Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 36
Filtrar
1.
Indian J Ophthalmol ; 67(6): 811-815, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31124492

RESUMO

Purpose: More than 3.5 million Syrians came to Turkey seeking refuge and over 470,000 Syrian infants were born since the start of the civil war in 2011. Our aim is to compare the incidence of retinopathy of prematurity (ROP) between Syrian refugees and Turkish citizens. Methods: This multicenter, retrospective study was conducted in Gaziantep University, Faculty of Medicine and Gaziantep Children's Hospital in Turkey. We included the data of patients who were screened for ROP between July 2015 and June 2017. Results: The above-mentioned data of 906 Turkish infants and 199 Syrian infants were included in this study. Mean gestational ages (GAs) were (32.9 ± 2.7) and (32.1 ± 2.8) weeks as well as mean birth weights (BWs) were (1937.5 ± 582.9) and (1696.8 ± 485.5) g, in Turkish and Syrian infants, respectively. GA and BW were significantly lower in Syrian infants while time spent in neonatal intensive care unit was significantly higher. The zone of ROP was lower in the Syrian infants in the first examination and for the most advanced ROP (P = 0.001). Any stage ROP was present in 392 (43.3%) and 81 (40.7%) patients in Turkish and Syrian population, respectively (P = 0.490). The number of patients who required treatment for ROP were 95 (10.5%) and 20 (10.1%) in Turkish and Syrian groups, respectively (P = 0.882). Conclusion: Our findings showed that refugee infants had lower BW and GA than native population but the incidence of ROP did not differ between them. Psychosocial stress is an important risk factor for women at reproductive age as it increases the incidence of prematurity. Additional care and psychological support must be given to refugees during perinatal period to decrease the risk of premature birth.


Assuntos
Refugiados , Retinopatia da Prematuridade/etnologia , Feminino , Idade Gestacional , Humanos , Incidência , Recém-Nascido , Masculino , Triagem Neonatal , Oftalmoscopia , Prognóstico , Retinopatia da Prematuridade/diagnóstico , Estudos Retrospectivos , Fatores de Risco , Síria/etnologia , Turquia/epidemiologia , Seleção Visual
2.
Middle East Afr J Ophthalmol ; 26(1): 7-10, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31114117

RESUMO

PURPOSE: The aim of this study is to compare the incidence and severity of retinopathy of prematurity (ROP) in premature newborns of Syrian refugees and those of Turkish origin. METHODS: This retrospective, the single-center study included 1545 premature infants assigned to two groups based on maternal origin. Group 1 comprised 1366 premature infants of Turkish origin, and Group II comprised 179 premature infants born to Syrian refugees. All the premature infants were screened for ROP by the same ophthalmologist who is experienced in the screening and treatment of ROP. All data including gestational age (GA), birth weight (BW), the presence of ROP, and severe ROP collected from 2014 to 2017 were recorded for each group. The outcomes were compared between the two groups. RESULTS: The mean GA at birth was 30.6 ± 2 weeks and was significantly lower in Group II (P = 0.03). The overall incidence of ROP was similar in both groups. The incidence of severe ROP in Group II was nearly seven times higher than in Group I (1.5% and 10%, respectively). The incidence of severe ROP seen in Group II evaluated according to different ranges of GA and BW was higher than in Group I. CONCLUSION: The higher incidence of severe ROP in the premature newborns of Syrian refugees could play an important role in identifying ongoing health problems of refugees.


Assuntos
Refugiados/estatística & dados numéricos , Retinopatia da Prematuridade/etnologia , Peso ao Nascer , Feminino , Idade Gestacional , Humanos , Incidência , Lactente , Recém-Nascido , Recém-Nascido Prematuro , Masculino , Retinopatia da Prematuridade/diagnóstico , Estudos Retrospectivos , Fatores de Risco , Índice de Gravidade de Doença , Síria/etnologia , Turquia/epidemiologia
3.
Digit J Ophthalmol ; 25(4): 49-58, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32076388

RESUMO

Retinopathy of prematurity (ROP) is one of the leading causes of preventable blindness in children worldwide. Middle-income nations are currently experiencing epidemic levels of ROP, because greater access to neonatal intensive care units has improved survival rates of premature infants, but without sophisticated oxygen regulation. The epidemiology, screening infrastructure, treatment options, and challenges that these countries face are often tied to unique local socioeconomic, cultural, geopolitical, and medical factors. We present an overview and narratives of the current state of ROP in eight countries that are or soon will be experiencing ROP epidemics-India, Kenya, Mexico, Nigeria, Phillipines, Romania, Thailand, and Venezuela-with a view to fostering both an understanding of the differences in the ROP landscape in various settings and an interest in the further development of ROP screening and treatment services tailored to local requirements.


