Swedish National Register for Retinopathy of Prematurity (SWEDROP) and the Evaluation of Screening in Sweden

Holmström, Gerd; Hellström, Ann; Jakobsson, Peter; Lundgren, Pia; Törnqvist, Kristina; Wallin, Agneta

doi:10.1001/archophthalmol.2012.2357

Cited by 66 publications

(86 citation statements)

References 16 publications

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“…Repeated studies have revealed that no infant during the years 2008-2012 has been treated for ROP before 32 weeks PMA. [3][4][5] Hence, our guidelines suggesting the start of examination in very premature infants at 31 weeks PMA, still seem safe in our country. Also, as stated by Kontos et al, 1 this saves many tiny babies from stressful examinations and also several ophthalmologists from unnecessary work.…”

Section: Sir Effectiveness Of the Present Rop Screening Protocolmentioning

confidence: 80%

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Screening for retinopathy of prematurity can be started in postmenstrual week 31 in very premature babies!

Holmström

Hellström

Jakobsson

et al. 2016

Eye

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Section: Sir Effectiveness Of the Present Rop Screening Protocolmentioning

confidence: 80%

“…Data evaluation from the Swedish National Register for Retinopathy of Prematurity (SWEDROP) 3 indicates that screening at 31 weeks GA should always pick up babies at-risk who go on to be treated. In their national database treatment was never required earlier than 32 weeks GA.…”

Section: Sir Effectiveness Of the Present Rop Screening Protocolmentioning

confidence: 99%

Screening for retinopathy of prematurity can be started in postmenstrual week 31 in very premature babies!

Holmström

Hellström

Jakobsson

et al. 2016

Eye

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“…This point was chosen based on both a previous epidemiological study on the incidence of ROP, and on the results from other international studies (Holmström et al 2012;Fierson et al 2013).…”

Section: Discussionmentioning

confidence: 99%

Low Incidence of Sight-Threatening Retinopathy of Prematurity in Infants Born Before 28 Weeks Gestation at a Neonatal Intensive Care Unit in Japan

Aikawa

Noro

2013

Tohoku J. Exp. Med.

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Improvement in neonatal care has led to increased survival rates of very premature infants. Accordingly, there are now more extremely preterm infants who are at risk of developing retinopathy of prematurity (ROP). ROP is a disorder of low birth-weight preterm infants and may lead to blindness. However, the prevalence of ROP varies globally, depending on different neonatal and ophthalmic care. Therefore, we studied the incidence and progression of ROP in extremely preterm infants in Japan. In addition, we investigated the characteristics and the clinical courses of the infants who progressed to sight-threatening ROP. A total of 3,154 infants were born at the Japanese Red Cross Sendai Hospital between 2009 and 2011, including 53 live-born infants born before 28 weeks' gestation. Two extremely preterm infants died before the first ROP examination. Among the survived 51 infants (the birth-weight ranged from 309 to 1,354 g, mean 779 g), 36 infants (70.6%) developed ROP: 18 infants with mild ROP and 18 infants with severe ROP. Eight out of the 51 infants (15.7%) underwent laser treatment. None of the infants born at older than 27 weeks 0 day of gestation required any treatment for ROP. In conclusion, most of extremely preterm infants develop some degree of ROP. However, in the majority of these infants the ROP never progressed beyond mild disease and resolved spontaneously without treatment. Sight-threatening ROP was rare. The present study clarifies the natural history of ROP in extremely preterm infants with active perinatal care.

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“…[8] General criteria used in screening programmes are birth weight and GA, combined with sickness criteria. [9] The recommended age for screening is based on the timing of the occurrence of ROP and is related to the maturity of the retinal vessels.…”

Section: Researchmentioning

confidence: 99%

An evaluation of the screening for retinopathy of prematurity in very-low-birth-weight babies at a tertiary hospital in Johannesburg, South Africa

Dadoo

Ballot

2016

S Afr J CH

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Background. Retinopathy of prematurity (ROP) is a leading cause of blindness for very-low-birth-weight (VLBW, <1 500 g) babies. ROP screening identifies babies that require treatment to prevent major visual impairment. Objectives. To evaluate the screening for ROP at Charlotte Maxeke Johannesburg Academic Hospital (CMJAH) by reviewing the number of babies screened according to the CMJAH guidelines, the grades of ROP found and the treatment modality received. Methods. This was a retrospective record review of VLBW babies born between 1 January 2013 and 31 December 2013 at CMJAH, whether inborn or transferred in. The babies were divided into two groups based on age at final outcome. Final outcome was defined as death, discharge or transfer out of the unit. The 'early' outcome group had their final outcome before day 28 of life. The 'late' outcome group had their final outcome at day 28 or more of life. The early outcome group qualified for outpatient ROP screening and the late outcome group qualified for inpatient ROP screening.Results. There were a total of 572 VLBW babies at CMJAH during this time period. The babies had a mean birth weight of 1 127 (standard deviation (SD) 244.75) g and gestational age of 29 (2.743) weeks. The mean duration of stay was 29 (21.66) days and there were 309 female babies. Of these 572 babies, 304 comprised the early outcome group and 268 comprised the late outcome group. In the early outcome group babies who were transferred out of the unit or died were excluded; therefore the remaining 147 babies discharged home qualified for outpatient ROP screening. Inpatient ROP screening was carried out in 36/147 (24.4%) of these babies (not in accordance with ROP screening guidelines). ROP was documented in 4/36 (11.1%). Outpatient ROP screening records were unavailable. Exclusions from the late outcome group included five babies. In the late outcome group 111/263 (42.2%) were screened for ROP. ROP was found in 17%. One baby required treatment with intravitreal antivascular endothelial growth factor (VEGF) and three babies required surgery. Conclusions. More than half of the babies in the late outcome group were not screened during their stay (57.8%). More than one-third of babies were discharged prior to reaching the current recommended age for screening. Efforts need to be intensified to identify and screen all eligible babies prior to discharge. Outpatient ROP screening is not well documented; therefore prevalence cannot be established.

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Swedish National Register for Retinopathy of Prematurity (SWEDROP) and the Evaluation of Screening in Sweden

Cited by 66 publications

References 16 publications

Screening for retinopathy of prematurity can be started in postmenstrual week 31 in very premature babies!

Screening for retinopathy of prematurity can be started in postmenstrual week 31 in very premature babies!

Low Incidence of Sight-Threatening Retinopathy of Prematurity in Infants Born Before 28 Weeks Gestation at a Neonatal Intensive Care Unit in Japan

An evaluation of the screening for retinopathy of prematurity in very-low-birth-weight babies at a tertiary hospital in Johannesburg, South Africa

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