Retinopathy of prematurity screening criteria in Iran: new screening guidelines.
Arch Dis Child Fetal Neonatal Ed
; 101(4): F288-93, 2016 Jul.
Article
en En
| MEDLINE
| ID: mdl-27073259
ABSTRACT
OBJECTIVE:
To test the applicability of existing retinopathy of prematurity (ROP) guidelines on Iranian patients and to develop novel ROP screening criteria in Iran.METHODS:
Both eyes of 1932 infants born ≤37â weeks of gestation and/or weighting ≤3000â g were included in this prospective cohort study that was conducted across nine neonatal intensive care units and a tertiary eye hospital ROP clinic. The patients were examined for ROP and the need for treatment (type 1 ROP or worse). All the patients were screened 4â weeks after birth or at 31â weeks of postmenstrual age, whichever was later. The patients were followed until retinal vascularisation was completed or the patients reached 50â weeks of gestational age (GA) without prethreshold ROP. A receiver operating characteristic curve was used to determine the best screening criteria for ROP. Screening criteria from other countries were applied to our patient data to determine their ability to appropriately detect ROP. MAIN OUTCOMEMEASURE:
Patients with ROP requiring treatment.RESULTS:
The mean GA±SD and birth weight (BW)±SD of the screened patients were 32±2.7â weeks and 1713±516â g, respectively. Using criteria of GA≤32â weeks or BW ≤2000 yielded sensitivity and specificity of 100% and 26.7%, respectively, for treatment requiring ROP regardless of clinical comorbidities. Using screening recommendations of American Academy of Pediatrics would miss 25.4% of ROP and 8.4%ROP requiring treatment in our cohort.CONCLUSIONS:
Other countries screening recommendations would result in a significant amount of missed cases of treatment requiring ROP when applied to Iran. As a result, we have proposed new guidelines for premature babies in Iran.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Retinopatía de la Prematuridad
/
Tamizaje Neonatal
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Guideline
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Límite:
Female
/
Humans
/
Male
/
Newborn
País/Región como asunto:
Asia
Idioma:
En
Revista:
Arch Dis Child Fetal Neonatal Ed
Asunto de la revista:
PEDIATRIA
/
PERINATOLOGIA
Año:
2016
Tipo del documento:
Article
País de afiliación:
Irán