Assuntos
Cegueira/etiologia , Recém-Nascido Prematuro , Retinopatia da Prematuridade/etnologia , Cegueira/epidemiologia , Humanos , Incidência , Índia/epidemiologia , Recém-Nascido , Unidades de Terapia Intensiva Neonatal/estatística & dados numéricos , Quênia/epidemiologia , México/epidemiologia , Nigéria/epidemiologia , Filipinas/epidemiologia , Prevalência , Retinopatia da Prematuridade/complicações , Romênia/epidemiologia , Tailândia/epidemiologia , Venezuela/epidemiologia
4.
JAMA Pediatr ; 172(11): 1061-1069, 2018 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-30208467

RESUMO

Importance: Severe morbidity in very preterm infants is associated with profound clinical implications on development and life-course health. However, studies of racial/ethnic disparities in severe neonatal morbidities are scant and suggest that these disparities are modest or null, which may be an underestimation resulting from the analytic approach used. Objective: To estimate racial/ethnic differences in severe morbidities among very preterm infants. Design, Setting, and Participants: This population-based retrospective cohort study was conducted in New York City, New York, using linked birth certificate, mortality data, and hospital discharge data from January 1, 2010, through December 31, 2014. Infants born before 24 weeks' gestation, with congenital anomalies, and with missing data were excluded. Racial/ethnic disparities in very preterm birth morbidities were estimated through 2 approaches, conventional analysis and fetuses-at-risk analysis. The conventional analysis used log-binomial regression to estimate the relative risk of 4 severe neonatal morbidities for the racial/ethnic groups. For the fetuses-at-risk analysis, Cox proportional hazards regression with death as competing risk was used to estimate subhazard ratios associating race/ethnicity with each outcome. Estimates were adjusted for sociodemographic factors and maternal morbidities. Data were analyzed from September 5, 2017, to May 21, 2018. Main Outcomes and Measures: Four morbidity outcomes were defined using International Classification of Diseases, Ninth Revision, diagnosis and procedure codes: necrotizing enterocolitis, intraventricular hemorrhage, bronchopulmonary dysplasia, and retinopathy of prematurity. Results: In total, 582 297 infants were included in this study. Of these infants, 285 006 were female (48.9%) and 297 291 were male (51.0%). Using the conventional approach in the very preterm birth subcohort, black compared with white infants had an increased risk of only bronchopulmonary dysplasia (adjusted risk ratio [aRR], 1.34; 95% CI, 1.09-1.64) and a borderline increased risk of necrotizing enterocolitis (aRR, 1.39; 95% CI, 1.00-1.93). Hispanic infants had a borderline increased risk of necrotizing enterocolitis (aRR, 1.39; 95% CI, 0.98-1.96), and Asian infants had an increased risk of retinopathy of prematurity (aRR, 1.85; 95% CI, 1.15-2.97). In the fetuses-at-risk analysis, black infants had a 4.40 times higher rate of necrotizing enterocolitis (95% CI, 2.98-6.51), a 2.73 times higher rate of intraventricular hemorrhage (95% CI, 1.63-4.57), a 4.43 times higher rate of bronchopulmonary dysplasia (95% CI, 2.88-6.81), and a 2.98 times higher rate of retinopathy of prematurity (95% CI, 2.01-4.40). Hispanic infants had an approximately 2 times higher rate for all outcomes, and Asian infants had increased risk only for retinopathy of prematurity (adjusted hazard ratio, 2.43; 95% CI, 1.43-4.11). Conclusions and Relevance: In this study, racial/ethnic disparities in neonatal morbidities among very preterm infants appear to be sizable, but may have been underestimated in previous studies, and may have implications for the future. Understanding these racial/ethnic disparities is important, as they may contribute to inequalities in health and development later in the child's life.


Assuntos
Disparidades nos Níveis de Saúde , Doenças do Prematuro/etnologia , Adolescente , Adulto , Negro ou Afro-Americano/estatística & dados numéricos , Asiático/estatística & dados numéricos , Displasia Broncopulmonar/etnologia , Hemorragia Cerebral/etnologia , Enterocolite Necrosante/etnologia , Feminino , Hispânico ou Latino/estatística & dados numéricos , Humanos , Lactente Extremamente Prematuro , Recém-Nascido , Masculino , Idade Materna , Morbidade , Cidade de Nova Iorque/epidemiologia , Retinopatia da Prematuridade/etnologia , Estudos Retrospectivos , Adulto Jovem
5.
Neonatology ; 112(2): 130-136, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28501874

RESUMO

BACKGROUND: Retinopathy of prematurity (ROP) is a disorder of the preterm newborn characterized by neurovascular disruption in the immature retina that may cause visual impairment and blindness. OBJECTIVE: To develop a clinical screening tool for early postnatal prediction of ROP in preterm newborns based on risk information available within the first 48 h of postnatal life. METHODS: Using data submitted to the Vermont Oxford Network (VON) between 1995 and 2015, we created logistic regression models based on infants born <28 completed weeks gestational age. We developed a model with 60% of the data and identified birth weight, gestational age, respiratory distress syndrome, non-Hispanic ethnicity, and multiple gestation as predictors of ROP. We tested the model in the remaining 40%, performed tenfold cross-validation, and tested the score in ELGAN study data. RESULTS: Of the 1,052 newborns in the VON database, 627 recorded an ROP status. Forty percent had no ROP, 40% had mild ROP (stages 1 and 2), and 20% had severe ROP (stages 3-5). We created a weighted score to predict any ROP based on the multivariable regression model. A cutoff score of 5 had the best sensitivity (95%, 95% CI 93-97), while maintaining a strong positive predictive value (63%, 95% CI 57-68). When applied to the ELGAN data, sensitivity was lower (72%, 95% CI 69-75), but PPV was higher (80%, 95% CI 77-83). CONCLUSIONS: STEP-ROP is a promising screening tool. It is easy to calculate, does not rely on extensive postnatal data collection, and can be calculated early after birth. Early ROP screening may help physicians limit patient exposure to additional risk factors, and may be useful for risk stratification in clinical trials aimed at reducing ROP.


