Resultados de um programa de prevenção da cegueira pela retinopatia da prematuridade na Região Sul do Brasil

Detalhes bibliográficos
Autor(a) principal: Fortes Filho, João Borges [UNIFESP]
Data de Publicação: 2007
Outros Autores: Barros, Cristiano Koch, Costa, Marlene Coelho da, Procianoy, Renato Soibelmann
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S0021-75572007000400005
http://repositorio.unifesp.br/handle/11600/3728
Resumo: OBJECTIVE: To describe the results of a program for the prevention of blindness caused by retinopathy of prematurity implemented in 2002 at a tertiary-care hospital, according to screening criteria adopted in Brazil, and to compare some aspects with the criteria adopted by other countries. METHODS: Descriptive observational study including all preterm infants born at this hospital weighing < 1,500 g at birth and/or gestational age < 32 weeks who survived up to the sixth week after birth, between October 2002 and June 2006. Ophthalmic examinations were performed from the sixth week of life and repeated as necessary until remission of the disease. RESULTS: A total of 300 newborns were included and there were 18 cases of treatable threshold disease (18/300, 6%) according to the Brazilian criteria. One patient was not treated because s/he developed the disease after hospital discharge and did not turn up for examination in order to initiate treatment. According to the criteria suggested by industrialized countries, the total number of exams would be reduced under the same circumstances, but 11.76% of the cases of threshold disease would not be detected. CONCLUSIONS: The Brazilian criteria for neonatal screening were efficient in detecting treatable cases. Blindness was averted in 17 preterm infants in the study period. The universal use of such program at teaching hospitals or in the public and private health networks could help prevent one of the main causes of preventable and treatable blindness among infants in developing countries. Currently, a change in these criteria in Brazil may compromise the diagnosis of some treatable patients.
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spelling Resultados de um programa de prevenção da cegueira pela retinopatia da prematuridade na Região Sul do BrasilResults of a program for the prevention of blindness caused by retinopathy of prematurity in southern BrazilPrematurityretinopathy of prematurityblindnessscreeningPrematuridaderetinopatia da prematuridadecegueiratriagemOBJECTIVE: To describe the results of a program for the prevention of blindness caused by retinopathy of prematurity implemented in 2002 at a tertiary-care hospital, according to screening criteria adopted in Brazil, and to compare some aspects with the criteria adopted by other countries. METHODS: Descriptive observational study including all preterm infants born at this hospital weighing < 1,500 g at birth and/or gestational age < 32 weeks who survived up to the sixth week after birth, between October 2002 and June 2006. Ophthalmic examinations were performed from the sixth week of life and repeated as necessary until remission of the disease. RESULTS: A total of 300 newborns were included and there were 18 cases of treatable threshold disease (18/300, 6%) according to the Brazilian criteria. One patient was not treated because s/he developed the disease after hospital discharge and did not turn up for examination in order to initiate treatment. According to the criteria suggested by industrialized countries, the total number of exams would be reduced under the same circumstances, but 11.76% of the cases of threshold disease would not be detected. CONCLUSIONS: The Brazilian criteria for neonatal screening were efficient in detecting treatable cases. Blindness was averted in 17 preterm infants in the study period. The universal use of such program at teaching hospitals or in the public and private health networks could help prevent one of the main causes of preventable and treatable blindness among infants in developing countries. Currently, a change in these criteria in Brazil may compromise the diagnosis of some treatable patients.OBJETIVO: Descrever os resultados do programa de prevenção da cegueira pela retinopatia da prematuridade implantado em um hospital universitário de nível terciário desde 2002, conforme os critérios de triagem adotados no Brasil, e comparar alguns aspectos com critérios preconizados para outros países. MÉTODOS: Estudo observacional descritivo incluindo todos os prematuros nascidos na instituição com peso de nascimento < 1.500 g ou idade gestacional < 32 semanas que sobreviveram até a sexta semana pós-natal no período entre outubro de 2002 e junho de 2006. Os exames oftalmológicos iniciaram na sexta semana de vida e foram repetidos de acordo com a necessidade até a regressão da doença. RESULTADOS: Foram incluídos 300 recém-nascidos e detectaram-se 18 casos de doença limiar e tratável (18/300, 6%) com o critério brasileiro. Um dos pacientes não realizou tratamento, pois desenvolveu doença após a alta hospitalar e não retornou para exame a tempo de realizar o tratamento. Com critérios sugeridos para países desenvolvidos, haveria redução na totalidade de exames nas mesmas condições, porém não teriam sido detectados 11,76% dos casos de doença limiar. CONCLUSÕES: O critério para a triagem de prematuros definido para o Brasil foi eficaz na detecção dos casos tratáveis da doença. Evitou-se a cegueira em 17 prematuros nesse período. A universalização deste programa em hospitais universitários ou nas redes de saúde pública e privada do país contribuiria para evitar uma das principais causas de cegueira infantil prevenível e tratável nos países em desenvolvimento. No momento atual, haveria risco em se modificar esse critério no Brasil.Universidade Federal de São Paulo (UNIFESP)Universidade Federal do Rio Grande do SulHospital de Clínicas de Porto Alegre Setor de Retinopatia da PrematuridadeHCPA Centro de NeonatologiaHCPA Serviço