Risk Calculator for Retinopathy of Prematurity Requiring Treatment

Chaves-Samaniego, María J; Castejón, Mar García; Chaves-Samaniego, María C; Larraya, Ana Solans Perez; Molina, José María Ortega; Hoyos, Antonio Muñoz; García-Serrano, J.L.

doi:10.3389/fped.2020.529639

Cited by 17 publications

(23 citation statements)

References 77 publications

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“…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) and median (IQR) of 7 (6)(7)(8). It was abnormally distributed; the p-value of the Shapiro-Wilk test was 0.043 (Figure 1).…”

Section: Resultsmentioning

confidence: 98%

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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: Resultsmentioning

confidence: 98%

“…The extension of the temporal avascular area of the retina should also be considered in the ROP screening of newborns. 2,[6][7][8] Screening preterm infants in the neonatal intensive care unit (NICU) after birth is crucial for ROP prognosis. Therefore, screening guidelines have been implemented to ensure a better outcome for those infants.…”

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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“…Prolonged MV is among the most frequently identified risk factors for ROP [20]. In a Danish study, blood transfusion and MV were the only new risk factors to predict treatment-demanding ROP in addition to GA, SGA, multiple births, and male sex [21].…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Retinopathy of Prematurity in the Netherlands: A Comparison of Two Cohorts

Trzcionkowska¹,

Groenendaal²,

Andriessen³

et al. 2021

Neonatology

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Introduction: Retinopathy of prematurity (ROP) remains an important cause for preventable blindness. Aside from gestational age (GA) and birth weight, risk factor assessment can be important for determination of infants at risk of (severe) ROP. Methods: Prospective, multivariable risk-analysis study (NEDROP-2) was conducted, including all infants born in 2017 in the Netherlands considered eligible for ROP screening by pediatricians. Ophthalmologists provided data of screened infants, which were combined with risk factors from the national perinatal database (Perined). Clinical data and potential risk factors were compared to the first national ROP inventory (NEDROP-1, 2009). During the second period, more strict risk factor-based screening inclusion criteria were applied. Results: Of 1,287 eligible infants, 933 (72.5%) were screened for ROP and matched with the Perined data. Any ROP was found in 264 infants (28.3% of screened population, 2009: 21.9%) and severe ROP (sROP) (stage ≥3) in 41 infants (4.4%, 2009: 2.1%). The risk for any ROP is decreased with a higher GA (odds ratio [OR] 0.59 and 95% confidence interval [CI] 0.54–0.66) and increased for small for GA (SGA) (1.73, 1.11–2.62), mechanical ventilation >7 days (2.13, 1.35–3.37) and postnatal corticosteroids (2.57, 1.44–4.66). For sROP, significant factors were GA (OR 0.37 and CI 0.27–0.50), SGA (OR 5.65 and CI 2.17–14.92), postnatal corticosteroids (OR 3.81 and CI 1.72–8.40), and perforated necrotizing enterocolitis (OR 7.55 and CI 2.29–24.48). Conclusion: In the Netherlands, sROP was diagnosed more frequently since 2009. No new risk factors for ROP were determined in the present study, apart from those already included in the current screening guideline.

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“…Several studies have demonstrated that low weight is an indicator of the progression of ROP. However, studies have measured the pattern of weight gain (g/kg/day) during the first month of life, and have shown that the use of predictive models that include postnatal weight gain can significantly reduce the number of infants who need to be screened (26) .…”

Section: Discussionmentioning

confidence: 99%

Low Weight Gain as Risk Factor for Retinopathy of Prematurity in Preterm Infant

Abuzayd¹,

Lotfy²,

Banna³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: Low weight gain during the first month of life in preterm infants might be an important contributory factor for the occurrence of retinopathy of prematurity (ROP). Objective: Our study aimed to determine the effect of low weight gain on the incidence of ROP in premature infants. Patients and methods: This prospective, one-year cohort study was conducted in the Neonatology Department, in collaborate with the Ophthalmology Department in the Faculty of Medicine, Zagazig University. The study included 72 preterm neonates. Results: Out of the 72 screened infants, (41.7%) cases had ROP, among whom (35.7%) had stage I, (24.5%) had stage II (39.8%) had aggressive ROP stage III zone II, 60% had a threshold and (33.3%) with plus disease. There were statistically significant relations between ROP development and weight loss (p<0.001), (OR, 4.5; 95% CI 0.37-54.15), prolonged duration of admission, (p<0.005), prolonged duration of oxygen therapy (p<0.002), respiratory distress syndrome (RDs), (p<0.001), pneumonia (p<0.013), bronchopulmonary dyspepsia (BPD) (p<0.005), sepsis (p<0.001), anemia (p<0.001), intraventricular hemorrhage (IVH) (p<0.005). Conclusion:Our study results suggest that low weight gain or weight loss in the first month of life may predict pre threshold ROP that requires treatment. It can help identify babies with poor periods after birth who are most at risk, also O2 therapy, and its duration, RDs, pneumonia, sepsis, BPD, anemia, and IVH were found to be the most significant risk factors for ROP development in premature babies.

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Risk Calculator for Retinopathy of Prematurity Requiring Treatment

Cited by 17 publications

References 77 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 for Retinopathy of Prematurity in the Netherlands: A Comparison of Two Cohorts

Low Weight Gain as Risk Factor for Retinopathy of Prematurity in Preterm Infant

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