Assuntos
Técnicas de Apoio para a Decisão , Lactente Extremamente Prematuro , Triagem Neonatal/métodos , Retinopatia da Prematuridade/etiologia , Peso ao Nascer , Diagnóstico Precoce , Feminino , Idade Gestacional , Humanos , Recém-Nascido , Modelos Logísticos , Masculino , Análise Multivariada , Razão de Chances , Valor Preditivo dos Testes , Gravidez , Gravidez Múltipla , Síndrome do Desconforto Respiratório do Recém-Nascido/complicações , Retinopatia da Prematuridade/diagnóstico , Retinopatia da Prematuridade/etnologia , Medição de Risco , Fatores de Risco , Índice de Gravidade de Doença
6.
Curr Eye Res ; 42(5): 789-795, 2017 05.
Artigo em Inglês | MEDLINE | ID: mdl-27854139

RESUMO

PURPOSE: To report foveal microanatomy imaged on handheld spectral domain optical coherence tomography (SDOCT) and correlate it with visual acuity in Asian Indian premature infants. METHODS: A retrospective analysis of 32 Asian Indian premature infants, 10 with Type 2 retinopathy of prematurity (ROP), were imaged between 3 and 12 months of corrected postmenstrual age (PMA) on the handheld SDOCT (Envisu 2300, Bioptigen, DNC, USA). The foveal findings on these images were correlated with visual acuity measured using Teller acuity cards. The study cohort was divided into three groups based on the corrected age, 3-<6 months, 6-<9 months, and 9-12 months. SDOCT images of the foveal center were analyzed for inner retinal layer (IRL) persistence or fusion and presence of the external limiting membrane (ELM), inner segment-outer segment or the ellipsoid zone (EZ), and the outer segment-retinal pigment epithelium (OS-RPE) layers. RESULTS: The mean visual acuity of the three groups was 1.60, 1.63, and 1.23 logMAR, respectively (p < 0.001). Visual acuity significantly correlated with all four layers (IRL fusion, ELM, EZ, and OS-RPE in the 3-<6-month group [p < 0.001], IRL fusion only in 6-<9-month group (p < 0.001), and IRL fusion and EZ in the 9-12-month group (p < 0.001 and p = 0.01, respectively). CONCLUSIONS: The study provides insights into our understanding of a premature infant's foveal maturation in the first year. Inner retinal fusion or maturation is the most important event that correlates with better visual acuity throughout the first year. In addition, between 9 and 12 months PMA, the completion of the EZ at the foveal center positively influenced visual acuity. The presence of ROP did not influence development of the layers, but the sample size was small for subgroup analysis.


Assuntos
Fóvea Central/patologia , Recém-Nascido Prematuro , Retinopatia da Prematuridade/diagnóstico , Tomografia de Coerência Óptica/métodos , Acuidade Visual/fisiologia , Povo Asiático/etnologia , Seguimentos , Humanos , Índia/epidemiologia , Lactente , Prevalência , Retinopatia da Prematuridade/etnologia , Retinopatia da Prematuridade/fisiopatologia , Estudos Retrospectivos , Fatores de Tempo
7.
Hawaii J Med Public Health ; 75(3): 68-72, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27011887

RESUMO

The objective of this research was to identify risk factors for Retinopathy of Prematurity (ROP) in Hawai'i's ethnically unique population, with a focus on ethnicity. The study design focused on a 10-year retrospective chart review of neonates at Kapi'olani Medical Center in Honolulu, Hawai'i. Results showed that 23.3% of infants of Native Hawaiian and/or Pacific Islander ethnicity (NHPI) developed ROP. Necrotizing enterocolitis, intraventricular hemorrhage, and the severity of respiratory disease were significantly related (P < .001) to the incidence and severity of ROP. In a multiple logistic regression model, gestational age, birth weight, bronchopulmonary dysplasia, and postnatal steroids were significant predictors (P < .001) for presence of ROP. Significant predictors for severe ROP included gestational age (P < .001), birth weight (P = .001), postnatal steroids (P = .001), necrotizing enterocolitis (P = .025), and NHPI ethnicity (P = .004). Further research is recommended.


