Incidence, risk factors and severity of retinopathy of prematurity in Turkey (TR-ROP study): a prospective, multicentre study in 69 neonatal intensive care units

Background To evaluate the prevalence, risk factors and treatment of retinopathy of prematurity (ROP) in Turkey and to establish screening criteria for this condition. Methods A prospective cohort study (TR-ROP) was performed between 1 April 2016 and 30 April 2017 in 69 neonatal intensive care units (NICUs). Infants with a birth weight (BW)=1500 g or gestational age (GA)<= 32 weeks and those with a BW> 1500 g or GA> 32 weeks with an unstable clinical course were included in the study. Predictors for the development of ROP were determined by logistic regression analyses. Results The TR-ROP study included 6115 infants: 4964 (81%) with a GA <= 32 weeks and 1151 (19%) with a GA>32 weeks. Overall, 27% had any stage of ROP and 6.7% had severe ROP. A lower BW, smaller GA, total days on oxygen, late-onset sepsis, frequency of red blood cell transfusions and relative weight gain were identified as independent risk factors for severe ROP in infants with a BW=1500 g. Of all infants, 414 needed treatment and 395 (95.4%) of the treated infants had a BW <= 1500 g. Sixty-six (16%) of the treated infants did not fulfil the Early Treatment for Retinopathy of Prematurity requirements for treatment. Conclusions Screening of infants with a GA <= 34 weeks or a BW<1700 g appears to be appropriate in Turkey. Monitoring standards of neonatal care and conducting quality improvement projects across the country are recommended to improve neonatal outcomes in Turkish NICUs.

Yazar Bas, Ahmet Yagmur
Demirel, Nihal
Koc, Esin
Isik, Dilek Ulubas
Hirfanoglu, Ibrahim Murat
Tunc, Turan
Sari, Fatma Nur
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/2767
Tek Biçim Adres 10.1136/bjophthalmol-2017-311789
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı BRITISH JOURNAL OF OPHTHALMOLOGY
Dergi Cilt Bilgisi 102
Dergi Sayısı 12
Sayfalar 1711 - 1716
Yayın Yılı 2018
Eser Adı
[dc.title]
Incidence, risk factors and severity of retinopathy of prematurity in Turkey (TR-ROP study): a prospective, multicentre study in 69 neonatal intensive care units
Yazar
[dc.contributor.author]
Bas, Ahmet Yagmur
Yazar
[dc.contributor.author]
Demirel, Nihal
Yazar
[dc.contributor.author]
Koc, Esin
Yazar
[dc.contributor.author]
Isik, Dilek Ulubas
Yazar
[dc.contributor.author]
Hirfanoglu, Ibrahim Murat
Yazar
[dc.contributor.author]
Tunc, Turan
Yazar
[dc.contributor.author]
Sari, Fatma Nur
Yayın Yılı
[dc.date.issued]
2018
Yayıncı
[dc.publisher]
BMJ PUBLISHING GROUP
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Background To evaluate the prevalence, risk factors and treatment of retinopathy of prematurity (ROP) in Turkey and to establish screening criteria for this condition. Methods A prospective cohort study (TR-ROP) was performed between 1 April 2016 and 30 April 2017 in 69 neonatal intensive care units (NICUs). Infants with a birth weight (BW)=1500 g or gestational age (GA)<= 32 weeks and those with a BW> 1500 g or GA> 32 weeks with an unstable clinical course were included in the study. Predictors for the development of ROP were determined by logistic regression analyses. Results The TR-ROP study included 6115 infants: 4964 (81%) with a GA <= 32 weeks and 1151 (19%) with a GA>32 weeks. Overall, 27% had any stage of ROP and 6.7% had severe ROP. A lower BW, smaller GA, total days on oxygen, late-onset sepsis, frequency of red blood cell transfusions and relative weight gain were identified as independent risk factors for severe ROP in infants with a BW=1500 g. Of all infants, 414 needed treatment and 395 (95.4%) of the treated infants had a BW <= 1500 g. Sixty-six (16%) of the treated infants did not fulfil the Early Treatment for Retinopathy of Prematurity requirements for treatment. Conclusions Screening of infants with a GA <= 34 weeks or a BW<1700 g appears to be appropriate in Turkey. Monitoring standards of neonatal care and conducting quality improvement projects across the country are recommended to improve neonatal outcomes in Turkish NICUs.
Açıklama
[dc.description]
WOS: 000456552200020
Açıklama
[dc.description]
PubMed: 29519879
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
0007-1161
ISSN
[dc.identifier.issn]
1468-2079
İlk Sayfa Sayısı
[dc.identifier.startpage]
1711
Son Sayfa Sayısı
[dc.identifier.endpage]
1716
Dergi Adı
[dc.relation.journal]
BRITISH JOURNAL OF OPHTHALMOLOGY
Dergi Sayısı
[dc.identifier.issue]
12
Dergi Cilt Bilgisi
[dc.identifier.volume]
102
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1136/bjophthalmol-2017-311789
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/2767
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Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
57
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
05 Haziran 2024 21:19
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Tıklayınız
infants treatment neonatal included treated severe weight factors Turkey needed BW=1500 Background independent sepsis smaller oxygen late-onset frequency transfusions relative identified fulfil appropriate Turkish outcomes improve recommended country across projects improvement quality conducting standards Monitoring
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