To study the incidence of retinopathy of prematurity in high-risk neonates and the risk factors associated with the disease
Journal Title: Indian Journal of Child Health - Year 2017, Vol 4, Issue 4
Abstract
Background: Retinopathy of prematurity (ROP) is a complex disease of the developing retinal vasculature in premature infant. The challenge in India is that a large number of neonatal intensive care units (NICUs) don’t have an effective ROP screening strategy. Objective: To measure the incidence of ROP in neonates with gestational age (≤32 weeks) or weighing <2000 g with risk factors and evaluation of risk factor associated with ROP. Materials and Methods: This prospective study was conducted in the Department of Pediatrics and Ophthalmology from January to July 2016. Neonates with gestational age ≤32 weeks, birth weight (BW) ≤1500 g, and selected preterm infants with a BW between 1501 and 2000 g with risk factors admitted in NICU/special new-born care unit were included in the study and screened for ROP by trained ophthalmologist under supervision of the pediatrician. All data were analyzed using SPSS or MedCalc. Univariate and multivariate logistic regression was done to determine the risk factors for the development of any ROP. Result: The incidence of ROP in our study was 19%. 4% of the neonates have severe (early treatment for ROP [ETROP] Type 1) ROP while 15% have non-severe (ETROP Type 2) ROP. 8 neonates developed Stage 1 ROP (42.11%), 7 developed Stage 2 (36.84%), and 4 neonates developed Stage 3 ROP (21.05%). Conclusion: The current study revealed that the incidence of ROP in sick neonates was 19%. Significant risk factors were found to be low BW, low gestational age, supplemental oxygen, and mechanical ventilation, culture proven sepsis, anemia, apnea, and respiratory distress syndrome (RDS).
Authors and Affiliations
Kanwar Singh, Shrey Gupta, Sanjeev Jain, B S Karnawat, Shruti Sharma, Mahendra Nimel
Keywords
Related Articles
- EP ID EP456683
- DOI -
- Views 69
- Downloads 0
McCune-Albright syndrome without endocrine dysfunction: Case report in a young boy
The McCune-Albright syndrome (MAS) is a sporadic rare disease characterized by a triad of physical signs: Café-au lait spots, polyostotic fibrous dysplasia, and autonomous endocrine hyperfunction. Based on the studies, i...
Correlation of amplitude electroencephalography in first 24 h after birth in perinatal asphyxiated neonates with short-term clinical outcome
Objective: To correlate amplitude electroencephalography (aEEG) (in first 24 h after birth) in perinatal asphyxiated neonates with clinical outcome. Materials and Methods: This prospective cohort study was conducted in J...
Oral health knowledge and oral hygiene practices of pre-school teachers in a selected region of Kathmandu city
Background: Dental caries and periodontal diseases are the most common oral health problems seen globally. Schools provides an ideal environment for all forms of education, including oral health and teachers can be instr...
Evaluation of vaccination status of children attending a private tertiary paediatric hospital in urban Hyderabad
Objectives: The objectives of this study were to understand the vaccination status and reasons for missed vaccination in the catchment of a tertiary private paediatric hospital in a densely populated area in urban Hydera...
Herpes simplex virus encephalitis in an 8 years old with normal cerebrospinal fluid and negative herpes simplex virus polymerase chain reaction - A clinical and radiological diagnosis
Herpes simplex encephalitis is known to cause significant morbidity and mortality both in children and adults. Polymerase chain reaction (PCR) for herpes simplex virus (HSV) in cerebrospinal fluid (CSF) is the diagnostic...