Assuntos
Etnicidade , Prontuários Médicos , Retinopatia da Prematuridade/etnologia , Feminino , Seguimentos , Havaí/epidemiologia , Humanos , Incidência , Recém-Nascido , Masculino , Estudos Retrospectivos , Fatores de Risco
8.
Br J Ophthalmol ; 100(4): 501-4, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26305002

RESUMO

AIMS: To validate known risk factors and identify a threshold level for serum insulin-like growth factor 1 (IGF-1) in the development of severe retinopathy of prematurity (ROP) in an ethnically diverse population at a tertiary neonatal unit, 2011-2013. METHODS: A prospective cohort masked study was conducted. Serum IGF-1 levels at 31, 32 and 33 weeks were measured and risk factor data collected including gestational age (GA), birth weight (BW), absolute weight gain (AWG) and maternal ethnicity. The eventual ROP outcome was divided into two groups: minimal ROP (Stages 0 and 1) and severe ROP (Stage 2 or worse including Type 1 ROP). RESULTS: 36 patients were recruited: 14 had minimal ROP and 22 severe ROP. Significant differences between the groups were found in GA, BW, AWG and IGF-1 at 32 and 33 weeks. There was minimal rise in IGF-1 in Stage 2 patients and/or black patients (p=0.0013) between 32 and 33 weeks but no pragmatic threshold level of IGF-1 that could distinguish between minimal or severe ROP. CONCLUSIONS: There were significant differences in GA, BW, AWG and IGF-1 at 32 and 33 weeks between those babies with severe ROP and those with minimal ROP. However, there was no threshold level of IGF-1 at a time point between 31 and 33 weeks that can be used to exclude a large proportion of babies from screening. We also found ethnic differences in IGF-1 levels with infants born to black mothers having significantly lower IGF-1 levels at 32 and 33 weeks gestation. The determination of ROP risk using IGF-1 is a race-specific phenomenon.


Assuntos
Etnicidade , Fator de Crescimento Insulin-Like I/metabolismo , Mães , Retinopatia da Prematuridade/sangue , Retinopatia da Prematuridade/etnologia , Povo Asiático/etnologia , Peso ao Nascer , População Negra/etnologia , Estudos de Coortes , Feminino , Idade Gestacional , Humanos , Técnicas Imunoenzimáticas , Unidades de Terapia Intensiva Neonatal , Estudos Prospectivos , Fatores de Risco , Aumento de Peso , População Branca/etnologia
9.
Indian J Ophthalmol ; 63(5): 432-7, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-26139806

RESUMO

PURPOSE: To report the impact of transient, self-resolving, untreated "macular edema" detected on spectral domain optical coherence tomography in Asian Indian premature infants with retinopathy of prematurity (ROP) on visual acuity (VA) and refraction at 1-year of corrected age. MATERIALS AND METHODS: Visual acuity and refraction of 11 infants with bilateral macular edema (Group A) was compared with gestational age-matched 16 infants with ROP without edema (Group B) and 17 preterms infants without ROP and without edema (Group C) at 3, 6, 9 and 12 months of corrected age using Teller Acuity Cards and cycloplegic retinoscopy. Sub-group analysis of the previously described pattern A and B macular edema was performed. RESULTS: Visual acuity was lower in infants with macular edema compared with the other two control groups throughout the study period, but statistically significant only at 3 months. Visual improvement in these infants was highest between the 3 rd and 6 th month and plateaued by the end of the 1 st year with acuity comparable to the other two groups. The edema cohort was more hyperopic compared to the other two groups between 3 and 12 months of age. Pattern A edema had worse VA compared to pattern B, although not statistically significant. CONCLUSION: Macular edema, although transient, caused reduced VA as early as 3 months of corrected age in Asian Indian premature infants weighing <2000 g at birth. The higher hyperopia in these infants is possibly due to visual disturbances caused at a critical time of fovealization. We hypothesize a recovery and feedback mechanism based on the principles of active emmetropization to explain our findings.


Assuntos
Recém-Nascido Prematuro , Edema Macular/etnologia , Refração Ocular , Retinopatia da Prematuridade/etnologia , Acuidade Visual , Ásia/etnologia , Feminino , Seguimentos , Idade Gestacional , Humanos , Incidência , Índia/epidemiologia , Lactente , Recém-Nascido , Edema Macular/etiologia , Edema Macular/fisiopatologia , Masculino , Prevalência , Retinopatia da Prematuridade/complicações , Retinopatia da Prematuridade/fisiopatologia , Fatores de Tempo , Tomografia de Coerência Óptica
10.
Optom Vis Sci ; 92(4 Suppl 1): S3-9, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25756334