de NeonatologiaUNIFESPSciELOSociedade Brasileira de PediatriaUniversidade Federal de São Paulo (UNIFESP)Universidade Federal do Rio Grande do SulHospital de Clínicas de Porto Alegre Setor de Retinopatia da PrematuridadeHCPA Centro de NeonatologiaHCPA Serviço de NeonatologiaFortes Filho, João Borges [UNIFESP]Barros, Cristiano KochCosta, Marlene Coelho daProcianoy, Renato Soibelmann2015-06-14T13:36:55Z2015-06-14T13:36:55Z2007-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion209-216application/pdfhttp://dx.doi.org/10.1590/S0021-75572007000400005Jornal de Pediatria. Sociedade Brasileira de Pediatria, v. 83, n. 3, p. 209-216, 2007.10.1590/S0021-75572007000400005S0021-75572007000400005.pdf0021-7557S0021-75572007000400005http://repositorio.unifesp.br/handle/11600/3728WOS:000254506400005porJornal de Pediatriainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-29T12:37:04Zoai:repositorio.unifesp.br/:11600/3728Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-29T12:37:04Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Resultados de um programa de prevenção da cegueira pela retinopatia da prematuridade na Região Sul do Brasil
Results of a program for the prevention of blindness caused by retinopathy of prematurity in southern Brazil
title Resultados de um programa de prevenção da cegueira pela retinopatia da prematuridade na Região Sul do Brasil
spellingShingle Resultados de um programa de prevenção da cegueira pela retinopatia da prematuridade na Região Sul do Brasil
Fortes Filho, João Borges [UNIFESP]
Prematurity
retinopathy of prematurity
blindness
screening
Prematuridade
retinopatia da prematuridade
cegueira
triagem
title_short Resultados de um programa de prevenção da cegueira pela retinopatia da prematuridade na Região Sul do Brasil
title_full Resultados de um programa de prevenção da cegueira pela retinopatia da prematuridade na Região Sul do Brasil
title_fullStr Resultados de um programa de prevenção da cegueira pela retinopatia da prematuridade na Região Sul do Brasil
title_full_unstemmed Resultados de um programa de prevenção da cegueira pela retinopatia da prematuridade na Região Sul do Brasil
title_sort Resultados de um programa de prevenção da cegueira pela retinopatia da prematuridade na Região Sul do Brasil
author Fortes Filho, João Borges [UNIFESP]
author_facet Fortes Filho, João Borges [UNIFESP]
Barros, Cristiano Koch
Costa, Marlene Coelho da
Procianoy, Renato Soibelmann
author_role author
author2 Barros, Cristiano Koch
Costa, Marlene Coelho da
Procianoy, Renato Soibelmann
author2_role author
author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
Universidade Federal do Rio Grande do Sul
Hospital de Clínicas de Porto Alegre Setor de Retinopatia da Prematuridade
HCPA Centro de Neonatologia
HCPA Serviço de Neonatologia
dc.contributor.author.fl_str_mv Fortes Filho, João Borges [UNIFESP]
Barros, Cristiano Koch
Costa, Marlene Coelho da
Procianoy, Renato Soibelmann
dc.subject.por.fl_str_mv Prematurity
retinopathy of prematurity
blindness
screening
Prematuridade
retinopatia da prematuridade
cegueira
triagem
topic Prematurity
retinopathy of prematurity
blindness
screening
Prematuridade
retinopatia da prematuridade
cegueira
triagem
description OBJECTIVE: To describe the results of a program for the prevention of blindness caused by retinopathy of prematurity implemented in 2002 at a tertiary-care hospital, according to screening criteria adopted in Brazil, and to compare some aspects with the criteria adopted by other countries. METHODS: Descriptive observational study including all preterm infants born at this hospital weighing < 1,500 g at birth and/or gestational age < 32 weeks who survived up to the sixth week after birth, between October 2002 and June 2006. Ophthalmic examinations were performed from the sixth week of life and repeated as necessary until remission of the disease. RESULTS: A total of 300 newborns were included and there were 18 cases of treatable threshold disease (18/300, 6%) according to the Brazilian criteria. One patient was not treated because s/he developed the disease after hospital discharge and did not turn up for examination in order to initiate treatment. According to the criteria suggested by industrialized countries, the total number of exams would be reduced under the same circumstances, but 11.76% of the cases of threshold disease would not be detected. CONCLUSIONS: The Brazilian criteria for neonatal screening were efficient in detecting treatable cases. Blindness was averted in 17 preterm infants in the study period. The universal use of such program at teaching hospitals or in the public and private health networks could help prevent one of the main causes of preventable and treatable blindness among infants in developing countries. Currently, a change in these criteria in Brazil may compromise the diagnosis of some treatable patients.
publishDate 2007
dc.date.none.fl_str_mv 2007-06-01
2015-06-14T13:36:55Z
2015-06-14T13:36:55Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S0021-75572007000400005
Jornal de Pediatria. Sociedade Brasileira de Pediatria, v. 83, n. 3, p. 209-216, 2007.
10.1590/S0021-75572007000400005
S0021-75572007000400005.pdf
0021-7557
S0021-75572007000400005
http://repositorio.unifesp.br/handle/11600/3728
WOS:000254506400005
url http://dx.doi.org/10.1590/S0021-75572007000400005
http://repositorio.unifesp.br/handle/11600/3728
identifier_str_mv Jornal de Pediatria. Sociedade Brasileira de Pediatria, v. 83, n. 3, p. 209-216, 2007.
10.1590/S0021-75572007000400005
S0021-75572007000400005.pdf
0021-7557
S0021-75572007000400005
WOS:000254506400005
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv Jornal de Pediatria
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 209-216
application/pdf
dc.publisher.none.fl_str_mv Sociedade Brasileira de Pediatria
publisher.none.fl_str_mv Sociedade Brasileira de Pediatria
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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