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 95
- Downloads 0
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...
Accuracy of Ultrasound Technique for Confirmation of Endotracheal Intubation by Emergency Medicine Department
BACKGROUND: End tidal CO2 is the gold standard for confirmation of endotracheal intubation but commonly used method in emergency department are five point auscultation and direct visualization method. USG is an alternati...
A Study On Neuromuscular Blocking Effect Of Rocuronium Bromide in Anesthesia In A Tertiary Care Hospital
BACKGROUND AND OBJECTIVES: Rocuronium bromide is a non-depolarizing muscle relaxant, with a short onset time, an intermediate duration of action and rapid recovery characteristics coupled with cardiovascular stability, w...
Clinical Profile of Childhood Asthma and Evaluation of Clinical Efficacy and Outcome in Patients Using Leukotriene Receptor Antagonist and/or Inhaled Corticosteroids
BACKGROUND: Asthma is the most common chronic illness of childhood, affecting approximately 10% of children, characterized by variable airway obstruction, caused by partially or completely reversible hyperresponsiveness...
Study of Correlation of Clinical Profile, Electrocardiographic and Echocardiographic Profile in Patients of Chronic Obstructive Pulmonary Disease and Cor-Pulmonale
BACKGROUND: Chronic Obstructive Pulmonary Disease (COPD) is a major cause of chronic morbidity and mortality throughout the world. COPD is currently the 4th leading cause of death in the world. This study was undertaken...