Retinopathy of Prematurity:
|
|
|
|
|
Southern Asia
|
|
|
|
|
Adhikari, 2008, Nepal |
Tertiary Care Center (1). Neonates: GA ≤ 34 weeks and/or BW ≤ 1700 gm and who attended the follow up visits |
Incidence, risk factors for ROP |
Prospective Cohort Study |
None |
14/55 (25.45%) |
Oxygen administration was significantly associated with incidence of ROP (P<.01). |
Chaudhari, 2008, India |
Tertiary Care Center - NICU (1). Neonates: GA ≤ 32 weeks and BW < 1500g OR GA > 32 weeks and BW ≥ 1500g with additional risk factors for ROP |
Risk Factors of ROP |
Prospective Cohort Study |
None |
123/552 (22.3%) |
Oxygen therapy a risk factor for ROP development, Univariate odds ratio = 2.75 (1.81-4.19), Multivariate analysis OR=1.89 (1.06-3.39), P=.031 |
Gayathri, 2015, India |
Tertiary Care Hospital (1). Neonates: GA ≤ 34 weeks and birth weight ≤ 1750 g OR GA = 34-36 weeks and BW = 1750-2000g with additional risk factors for ROP |
Incidence and Risk Factors for ROP |
Prospective Cohort Study |
None |
21/100 (21%) |
Oxygen therapy a significant risk factor for ROP (P=0.013) |
Jamil, 2015, Pakistan |
Referral Hospital (1). Neonates: GA < 37 weeks and BW < 2000g OR those who were considered high risk for ROP |
Demographic and Clinical Features of ROP |
Prospective Cohort Study |
None |
70/285 (24.6%) |
The study identified supplemental oxygen therapy as a risk factor for ROP. |
Rohit, 2014, India |
University Hospital (1). Neonates: BW < 1800 g |
Incidence and Risk Factors |
Prospective Cohort Study |
None |
38/278 (13.67%) |
Association found between prolonged oxygen exposure (>7 days) and ROP on univariate analysis. |
Kumar, 2011, India |
Tertiary Care Hospital (1). Neonates: GA ≤ 32 weeks or BW ≤ 1500 g OR GA = 33-34 weeks and BW = 1501-1800 g with risk factors g with risk factors |
Risk Factors of ROP needing laser therapy |
Retrospective Cohort Study |
None |
84/704 (11.9%) |
Use of oxygen therapy was associated with the development of ROP. OR=2.4 (1.1-5.4), P=.03 |
Pal, 2015, India |
University Hospital NICU (1). Neonates: GA ≤ 35 wks |
Incidence and Risk Factors of ROP |
Prospective Cohort Study |
None |
12/50 (24%) |
Oxygen therapy determined to be a significant risk factor (P<.001) for development of ROP |
Sathar, 2017, India |
Referral Hospital (1). Neonates: GA ≤ 32 weeks or BW ≤ 1500g |
Describe the Risk Factors of ROP |
Prospective Cohort Study |
SpO2 was monitored and kept between 93-95% |
203/812 (25%) |
Oxygen therapy a significant risk factor for ROP, P =.007; OR = 2.042 (1.221-3.416) |
Shah, 2009, India |
Tertiary Care Eye Referral Hospital (1); children came referred from other hospitals; Neonates born between July 2002 and October 2007 who presented to their hospital with severe ROP. |
Characteristics of Neonates with Severe ROP |
Retrospective Observational Study |
“Most babies had received unmonitored oxygen therapy” – Study did not quantify the amount of children receiving unmonitored oxygen therapy |
All |
Oxygen therapy a significant risk factor for increased severity of disease. P=.0001. |
Ahmed, 2008, Bangladesh |
Tertiary Care Hospital with Special Care Nursery. Preterm infants GA< 33 weeks who were admitted for a trial of topical emollient therapy |
Description of Children who developed ROP |
Case Report |
All babies (5) who were found to have ROP received poorly monitored O2 therapy |
All |
All cases found had been treated with oxygen therapy |
Sanghi, 2014, India |
Children with Aggressive Posterior ROP who were referred from Level I and II nurseries |
Report on the Spectrum and Outcomes of Aggressive Posterior Retinopathy of Prematurity |
Retrospective Case Series |
All babies (15) received supplemental unmonitored O2 |
All |
All cases found had been treated with oxygen therapy |
Sub-Saharan Africa:
|
|
|
|
|
Adio, 2014, Nigeria |
Tertiary Care Hospital (1). Neonates: GA < 32 completed weeks and BW < 1500g |
Incidence and Risk Factors for ROP |
Prospective Cohort Study |
Oxygen therapy monitored on pulse oximetry, kept between 90-95% |
25/53 (47.2%) |
Oxygen therapy is found to be a significant risk factor for the development of ROP P=.01. |
Fajolu, 2015, Nigeria |
University Teaching Hospital (1). Neonates: GA < 32 weeks and BW ≤ 1500g |
Incidence and Risk Factors Of ROP |
Prospective Cohort Study |
None |
12/80 (15%) |
Oxygen therapy was not significantly associated with ROP P=.11. |
Northern Africa:
|
|
|
|
|
Hakeem, 2012, Egypt |
University Hospital (1). Neonates: GA < 32 weeks and BW ≤ 1500g OR GA > 32 weeks or BW > 1500g and exposed to oxygen therapy for more than 7 days |
Risk Factors of ROP |
Prospective Cohort Study |
None |
33/172 (19.2%) |
A significant relationship was found between the occurrence of ROP and oxygen therapy (P=0.018). |