Incidence and Risk Factors for Retinopathy of Prematurity (ROP) in Biggest Neonatal Intensive Care Unit in Itay Elbaroud City, Behera Province, Egypt

Raouf Gaber, Osama A Sorour, Amr F Sharaf, Hisham A Saad Department of Ophthalmology, Tanta University, Tanta, Gharbeya Province, EgyptCorrespondence: Raouf GaberTanta University Eye Hospital, The Faculty of Medicine, El-Gash St. Medical Campus, Tanta, Gharbeya Province, 31527, EgyptEmail Raouf.a.ga...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Gaber R, Sorour OA, Sharaf AF, Saad HA
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2021
Materias:
Acceso en línea:https://doaj.org/article/41e25f9b93374b7d93ac57780c20d4ec
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:41e25f9b93374b7d93ac57780c20d4ec
record_format dspace
spelling oai:doaj.org-article:41e25f9b93374b7d93ac57780c20d4ec2021-12-02T15:11:07ZIncidence and Risk Factors for Retinopathy of Prematurity (ROP) in Biggest Neonatal Intensive Care Unit in Itay Elbaroud City, Behera Province, Egypt1177-5483https://doaj.org/article/41e25f9b93374b7d93ac57780c20d4ec2021-08-01T00:00:00Zhttps://www.dovepress.com/incidence-and-risk-factors-for-retinopathy-of-prematurity-rop-in-bigge-peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Raouf Gaber, Osama A Sorour, Amr F Sharaf, Hisham A Saad Department of Ophthalmology, Tanta University, Tanta, Gharbeya Province, EgyptCorrespondence: Raouf GaberTanta University Eye Hospital, The Faculty of Medicine, El-Gash St. Medical Campus, Tanta, Gharbeya Province, 31527, EgyptEmail Raouf.a.gaber@gmail.comAim of the Work: To evaluate the incidence and risk factors for development of retinopathy of prematurity (ROP) in the biggest neonatal intensive care unit (NICU) in Itay Elbaroud City, Behera province, Egypt.Methods: We studied data of 240 newly born infants with gestational age (GA) ≤ 34 weeks or birth weight (BW) ≤ 2000 g or infants with unstable course who were admitted to the biggest NICU in Itay Elbaroud City, Behera province, Egypt, 
between October 1, 2018 and October 31, 2020. There is no standard screening system in Egypt. Furthermore, we had screened babies more than 1500 g, more than 32 weeks and found signs of ROP, so we decided to expand our inclusion criteria to include babies up to 2000 g of birth weight and up to 34 weeks gestational age in addition to older and heavier babies with unstable course in NICUs. Clinical information about perinatal neonates was collected by reviewing medical charts. The main outcomes are the incidence and severity of ROP. The relationship of clinical risk factors and the development of ROP were analyzed.Results: The overall incidence of ROP was 34.1%, and the overall incidence of type 1 ROP was 26.3% of infants. ROP was significantly associated with GA (odds ratio; OR: 6.8; (3.7– 12.3), BW (OR: 4.1; 2.3– 7.3), apnea, supplementary oxygen administration, and thrombocytopenia.Conclusion: The incidence of ROP is high in Itay Elbaroud city, Behera Province, Egypt. Immaturity, low birth weight, low gestational age, oxygen administration, apnea, thrombocytopenia, and jaundice are important risk factors for development of ROP.Keywords: birth weight, gestational age, incidence, retinopathy of prematurityGaber RSorour OASharaf AFSaad HADove Medical Pressarticlebirth weightgestational ageincidenceretinopathy of prematurityOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 3467-3471 (2021)
institution DOAJ
collection DOAJ
language EN
topic birth weight
gestational age
incidence
retinopathy of prematurity
Ophthalmology
RE1-994
spellingShingle birth weight
gestational age
incidence
retinopathy of prematurity
Ophthalmology
RE1-994
Gaber R
Sorour OA
Sharaf AF
Saad HA
Incidence and Risk Factors for Retinopathy of Prematurity (ROP) in Biggest Neonatal Intensive Care Unit in Itay Elbaroud City, Behera Province, Egypt