RESUMO

PURPOSE: To analyze changes in myopia, astigmatism, and anisometropia after laser treatment of retinopathy of prematurity (ROP), including aggressive posterior retinopathy of prematurity (APROP), in Mainland Chinese children. METHODS: This was a retrospective study of children who had laser treatment for threshold or type 1 prethreshold ROP between January 2004 and October 2012 and age-matched control subjects with spontaneously regressed type 2 prethreshold ROP. One hundred fifteen eyes of 60 patients were included as the laser-treated group, which were further subdivided into APROP and non-APROP groups. Thirty-seven eyes of 20 patients who were diagnosed during the same period were included as the control group. Between 12 and 36 months postnatal age (PA) (mean [±SD], 22.9 [±8.1] months), cycloplegic retinoscopy was performed to measure refractive outcomes. A general linear model was used to analyze refractive changes among different groups at each PA. RESULTS: After adjusting for PA and the correlation between right and left eyes, the magnitude and proportion of astigmatism (p = 0.04 and p = 0.004, respectively) and myopia (p < 0.0001 and p = 0.006, respectively) were greater in the laser-treated group than in the control group. The differences in myopia were even greater in children with APROP than those with non-APROP, whereas the differences in astigmatism were not. Eyes with APROP had higher prevalence of high myopia and spherical anisometropia than the control (p = 0.002 and p = 0.02, respectively) and the non-APROP groups (p < 0.0001 and p = 0.04, respectively). CONCLUSIONS: Children with laser treatment for ROP, including APROP, tended to have higher myopia, astigmatism, and anisometropia, which may progress to amblyopia. These findings highlight the need for regular refractive screening after laser treatment of ROP.


Assuntos
Anisometropia/fisiopatologia , Astigmatismo/fisiopatologia , Fotocoagulação a Laser/métodos , Miopia/fisiopatologia , Retinopatia da Prematuridade/cirurgia , Anisometropia/diagnóstico , Anisometropia/etnologia , Povo Asiático/etnologia , Astigmatismo/diagnóstico , Astigmatismo/etnologia , Pré-Escolar , China/epidemiologia , Feminino , História Antiga , História Medieval , Humanos , Lactente , Recém-Nascido , Recém-Nascido Prematuro , Masculino , Miopia/diagnóstico , Miopia/etnologia , Prevalência , Retinopatia da Prematuridade/etnologia , Retinopatia da Prematuridade/fisiopatologia , Retinoscopia , Estudos Retrospectivos
11.
JAMA Ophthalmol ; 133(3): 304-11, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25521746

RESUMO

IMPORTANCE: Detection of treatment-requiring retinopathy of prematurity (ROP) involves serial eye examinations. An ROP prediction model using predictive factors could identify high-risk infants and reduce required eye examinations. OBJECTIVE: To determine predictive factors for the development of referral-warranted (RW) ROP. DESIGN, SETTING, AND PARTICIPANTS: This multicenter observational cohort study included secondary analysis of data from the Telemedicine Approaches to Evaluating Acute-Phase Retinopathy of Prematurity Study. Infants included in the study had a birth weight (BW) of less than 1251 g. EXPOSURES: Serial ROP examinations of premature infants who had 2 or more ROP examinations. MAIN OUTCOMES AND MEASURES: Incidence of RW-ROP (defined as the presence of plus disease, zone I ROP, or ROP stage 3 or greater in either eye) and associations with predictive factors. RESULTS: Among 979 infants without RW-ROP at first study-related eye examination (median postmenstrual age, 33 weeks; range, 29-40 weeks) who underwent at least 2 eye examinations, 149 (15.2%) developed RW-ROP. In a multivariate model, significant predictors for RW-ROP were male sex (odds ratio [OR], 1.80; 95% CI, 1.13-2.86 vs female), nonblack race (OR, 2.76; 95% CI, 1.50-5.08 for white vs black race and OR, 4.81; 95% CI, 2.19-10.6 for other vs black race), low BW (OR, 5.16; 95% CI, 1.12-7.20 for ≤500 g vs >1100 g), younger gestational age (OR, 9.79; 95% CI, 3.49-27.5 for ≤24 weeks vs ≥28 weeks), number of quadrants with preplus disease (OR, 7.12; 95% CI, 2.53-20.1 for 1-2 quadrants and OR, 18.4; 95% CI, 4.28-79.4 for 3-4 quadrants vs no preplus disease), stage 2 ROP (OR, 4.13; 95% CI, 2.13-8.00 vs no ROP), the presence of retinal hemorrhage (OR, 4.36; 95% CI, 1.57-12.1 vs absence), the need for respiratory support (OR, 4.99; 95% CI, 1.89-13.2 for the need for controlled mechanical ventilator; OR, 11.0; 95% CI, 2.26-53.8 for the need for high-frequency oscillatory ventilation vs no respiratory support), and slow weight gain (OR, 2.44; 95% CI, 1.22-4.89 for weight gain ≤12 g/d vs >18 g/d). These characteristics predicted the development of RW-ROP significantly better than BW and gestational age (area under receiver operating characteristic curve, 0.88 vs 0.78; P < .001). CONCLUSIONS AND RELEVANCE: When controlling for very low BW and prematurity, the presence of preplus disease, stage 2 ROP, retinal hemorrhage, and the need for ventilation at time of first study-related eye examination were strong independent predictors for RW-ROP. These predictors may help identify infants in need of timely eye examinations.


