Incidence and outcome of retinopathy of prematurity in neonates and correlation with risk factors
Journal Title: International Journal Of Research In Medicine - Year 2017, Vol 6, Issue 1
Abstract
BACKGROUND: To study the incidence and risk factors predisposing to retinopathy of prematurity (ROP) in at-risk newborns at SNCU of a tertiary care hospital in Vadodara METHODS: Preterm infants with birth weight < 1500gm and gestation <=34 weeks were screened for ROP at 4 weeks after birth or 31-33 weeks post conceptional age, whichever was later. Infants with birth weight 1500 to 2000 gm and gestation >34 weeks were screened only if they had additional risk factors. Those found to have high risk ROP were treated. RESULTS: The incidence of ROP in 113 infants who were screened was 30.9%. No ROP was found in infants weighing >2000gm or with a gestational age more than 37weeks. Risk factors predisposing to ROP (P<0.05) were oxygen therapy, apnoea, ventilation, sepsis, anaemia, blood product transfusion, ventilation, shock requiring vasopressors and multiple gestation. Out of the 37 infants who developed ROP, 17 (48.5%) needed invasive management. CONCLUSION: Approximately half of the infants with ROP needed invasive management the outcome of which was good. Risk factors predisposing to ROP were Gestational Age and Birth weight alone and alongwith the various risk factors like oxygen therapy, apnoea, mechanical ventilation, sepsis, anaemia, blood transfusion, Shock and Multiple Gestation. The occurrence of ROP is trending towards a rise including newborns with higher birth weight and gestational Age in developing countries; hence necessitating the need to revise the guidelines for Screening Newborns for presence of ROP to include babies with higher Birth weight and Gestational Age.
Authors and Affiliations
Vaishali R Chanpura, Nirali F Sanghvi
Keywords
Related Articles
- EP ID EP437624
- DOI -
- Views 92
- Downloads 0
Comparing Pre-Operative Shaving Versus Trimming In Terms of Patients and Operators Satisfaction and Convenience, A Randomized Controlled Trial
BACKGROUND: Pre-operative hair removal is a part of surgery nowadays. Different methods used are: razor shaving, electric trimming, and depilatory cream. This study was carried out to know the impact of hair removal meth...
Effect of Kangaroo Mother Care on Growth Parameters of Low Birth Weight Neonates
BACKGROUND: To evaluate the effect of Kangaroo Mother Care(KMC) on growth parameters of low birth weight(LBW) neonates. METHODS: Prospective follow-up cohort study was carried out at NICU of Civil Hospital, Ahmedabad fro...
Therapeutic Impact of Computerized Tomography Scan in Acute Appendicitis
BACKGROUND: The diagnosis of acute appendicitis is essentially clinical however operating based on clinical suspicion alone can lead to removal of normal appendix in 15 - 30% of cases. A number of clinical and laboratory...
Gall Bladder Wall Thickness as a Marker of Portal Hypertension in Patients of Alcoholic Cirrhosis of Liver
BACKGROUND AND OBJECTIVES: One of the major complications of cirrhosis is the occurrence of Portal Hypertension, which can lead to bleeding from Esophageal Varices, Hepatic Encephalopathy, Ascites, Spontanoeus Bacterial...
Changes Of Serum Cardiac Markers After Acute Attack Of Mi Viz. Troponin I, Ck-Mb, Ldh & Hs-Crp
BACKGROUND: Blood testing for biomarkers of myocardial injury plays an important role for the evaluation, diagnosis, and triage of patients with chest pain. The criteria for the diagnosis of myocardial infarction have...