Center in Western Saudi Arabia

Raffa¹,

Aljohani²

2022

Cureus

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Introduction We aim to study if there is an association between blood transfusions and the development and severity of retinopathy of prematurity (ROP). We also aim to explore the association with other clinical outcomes. Methods A cohort of 291 infants admitted to our neonatal intensive care unit (NICU) was retrospectively analyzed. The number and volume of RBC transfusions on Day 7 and Day 30 were recorded. Clinical outcomes including ROP, necrotizing enterocolitis (NEC), bronchopulmonary dysplasia (BPD), and sepsis were noted. Results The mean gestational age (GA) and birth weight (BW) of the evaluated infants were 28 ± 2.2 weeks and 1062 ± 242 g, respectively. One hundred and eighteen infants were transfused at a median of nine days post GA. Compared to non-transfused infants, those who were transfused had a lower GA, a lower BW, a longer stay in the NICU, and received significantly more artificial ventilation. These infants also had a higher number of comorbidities, including sepsis and intraventricular hemorrhage. The number and volume of RBCs at Day 30 were significantly higher in infants with any stage of ROP than in those without ROP. Conclusion A higher frequency and volume of RBC transfusion were associated with an increased risk of ROP development. Whether this is a direct consequence of blood transfusion or the infants being at risk due to prematurity or low BW remains to be determined.

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Incidence and risk factors for retinopathy of prematurity in Tabuk city, KSA

Cited by 13 publications

References 19 publications

A Review on the Incidence and Related Risk Factors of Retinopathy of Prematurity Across Various Countries

A Review on the Incidence and Related Risk Factors of Retinopathy of Prematurity Across Various Countries

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

Evaluation of the Effect of Blood Transfusion on Retinopathy of Prematurity at a Tertiary Care Center in Western Saudi Arabia

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