Assuntos
Neovascularização Retiniana/diagnóstico , Vasos Retinianos/patologia , Retinopatia da Prematuridade/diagnóstico , Telemedicina/métodos , Doença Aguda , Peso ao Nascer , População Negra , Feminino , Idade Gestacional , Humanos , Incidência , Recém-Nascido , Recém-Nascido de muito Baixo Peso , Masculino , Modelos Estatísticos , Curva ROC , Encaminhamento e Consulta , Neovascularização Retiniana/classificação , Neovascularização Retiniana/etnologia , Retinopatia da Prematuridade/classificação , Retinopatia da Prematuridade/etnologia , Fatores de Risco , Sensibilidade e Especificidade , População Branca
12.
ScientificWorldJournal ; 2014: 212183, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25401130

RESUMO

PURPOSE: To determine the differences in risk factors for retinopathy of prematurity (ROP) in paired twins. METHODS: A retrospective medical record review was performed for all paired twins screened for ROP between 2007 and 2012. Screening was offered to very low birth weight (≤ 1500 grams) and preterm (≤ 32 weeks) neonates. Twins 1 and 2 were categorized based on the order of delivery. Maternal and neonatal covariates were analyzed using univariate and multivariate regression analyses for both ROP and Type 1 ROP. RESULTS: In 34 pairs of Chinese twins, the mean gestational age (GA) was 30.2 ± 2.0 weeks. In Twin 1, smaller GA (OR = 0.44, P = 0.02), higher mean oxygen concentration (OR = 1.34, P = 0.03), presence of thrombocytopenia (OR = 1429.60, P < 0.0001), and intraventricular hemorrhage (OR = 18.67, P = 0.03) were significant risk factors for ROP. For Twin 2, a smaller GA (OR = 0.45, P = 0.03) was the only risk factor. There were no significant risk factors for ROP in Twin 1 or Twin 2 on multivariate analysis. CONCLUSION: In Chinese twin pairs, smaller GA was the only common risk factor for ROP while Twin 1 was more susceptible to the postnatal risks for ROP.


Assuntos
Povo Asiático/genética , Doenças em Gêmeos/genética , Recém-Nascido Prematuro , Retinopatia da Prematuridade/genética , Gêmeos/genética , Povo Asiático/etnologia , Doenças em Gêmeos/diagnóstico , Doenças em Gêmeos/etnologia , Feminino , Humanos , Recém-Nascido , Recém-Nascido Prematuro/fisiologia , Masculino , Gravidez , Retinopatia da Prematuridade/diagnóstico , Retinopatia da Prematuridade/etnologia , Estudos Retrospectivos , Fatores de Risco
13.
Invest Ophthalmol Vis Sci ; 55(10): 6194-203, 2014 Aug 12.
Artigo em Inglês | MEDLINE | ID: mdl-25118269

RESUMO

PURPOSE: To determine genetic variants associated with severe retinopathy of prematurity (ROP) in a candidate gene cohort study of US preterm infants. METHODS: Preterm infants in the discovery cohort were enrolled through the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network, and those in the replication cohort were from the University of Iowa. All infants were phenotyped for ROP severity. Because of differences in the durations of enrollment between cohorts, severe ROP was defined as threshold disease in the discovery cohort and as threshold disease or type 1 ROP in the replication cohort. Whole genome amplified DNA from stored blood spot samples from the Neonatal Research Network biorepository was genotyped using an Illumina GoldenGate platform for candidate gene single nucleotide polymorphisms (SNPs) involving angiogenic, developmental, inflammatory, and oxidative pathways. Three analyses were performed to determine significant epidemiologic variables and SNPs associated with levels of ROP severity. Analyses controlled for multiple comparisons, ancestral eigenvalues, family relatedness, and significant epidemiologic variables. Single nucleotide polymorphisms significantly associated with ROP severity from the discovery cohort were analyzed in the replication cohort and in meta-analysis. RESULTS: Eight hundred seventeen infants in the discovery cohort and 543 in the replication cohort were analyzed. Severe ROP occurred in 126 infants in the discovery and in 14 in the replication cohort. In both cohorts, ventilation days and seizure occurrence were associated with severe ROP. After controlling for significant factors and multiple comparisons, two intronic SNPs in the gene BDNF (rs7934165 and rs2049046, P < 3.1 × 10(-5)) were associated with severe ROP in the discovery cohort and were not associated with severe ROP in the replication cohort. However, when the cohorts were analyzed together in an exploratory meta-analysis, rs7934165 increased in associated significance with severe ROP (P = 2.9 × 10(-7)). CONCLUSIONS: Variants in BDNF encoding brain-derived neurotrophic factor were associated with severe ROP in a large candidate gene study of infants with threshold ROP.


