Author, Reference Year, Location Health Care Facility (n=), Study Population Study Objective to Describe Study Type Oxygen Therapy Clinical Information Given Incidence within the entire population screened Relationship to Oxygen Therapy
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).