Retinopathy of prematurity risk prediction for infants with birth weight less than 1251 grams.
Publication/Presentation Date
2-1-2015
Abstract
OBJECTIVE: To predict retinopathy of prematurity (ROP) exam findings among infants with birth weight < 1251 g from 32-40 weeks postmenstrual age (PMA).
STUDY DESIGN: Secondary analysis of 3714 eye exams from 1239 infants.
RESULTS: The likelihood of developing type 1 ROP by 40 weeks PMA varied by gestational age (GA) (P < .001), from 33% for ≤25 weeks, 10% for 26 or 27 weeks, 4% for 28 or 29 weeks, and none for ≥30 weeks. By 40 weeks PMA, 51% with GA ≤27 weeks still needed subsequent exams. Previous exam findings, GA, and PMA were predictive of the development of type 1 ROP (area under the curve, 0.78) or mature retina (area under the curve, 0.85).
CONCLUSIONS: This analysis provides the opportunity for development of an ROP approach to estimate resource needs in the neonatal intensive care unit and to facilitate communication with families when planning discharge or transfer.
Volume
166
Issue
2
First Page
257
Last Page
261
ISSN
1097-6833
Published In/Presented At
Kemper, A. R., Wade, K. C., Hornik, C. P., Ying, G. S., Baumritter, A., Quinn, G. E., & Telemedicine Approaches to Evaluating Acute-phase Retinopathy of Prematurity (e-ROP) Study Cooperative Group (2015). Retinopathy of prematurity risk prediction for infants with birth weight less than 1251 grams. The Journal of pediatrics, 166(2), 257–61.e2. https://doi.org/10.1016/j.jpeds.2014.09.069
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
25449219
Department(s)
Department of Pediatrics
Document Type
Article