Assuntos
Fator Neurotrófico Derivado do Encéfalo/genética , DNA/genética , Variação Genética , Recém-Nascido de Peso Extremamente Baixo ao Nascer , Doenças do Prematuro/genética , Recém-Nascido Prematuro , Retinopatia da Prematuridade/genética , Fator Neurotrófico Derivado do Encéfalo/metabolismo , Etnicidade/genética , Feminino , Seguimentos , Idade Gestacional , Humanos , Incidência , Recém-Nascido , Doenças do Prematuro/etnologia , Doenças do Prematuro/metabolismo , Desequilíbrio de Ligação , Masculino , Polimorfismo Genético , Retinopatia da Prematuridade/etnologia , Retinopatia da Prematuridade/metabolismo , Estudos Retrospectivos , Fatores de Risco , Índice de Gravidade de Doença , Estados Unidos/epidemiologia
14.
Neonatology ; 104(2): 127-32, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23887600

RESUMO

BACKGROUND: Retinopathy of prematurity (ROP) is a gestational age (GA)-related illness that can lead to blindness in premature infants. Timely screening of premature infants could improve visual prognosis. OBJECTIVE: To evaluate the WINROP algorithm as a method of predicting severe ROP in a Chinese population. METHODS: 590 infants with a GA <32 weeks were entered into an online surveillance system (www.winrop.com) that included ROP evaluations and weekly weight measurements from birth to a corrected GA of 40 weeks. If the rate of weight gain decreased to a certain degree, the algorithm signaled an alarm that the infant was at risk for developing sight-threatening ROP. Each infant was categorized as having no, mild, or severe ROP. RESULTS: Among the 590 infants with a GA <32 weeks, an alarm was triggered in 85 infants (14.4%), 50 of which developed severe ROP and were identified in this alarm group. Twenty-seven infants triggered the alarm signal in the first week after birth and 7 infants triggered the alarm at birth. Seven of the infants developed proliferative ROP and the median GA at birth for these infants was 31 weeks. CONCLUSIONS: The WINROP system had a sensitivity of 87.5% in a Chinese population for the early identification of infants that developed severe ROP. Postnatal weight gain may help predict ROP in lower birth weight infants.


Assuntos
Algoritmos , Diagnóstico por Computador , Triagem Neonatal/métodos , Retinopatia da Prematuridade/diagnóstico , Povo Asiático , Biomarcadores/sangue , Peso ao Nascer , China/epidemiologia , Feminino , Idade Gestacional , Humanos , Recém-Nascido de Baixo Peso , Recém-Nascido , Recém-Nascido Prematuro , Fator de Crescimento Insulin-Like I/metabolismo , Internet , Masculino , Valor Preditivo dos Testes , Prognóstico , Retinopatia da Prematuridade/sangue , Retinopatia da Prematuridade/etnologia , Medição de Risco , Fatores de Risco , Índice de Gravidade de Doença , Aumento de Peso
15.
JAMA Ophthalmol ; 131(1): 62-6, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23307210

RESUMO

OBJECTIVE: To investigate the efficacy of WINROP (https://winrop.com), an algorithm based on serial measurements of neonatal body weight to predict proliferative retinopathy of prematurity (ROP), in a Korean population of preterm infants. METHODS: The records of preterm infants with gestational age less than 32 weeks who were admitted to the neonatal intensive care unit at Chonnam National University Hospital, Gwangju, South Korea, from October 2006 to November 2010 were reviewed. The body weight of infants was measured weekly and entered into a computer-based surveillance system, WINROP, and the outcome was analyzed. RESULTS: A total of 314 preterm infants participated in the study. The mean gestational age was 29 weeks (range, 25-32 weeks). The mean body weight was 1263 g (range, 590-2260 g). For 166 of 314 infants (52.9%), a high-risk alarm was noted. In the high-risk alarm group, 36 infants developed type 1 ROP, according to the Early Treatment for Retinopathy of Prematurity criteria, and they were treated for ROP. The remaining 148 infants (47.1%) had a low-risk alarm. In the low-risk alarm group, 3 infants with bronchopulmonary dysplasia and intraventricular hemorrhage, a risk factor for ROP, and 1 infant without any risk factors for ROP developed type 1 ROP and were treated. CONCLUSIONS: In a Korean population, the WINROP algorithm had a sensitivity of 90% for identifying infants with type 1 ROP. Although some limitations are present, adjustment to the WINROP algorithm for a specific population may improve the efficacy of predicting proliferative ROP and reduce the frequency of retinal examinations.


Assuntos
Algoritmos , Peso ao Nascer/fisiologia , Neovascularização Retiniana/diagnóstico , Retinopatia da Prematuridade/diagnóstico , Povo Asiático/etnologia , Sistemas Computacionais , Feminino , Idade Gestacional , Humanos , Recém-Nascido , Recém-Nascido Prematuro , Unidades de Terapia Intensiva Neonatal , Masculino , República da Coreia/epidemiologia , Neovascularização Retiniana/classificação , Neovascularização Retiniana/etnologia , Vasos Retinianos/patologia , Retinopatia da Prematuridade/classificação , Retinopatia da Prematuridade/etnologia , Fatores de Risco , Sensibilidade e Especificidade
17.
Arch Dis Child Fetal Neonatal Ed ; 95(3): F174-6, 2010 May.
Artigo em Inglês | MEDLINE | ID: mdl-19948526

