Retinopathy of prematurity in the period 2015-2019 in a tertiary referral centre in Slovenia

Background: Retinopathy of prematurity (ROP) is the leading cause of blindness among prematurely born children. The incidence of any stage of ROP in children born before the 31st gestational week in Europe and the USA is between 10-45%. The purpose of this study was to show characteristics of ROP be...

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Autores principales:	Manca Tekavčič Pompe, Špela Markelj, Liljana Kornhauser Cerar
Formato:	article
Lenguaje:	EN SL
Publicado:	Slovenian Medical Association 2021
Materias:	retinopathy of prematurity prematurity tertiary referral centre Medicine R
Acceso en línea:	https://doaj.org/article/fe78b2a92e0b4efca35e32594c5b99cb
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spelling	oai:doaj.org-article:fe78b2a92e0b4efca35e32594c5b99cb2021-11-05T07:46:02ZRetinopathy of prematurity in the period 2015-2019 in a tertiary referral centre in Slovenia1318-03471581-022410.6016/ZdravVestn.3085https://doaj.org/article/fe78b2a92e0b4efca35e32594c5b99cb2021-10-01T00:00:00Zhttps://vestnik.szd.si/index.php/ZdravVest/article/view/3085https://doaj.org/toc/1318-0347https://doaj.org/toc/1581-0224Background: Retinopathy of prematurity (ROP) is the leading cause of blindness among prematurely born children. The incidence of any stage of ROP in children born before the 31st gestational week in Europe and the USA is between 10-45%. The purpose of this study was to show characteristics of ROP between 2015 and 2019 at the Neonatal Intensive Care Unit of the University Medical Centre Ljubljana (NICU-Lj), which is the larger of the two tertiary referral centres in Slovenia and in which more than two thirds of Slovenian very low birth weight children are treated. Methods: All prematurely born children screened for ROP at NICU-Lj between 2015 and 2019 were included in the study. The following parameters were recorded: number of children screened, total number of exams, number of exams per child, number of children with ROP, ROP stages, number of children who needed ROP treatment and number of treatments per child treated. Results: Between 2015 and 2019, 82-130 prematurely born children fulfilled ROP screening criteria each year. A total of 1,412 exams were performed over the period of five years (range: 239-386 per year). Every child had one or more ROP screening exams (range: 1-10). Extremely preterm children born before the 27th week of gestation had more exams (average: 5 exams/child) compared to other prematurely born children (average: 1.5 exams/child). The number of prematurely born children with any stage of ROP ranged from 17 to 30 per year. ROP of any stage was present in 18.75% (2015), in 17.7% (2016), in 23% (2017), in 29.3% (2018), and in 24.1% (2019). More than 70% of all babies with ROP were born before the 27th gestational week. The most mature baby with ROP was born with 29 6/7 weeks of gestational age. Every year, 15-35% of babies with ROP received laser treatment. Conclusions: ROP is an important disease in prematurely born children. During the period 2015-2019, the incidence of any stage of ROP and of serious ROP requiring treatment was comparable. The screening and treatment of ROP requires intense cooperation between paediatric ophthalmologists and neonatologists in order to prevent blindness in prematurely born children.Manca Tekavčič PompeŠpela MarkeljLiljana Kornhauser CerarSlovenian Medical Associationarticleretinopathy of prematurityprematuritytertiary referral centreMedicineRENSLZdravniški Vestnik, Vol 90, Iss 9-10, Pp 488-495 (2021)
institution	DOAJ
collection	DOAJ
language	EN SL
topic	retinopathy of prematurity prematurity tertiary referral centre Medicine R
spellingShingle	retinopathy of prematurity prematurity tertiary referral centre Medicine R Manca Tekavčič Pompe Špela Markelj Liljana Kornhauser Cerar Retinopathy of prematurity in the period 2015-2019 in a tertiary referral centre in Slovenia
description	Background: Retinopathy of prematurity (ROP) is the leading cause of blindness among prematurely born children. The incidence of any stage of ROP in children born before the 31st gestational week in Europe and the USA is between 10-45%. The purpose of this study was to show characteristics of ROP between 2015 and 2019 at the Neonatal Intensive Care Unit of the University Medical Centre Ljubljana (NICU-Lj), which is the larger of the two tertiary referral centres in Slovenia and in which more than two thirds of Slovenian very low birth weight children are treated. Methods: All prematurely born children screened for ROP at NICU-Lj between 2015 and 2019 were included in the study. The following parameters were recorded: number of children screened, total number of exams, number of exams per child, number of children with ROP, ROP stages, number of children who needed ROP treatment and number of treatments per child treated. Results: Between 2015 and 2019, 82-130 prematurely born children fulfilled ROP screening criteria each year. A total of 1,412 exams were performed over the period of five years (range: 239-386 per year). Every child had one or more ROP screening exams (range: 1-10). Extremely preterm children born before the 27th week of gestation had more exams (average: 5 exams/child) compared to other prematurely born children (average: 1.5 exams/child). The number of prematurely born children with any stage of ROP ranged from 17 to 30 per year. ROP of any stage was present in 18.75% (2015), in 17.7% (2016), in 23% (2017), in 29.3% (2018), and in 24.1% (2019). More than 70% of all babies with ROP were born before the 27th gestational week. The most mature baby with ROP was born with 29 6/7 weeks of gestational age. Every year, 15-35% of babies with ROP received laser treatment. Conclusions: ROP is an important disease in prematurely born children. During the period 2015-2019, the incidence of any stage of ROP and of serious ROP requiring treatment was comparable. The screening and treatment of ROP requires intense cooperation between paediatric ophthalmologists and neonatologists in order to prevent blindness in prematurely born children.
format	article
author	Manca Tekavčič Pompe Špela Markelj Liljana Kornhauser Cerar
author_facet	Manca Tekavčič Pompe Špela Markelj Liljana Kornhauser Cerar
author_sort	Manca Tekavčič Pompe
title	Retinopathy of prematurity in the period 2015-2019 in a tertiary referral centre in Slovenia
title_short	Retinopathy of prematurity in the period 2015-2019 in a tertiary referral centre in Slovenia
title_full	Retinopathy of prematurity in the period 2015-2019 in a tertiary referral centre in Slovenia
title_fullStr	Retinopathy of prematurity in the period 2015-2019 in a tertiary referral centre in Slovenia
title_full_unstemmed	Retinopathy of prematurity in the period 2015-2019 in a tertiary referral centre in Slovenia
title_sort	retinopathy of prematurity in the period 2015-2019 in a tertiary referral centre in slovenia
publisher	Slovenian Medical Association
publishDate	2021
url	https://doaj.org/article/fe78b2a92e0b4efca35e32594c5b99cb
work_keys_str_mv	AT mancatekavcicpompe retinopathyofprematurityintheperiod20152019inatertiaryreferralcentreinslovenia AT spelamarkelj retinopathyofprematurityintheperiod20152019inatertiaryreferralcentreinslovenia AT liljanakornhausercerar retinopathyofprematurityintheperiod20152019inatertiaryreferralcentreinslovenia
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Retinopathy of prematurity in the period 2015-2019 in a tertiary referral centre in Slovenia

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