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Article: Incidence and Risk Factors for Retinopathy of Prematurity in Multiple Gestations: a Chinese population study

TitleIncidence and Risk Factors for Retinopathy of Prematurity in Multiple Gestations: a Chinese population study
Authors
Issue Date2015
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.md-journal.com
Citation
Medicine (Baltimore): analytical reviews of general medicine, neurology, psychiatry, dermatology and pediatrics, 2015, v. 94 n. 18, p. e867 How to Cite?
AbstractTo determine the incidence and risk factors of retinopathy of prematurity (ROP) among new-born Chinese infants of multiple gestations. A retrospective review of medical records was performed for all neonates of multiple gestations screened for ROP between January 2007 and December 2012 in 2 neonatal intensive care units in Hong Kong. Screening was offered to very low birth weight (VLBW; ≤1500g) and/or preterm (gestation ≤32 weeks) neonates using the Royal College of Ophthalmologists ROP guideline and the International Classification of ROP by 3 pediatric ophthalmologists. Maternal and neonatal covariates were analyzed using univariate and multivariate regression analyses for both ROP and Type 1 ROP. A total of 153 Chinese infants of multiple gestations were included in the study. The mean gestational age (GA) was 30.8±2.4 weeks and the mean birth weight (BW) was 1284.8±267.4g. The incidence of ROP and Type 1 ROP was 11.8% and 3.9%, respectively. On univariate analysis, younger GA, lighter birth weight, postnatal hypotension, inotropes use, bronchopulmonary disease, and intraventricular hemorrhage were common independent risk factors for the development of ROP and Type 1 ROP (all P≤0.04). On multivariate analysis, younger GA, surfactant use, invasive mechanical ventilation, higher mean oxygen concentration, thrombocytopenia, intraventricular hemorrahage, total parental nutrition, and hypoglycemia were significant risk factors for ROP. For Type 1 ROP, there were no significant dependent risk factors. In preterm Chinese infants born from multiple gestations, prematurity, lighter weight, postnatal hypotension, inotropes use, bronchopulmonary dysplasia, and an intraventricular hemorrhage were common independent risk factors for the development of ROP and Type 1 ROP.
Persistent Identifierhttp://hdl.handle.net/10722/212540
ISSN
2017 Impact Factor: 2.028
2015 SCImago Journal Rankings: 0.877
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorYau, GSK-
dc.contributor.authorLee, JWY-
dc.contributor.authorTam, VTY-
dc.contributor.authorYip, S-
dc.contributor.authorCheng, E-
dc.contributor.authorLiu, CCL-
dc.contributor.authorChu, BCY-
dc.contributor.authorWong, YHI-
dc.date.accessioned2015-07-21T02:40:01Z-
dc.date.available2015-07-21T02:40:01Z-
dc.date.issued2015-
dc.identifier.citationMedicine (Baltimore): analytical reviews of general medicine, neurology, psychiatry, dermatology and pediatrics, 2015, v. 94 n. 18, p. e867-
dc.identifier.issn0025-7974-
dc.identifier.urihttp://hdl.handle.net/10722/212540-
dc.description.abstractTo determine the incidence and risk factors of retinopathy of prematurity (ROP) among new-born Chinese infants of multiple gestations. A retrospective review of medical records was performed for all neonates of multiple gestations screened for ROP between January 2007 and December 2012 in 2 neonatal intensive care units in Hong Kong. Screening was offered to very low birth weight (VLBW; ≤1500g) and/or preterm (gestation ≤32 weeks) neonates using the Royal College of Ophthalmologists ROP guideline and the International Classification of ROP by 3 pediatric ophthalmologists. Maternal and neonatal covariates were analyzed using univariate and multivariate regression analyses for both ROP and Type 1 ROP. A total of 153 Chinese infants of multiple gestations were included in the study. The mean gestational age (GA) was 30.8±2.4 weeks and the mean birth weight (BW) was 1284.8±267.4g. The incidence of ROP and Type 1 ROP was 11.8% and 3.9%, respectively. On univariate analysis, younger GA, lighter birth weight, postnatal hypotension, inotropes use, bronchopulmonary disease, and intraventricular hemorrhage were common independent risk factors for the development of ROP and Type 1 ROP (all P≤0.04). On multivariate analysis, younger GA, surfactant use, invasive mechanical ventilation, higher mean oxygen concentration, thrombocytopenia, intraventricular hemorrahage, total parental nutrition, and hypoglycemia were significant risk factors for ROP. For Type 1 ROP, there were no significant dependent risk factors. In preterm Chinese infants born from multiple gestations, prematurity, lighter weight, postnatal hypotension, inotropes use, bronchopulmonary dysplasia, and an intraventricular hemorrhage were common independent risk factors for the development of ROP and Type 1 ROP.-
dc.languageeng-
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.md-journal.com-
dc.relation.ispartofMedicine (Baltimore): analytical reviews of general medicine, neurology, psychiatry, dermatology and pediatrics-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.titleIncidence and Risk Factors for Retinopathy of Prematurity in Multiple Gestations: a Chinese population study-
dc.typeArticle-
dc.identifier.emailLee, JWY: jackylee@hku.hk-
dc.identifier.emailWong, YHI: wongyhi@hku.hk-
dc.identifier.authorityLee, JWY=rp01498-
dc.identifier.authorityWong, YHI=rp01467-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1097/MD.0000000000000867-
dc.identifier.pmid25950699-
dc.identifier.scopuseid_2-s2.0-84959525627-
dc.identifier.hkuros244322-
dc.identifier.volume94-
dc.identifier.issue18-
dc.identifier.spagee867-
dc.identifier.epagee867-
dc.identifier.isiWOS:000354111700019-
dc.publisher.placeUnited States-

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