RESUMO

OBJECTIVE: To assess the risk of severe retinopathy of prematurity (ROP) requiring treatment in different ethnic groups. DESIGN: Retrospective observational study on ROP screening and treatment. It involved a cross-sectional review of all eligible infants over a seven-year period. Statistical tests used were the Kruskal-Wallis test and Mann-Whitney U test. Logistic regression was used to control for any differences in birth weight and gestational age. SETTING: City Hospital and Birmingham Women's Hospital, Birmingham, UK. RESULTS: 1690 preterm infants underwent ROP screening. Birth weight was lower in black (1142.5 g) and Asian infants (1180 g) when compared to white infants (1196.5 g). Gestational age was lower in black infants (28.5 weeks) compared to Asian and white infants (both 29 weeks). Compared to white infants, the odds of severe ROP requiring treatment was higher in Asian infants (odds ratio (OR): 2.52; 95% CI 1.41 to 4.50) and black infants (OR: 2.51; 95% CI 1.30 to 4.86). The additional risk from ethnicity was present even after adjusting for birth weight and gestational age (adjusted OR for Asian vs white infants: 2.45; 95% CI 1.334 to 4.497); (adjusted OR for black vs white infants: 2.0; 95% CI 1.004 to 4.014). CONCLUSIONS: Ethnicity is a risk factor for severe ROP. Asian and black infants have a higher risk of developing threshold ROP compared to white infants.


Assuntos
Retinopatia da Prematuridade/etnologia , Povo Asiático/estatística & dados numéricos , Peso ao Nascer , População Negra/estatística & dados numéricos , Progressão da Doença , Inglaterra/epidemiologia , Métodos Epidemiológicos , Feminino , Idade Gestacional , Humanos , Recém-Nascido , Fotocoagulação a Laser , Masculino , Retinopatia da Prematuridade/cirurgia
18.
Retina ; 29(9): 1335-9, 2009 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19574949

RESUMO

PURPOSE: To analyze the spectrum of aggressive posterior retinopathy of prematurity and outcome after laser treatment. METHODS: This is a retrospective review of 81 eyes of 44 consecutive infants diagnosed to have aggressive posterior retinopathy of prematurity and treated between September 2005 and March 2007 from a large tertiary care center in North India. Qualitative variables were tested for statistical significance using the chi-square test and independent samples with the student's t-test. RESULTS: Mean birth weight and gestational age were 1,259.66 +/- 310.51 g (range, 660-2,000 g) and 29.75 +/- 2.35 weeks (range, 26-36 weeks), respectively. Twenty-one infants (47.72%) had a birth weight > 1,250 g. Thirty-three (40.74%) eyes had Zone 1, and 48 (59.26%) had posterior Zone 2 disease. All eyes underwent confluent laser photocoagulation at a mean postconceptional age of 34.58 +/- 2.19 weeks (range, 31-40.5 weeks). Mean follow-up was 12.8 months (range, 6-24 months). At the last follow-up visit, 55 (71.4%) of 77 eyes had a favorable outcome. Eighteen eyes (23.4%) had a localized (1-3 clock hours) partial peripheral tractional detachment (Stage 4a), which remained stable at last follow-up. Two eyes (2.6%) developed falciform fold involving the macular area, and 2 (2.6%) developed Stage 5 retinopathy of prematurity. CONCLUSION: Aggressive posterior retinopathy of prematurity is encountered not only in low birth weight infants, but also in heavier and more mature Asian Indian infants. Early, aggressive confluent laser photocoagulation is necessary to maximize outcomes in these eyes.


Assuntos
Fotocoagulação a Laser , Retinopatia da Prematuridade/complicações , Retinopatia da Prematuridade/cirurgia , Povo Asiático/etnologia , Peso ao Nascer , Seguimentos , Idade Gestacional , Humanos , Índia/epidemiologia , Recém-Nascido , Lasers Semicondutores/uso terapêutico , Retinopatia da Prematuridade/etnologia , Estudos Retrospectivos , Resultado do Tratamento
20.
Br J Ophthalmol ; 91(12): 1704-8, 2007 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-18024814

RESUMO

Despite advances in management and treatment, retinopathy of prematurity remains a major cause of childhood blindness. Evidence for a genetic basis for susceptibility to retinopathy of prematurity is examined, including the influences of sex, ethnicity, and ocular pigmentation. The role of polymorphisms is explored in the genes for vascular endothelial growth factor and insulin-like growth factor-1, and of mutations in the Norrie disease gene. Insights into the genetic basis of retinopathy of prematurity provided by the animal model of oxygen induced retinopathy are examined. Evidence for a genetic component for susceptibility to retinopathy of prematurity is strong, although the molecular identity of the gene or genes involved remains uncertain.


Assuntos
Predisposição Genética para Doença , Retinopatia da Prematuridade/genética , Animais , Modelos Animais de Doenças , Cor de Olho , Proteínas do Olho/genética , Humanos , Recém-Nascido , Fator de Crescimento Insulin-Like I/genética , Mutação , Proteínas do Tecido Nervoso/genética , Oxigênio , Polimorfismo Genético , Doenças Retinianas/induzido quimicamente , Retinopatia da Prematuridade/etnologia , Fatores Sexuais , Fator A de Crescimento do Endotélio Vascular/genética
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...