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Weight at first detection of retinopathy of prematurity predicts disease severity
Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.ORCID iD: 0000-0002-7731-1988
Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Department of Ophthalmology, Boston Children’s Hospital, Harvard Medical School, Boston, Massachusetts, USA.
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2014 (English)In: British Journal of Ophthalmology, ISSN 0007-1161, E-ISSN 1468-2079, Vol. 98, no 11, p. 1565-1569Article in journal (Refereed) Published
Abstract [en]

Objective: To investigate whether postnatal weight at first detection of retinopathy of prematurity (ROP) can predict preterm infants who will develop severe ROP warranting treatment.

Design: This modern, population-based cohort included 147 infants born at gestational age (GA) <32 weeks in the Gothenburg region during 2011–2012 and screened for ROP at Sahlgrenska University hospital. GA, birth weight (BW), and weekly postnatal weight from birth until postmenstrual age (PMA) 40 weeks data were retrospectively retrieved. Birth weight SD scores (BWSDS) were calculated. ROP data, including first detected ROP stage, maximal ROP stage, ROP treatment, and PMA at first detected sign of ROP were also retrieved. Weight SDS (WSDS) at first ROP detection was calculated.

Results: Stepwise multivariate logistic regression analysis revealed that the best fit-model of risk factors for developing severe ROP warranting treatment included; GA (OR=0.28, CI 95% 0.12 to 0.66, p<0.01) and WSDS at first ROP detection (OR=0.22, CI 95% 0.05 to 0.89, p<0.05).

Conclusions: Low weight and low WSDS at first ROP detection can be useful predictors for ROP warranting treatment.

Place, publisher, year, edition, pages
London, UK: BMJ Publishing Group Ltd, 2014. Vol. 98, no 11, p. 1565-1569
Keywords [en]
LOW-BIRTH-WEIGHT, GROWTH-FACTOR-I, LONGITUDINAL POSTNATAL WEIGHT, 27, WEEKS GESTATION, PRETERM INFANTS, RISK, GAIN, VALIDATION, SWEDEN, BABIES, Ophthalmology
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Medical and Health Sciences Pediatrics
Identifiers
URN: urn:nbn:se:oru:diva-83588DOI: 10.1136/bjophthalmol-2014-304905ISI: 000344163200020PubMedID: 24963022Scopus ID: 2-s2.0-84910011224OAI: oai:DiVA.org:oru-83588DiVA, id: diva2:1446937
Available from: 2020-06-25 Created: 2020-06-25 Last updated: 2023-12-08Bibliographically approved

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