description Raouf Gaber, Osama A Sorour, Amr F Sharaf, Hisham A Saad Department of Ophthalmology, Tanta University, Tanta, Gharbeya Province, EgyptCorrespondence: Raouf GaberTanta University Eye Hospital, The Faculty of Medicine, El-Gash St. Medical Campus, Tanta, Gharbeya Province, 31527, EgyptEmail Raouf.a.gaber@gmail.comAim of the Work: To evaluate the incidence and risk factors for development of retinopathy of prematurity (ROP) in the biggest neonatal intensive care unit (NICU) in Itay Elbaroud City, Behera province, Egypt.Methods: We studied data of 240 newly born infants with gestational age (GA) ≤ 34 weeks or birth weight (BW) ≤ 2000 g or infants with unstable course who were admitted to the biggest NICU in Itay Elbaroud City, Behera province, Egypt, 
between October 1, 2018 and October 31, 2020. There is no standard screening system in Egypt. Furthermore, we had screened babies more than 1500 g, more than 32 weeks and found signs of ROP, so we decided to expand our inclusion criteria to include babies up to 2000 g of birth weight and up to 34 weeks gestational age in addition to older and heavier babies with unstable course in NICUs. Clinical information about perinatal neonates was collected by reviewing medical charts. The main outcomes are the incidence and severity of ROP. The relationship of clinical risk factors and the development of ROP were analyzed.Results: The overall incidence of ROP was 34.1%, and the overall incidence of type 1 ROP was 26.3% of infants. ROP was significantly associated with GA (odds ratio; OR: 6.8; (3.7– 12.3), BW (OR: 4.1; 2.3– 7.3), apnea, supplementary oxygen administration, and thrombocytopenia.Conclusion: The incidence of ROP is high in Itay Elbaroud city, Behera Province, Egypt. Immaturity, low birth weight, low gestational age, oxygen administration, apnea, thrombocytopenia, and jaundice are important risk factors for development of ROP.Keywords: birth weight, gestational age, incidence, retinopathy of prematurity
format article
author Gaber R
Sorour OA
Sharaf AF
Saad HA
author_facet Gaber R
Sorour OA
Sharaf AF
Saad HA
author_sort Gaber R
title Incidence and Risk Factors for Retinopathy of Prematurity (ROP) in Biggest Neonatal Intensive Care Unit in Itay Elbaroud City, Behera Province, Egypt
title_short Incidence and Risk Factors for Retinopathy of Prematurity (ROP) in Biggest Neonatal Intensive Care Unit in Itay Elbaroud City, Behera Province, Egypt
title_full Incidence and Risk Factors for Retinopathy of Prematurity (ROP) in Biggest Neonatal Intensive Care Unit in Itay Elbaroud City, Behera Province, Egypt
title_fullStr Incidence and Risk Factors for Retinopathy of Prematurity (ROP) in Biggest Neonatal Intensive Care Unit in Itay Elbaroud City, Behera Province, Egypt
title_full_unstemmed Incidence and Risk Factors for Retinopathy of Prematurity (ROP) in Biggest Neonatal Intensive Care Unit in Itay Elbaroud City, Behera Province, Egypt
title_sort incidence and risk factors for retinopathy of prematurity (rop) in biggest neonatal intensive care unit in itay elbaroud city, behera province, egypt
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/41e25f9b93374b7d93ac57780c20d4ec
work_keys_str_mv AT gaberr incidenceandriskfactorsforretinopathyofprematurityropinbiggestneonatalintensivecareunitinitayelbaroudcitybeheraprovinceegypt
AT sorouroa incidenceandriskfactorsforretinopathyofprematurityropinbiggestneonatalintensivecareunitinitayelbaroudcitybeheraprovinceegypt
AT sharafaf incidenceandriskfactorsforretinopathyofprematurityropinbiggestneonatalintensivecareunitinitayelbaroudcitybeheraprovinceegypt
AT saadha incidenceandriskfactorsforretinopathyofprematurityropinbiggestneonatalintensivecareunitinitayelbaroudcitybeheraprovinceegypt
_version_ 1718387624097349632