A predictive score for retinopathy of prematurity in very low birth weight preterm infants

A predictive score for retinopathy of prematurity in very low birth weight preterm infants

Author Eckert, G. U. Google Scholar
Fortes Filho, J. B. Google Scholar
Maia, M. Autor UNIFESP Google Scholar
Procianoy, R. S. Google Scholar
Institution Hosp Clin Porto Alegre
Univ Fed Rio Grande do Sul
Universidade Federal de São Paulo (UNIFESP)
Abstract Aims This study describes the development of a score based on cumulative risk factors for the prediction of severe retinopathy of prematurity (ROP) comparing the performance of the score against the birth weight (BW) and gestational age (GA) in order to predict the onset of ROP.Methods A prospective cohort of preterm infants with BWp1500 g and/or GAp32 weeks was studied. the score was developed based on BW, GA, proportional weight gain from birth to the 6th week of life, use of oxygen in mechanical ventilation, and need for blood transfusions from birth to the 6th week of life. the score was established after linear regression, considering the impact of each variable on the occurrences of any stage and severe ROP. Receiver operating characteristic (ROC) curves were used to determine the best sensitivity and specificity values for the score. All variables were entered into an Excel spreadsheet (Microsoft) for practical use by ophthalmologists during screening sessions.Results the sample included 474 patients. the area under the ROC curve for the score was 0.77 and 0.88 to predict any stage and severe ROP, respectively. These values were significantly higher for the score than for BW (0.71) and GA (0.69) when measured separately.Conclusions ROPScore is an excellent index of neonatal risk factors for ROP, which is easy to record and more accurate than BW and GA to predict any stage ROP or severe ROP in preterm infants. the scoring system is simple enough to be routinely used by ophthalmologists during screening examination for detection of ROP. Eye (2012) 26, 400-406; doi: 10.1038/eye. 2011.334; published online 23 December 2011
Keywords prematurity
retinopathy of prematurity
very low birth weight
risk factors
severity illness score
Language English
Date 2012-03-01
Published in Eye. London: Nature Publishing Group, v. 26, n. 3, p. 400-406, 2012.
ISSN 0950-222X (Sherpa/Romeo, impact factor)
Publisher Nature Publishing Group
Extent 400-406
Origin http://dx.doi.org/10.1038/eye.2011.334
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000301428900007
URI http://repositorio.unifesp.br/handle/11600/34638

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