Screening for retinopathy of prematurity in a tertiary care newborn unit in Turkey: Frequency, outcomes, and risk factor analysis

MUTLU F. M., Altinsoy H. I., Mumcuoglo T., Kerimoglu H., Kiliç S., Kul M., ...Daha Fazla

Journal of Pediatric Ophthalmology and Strabismus, cilt.45, sa.5, ss.291-298, 2008 (SCI-Expanded, Scopus)

Özet

Purpose: To report the frequency, risk factors, and outcomes of screening for retinopathy of prematurity (ROP). Methods: Data of neonates with a gestational age of 34 weeks or less were analyzed and the predictors on the development of ROP were determined by using logistic regression analysis. Results: Of the 318 neonates, the frequency of ROP was 37.1 % for any stage and 7.2% for stage 3 or greater. Treatment was needed in 16.1 % of neonates with ROP. No treatment was required in neonates with a gestational age of greater than 32 weeks. Oxygen therapy, sepsis, gestational age of 32 weeks or less, and birth weight of less than 1,250 g were determined as the independent risk factors. Conclusions: Although frequency of ROP in Turkey is similar to that in the United States, the rate of severe ROP necessitating treatment seems to be higher in Turkey. Neonates with a gestational age of 32 weeks or less, a birth weight of less than 1,250 g, sepsis, and oxygen therapy may have a greater risk of developing ROP and screening should be intensified in the presence of these risk factors.