Retinopathy of prematurity: Eight-year outcomes of a Portuguese neonatal intensive care unit

Detalhes bibliográficos
Autor(a) principal: Almeida,Ricardo Liz
Data de Publicação: 2023
Outros Autores: Costa,Raquel Monteiro, Bennett,Monica, Alfaiate,Mário, Basto,Lígia
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542023000200082
Resumo: Abstract Introduction: Retinopathy of prematurity (ROP) is a vasoproliferative disorder of the retina in preterm newborns and is an important and preventable cause of visual impairment in children. The aim of this study was to investigate the incidence of ROP in a sample of preterm infants with ophthalmologic observation criteria and its association with specific major risk factors. Methods: Retrospective study of clinical records of premature infants with criteria for ROP screening in a Portuguese neonatal intensive care unit between January 2011 and December 2018. Results: Three hundred thirty-five infants met the criteria for ROP screening. The incidence of ROP and severe ROP requiring treatment was 9.0% and 1.8%, respectively. No infants with gestational age (GA) > 30 weeks or birth weight (BW) > 1500 g developed ROP. Neonatal comorbidities such as respiratory distress syndrome and intraventricular hemorrhage were not significantly associated with the development of ROP. GA, BW, supplemental oxygen therapy, and surfactant administration were independent predictors for the development of ROP. Discussion: Compared to neighboring countries with similar human development indexes, the incidence of ROP found in this study was relatively low. Implementation of the American Academy of Pediatrics/American Academy of Ophthalmology (AAO/AAP) guidelines in daily practice would potentially reduce the number of infants screened and allow diagnosis of most ROP cases. Conclusion: Statistically significant risk factors should be considered when evaluating preterm infants. Modification of current screening guidelines may be useful and cost-effective, and result in less stressful experiences for infants undergoing unnecessary ophthalmologic examinations.
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spelling Retinopathy of prematurity: Eight-year outcomes of a Portuguese neonatal intensive care unitintensive care unitneonatalPortugalretinopathy of prematurityrisk factorscreeningAbstract Introduction: Retinopathy of prematurity (ROP) is a vasoproliferative disorder of the retina in preterm newborns and is an important and preventable cause of visual impairment in children. The aim of this study was to investigate the incidence of ROP in a sample of preterm infants with ophthalmologic observation criteria and its association with specific major risk factors. Methods: Retrospective study of clinical records of premature infants with criteria for ROP screening in a Portuguese neonatal intensive care unit between January 2011 and December 2018. Results: Three hundred thirty-five infants met the criteria for ROP screening. The incidence of ROP and severe ROP requiring treatment was 9.0% and 1.8%, respectively. No infants with gestational age (GA) > 30 weeks or birth weight (BW) > 1500 g developed ROP. Neonatal comorbidities such as respiratory distress syndrome and intraventricular hemorrhage were not significantly associated with the development of ROP. GA, BW, supplemental oxygen therapy, and surfactant administration were independent predictors for the development of ROP. Discussion: Compared to neighboring countries with similar human development indexes, the incidence of ROP found in this study was relatively low. Implementation of the American Academy of Pediatrics/American Academy of Ophthalmology (AAO/AAP) guidelines in daily practice would potentially reduce the number of infants screened and allow diagnosis of most ROP cases. Conclusion: Statistically significant risk factors should be considered when evaluating preterm infants. Modification of current screening guidelines may be useful and cost-effective, and result in less stressful experiences for infants undergoing unnecessary ophthalmologic examinations.Centro Hospitalar do Porto2023-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542023000200082Nascer e Crescer v.32 n.2 2023reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542023000200082Almeida,Ricardo LizCosta,Raquel MonteiroBennett,MonicaAlfaiate,MárioBasto,Lígiainfo:eu-repo/semantics/openAccess2024-02-06T17:06:37Zoai:scielo:S0872-07542023000200082Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:19:54.198466Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Retinopathy of prematurity: Eight-year outcomes of a Portuguese neonatal intensive care unit
title Retinopathy of prematurity: Eight-year outcomes of a Portuguese neonatal intensive care unit
spellingShingle Retinopathy of prematurity: Eight-year outcomes of a Portuguese neonatal intensive care unit
Almeida,Ricardo Liz
intensive care unit
neonatal
Portugal
retinopathy of prematurity
risk factor
screening
title_short Retinopathy of prematurity: Eight-year outcomes of a Portuguese neonatal intensive care unit
title_full Retinopathy of prematurity: Eight-year outcomes of a Portuguese neonatal intensive care unit
title_fullStr Retinopathy of prematurity: Eight-year outcomes of a Portuguese neonatal intensive care unit
title_full_unstemmed Retinopathy of prematurity: Eight-year outcomes of a Portuguese neonatal intensive care unit
title_sort Retinopathy of prematurity: Eight-year outcomes of a Portuguese neonatal intensive care unit
author Almeida,Ricardo Liz
author_facet Almeida,Ricardo Liz
Costa,Raquel Monteiro
Bennett,Monica
Alfaiate,Mário
Basto,Lígia
author_role author
author2 Costa,Raquel Monteiro
Bennett,Monica
Alfaiate,Mário
Basto,Lígia
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Almeida,Ricardo Liz
Costa,Raquel Monteiro
Bennett,Monica
Alfaiate,Mário
Basto,Lígia
dc.subject.por.fl_str_mv intensive care unit
neonatal
Portugal
retinopathy of prematurity
risk factor
screening
topic intensive care unit
neonatal
Portugal
retinopathy of prematurity
risk factor
screening
description Abstract Introduction: Retinopathy of prematurity (ROP) is a vasoproliferative disorder of the retina in preterm newborns and is an important and preventable cause of visual impairment in children. The aim of this study was to investigate the incidence of ROP in a sample of preterm infants with ophthalmologic observation criteria and its association with specific major risk factors. Methods: Retrospective study of clinical records of premature infants with criteria for ROP screening in a Portuguese neonatal intensive care unit between January 2011 and December 2018. Results: Three hundred thirty-five infants met the criteria for ROP screening. The incidence of ROP and severe ROP requiring treatment was 9.0% and 1.8%, respectively. No infants with gestational age (GA) > 30 weeks or birth weight (BW) > 1500 g developed ROP. Neonatal comorbidities such as respiratory distress syndrome and intraventricular hemorrhage were not significantly associated with the development of ROP. GA, BW, supplemental oxygen therapy, and surfactant administration were independent predictors for the development of ROP. Discussion: Compared to neighboring countries with similar human development indexes, the incidence of ROP found in this study was relatively low. Implementation of the American Academy of Pediatrics/American Academy of Ophthalmology (AAO/AAP) guidelines in daily practice would potentially reduce the number of infants screened and allow diagnosis of most ROP cases. Conclusion: Statistically significant risk factors should be considered when evaluating preterm infants. Modification of current screening guidelines may be useful and cost-effective, and result in less stressful experiences for infants undergoing unnecessary ophthalmologic examinations.
publishDate 2023
dc.date.none.fl_str_mv 2023-06-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542023000200082
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dc.language.iso.fl_str_mv eng
language eng
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dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Centro Hospitalar do Porto
publisher.none.fl_str_mv Centro Hospitalar do Porto
dc.source.none.fl_str_mv Nascer e Crescer v.32 n.2 2023
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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