Journal article
Perinatal Risk Factors for the Retinopathy of Prematurity in Postnatal Growth and Rop Study
Ophthalmic epidemiology, Vol.26(4), pp.270-278
07/04/2019
DOI: 10.1080/09286586.2019.1606259
PMID: 31012360
Abstract
Objective: To evaluate perinatal risk factors for retinopathy of prematurity (ROP), in a large, broad-risk cohort of premature infants.
Study design: Secondary analysis of data from the Postnatal Growth and ROP (G-ROP) Study, a retrospective cohort study of infants undergoing ROP examinations at 29 North American hospitals in 2006-2012.
Results: Among 7483 infants, 3224 (43.1%) had any ROP and 931 (12.4%) had severe ROP (Type 1 or 2 ROP). In multivariable logistic regression analysis, significant risk factors for any ROP were lower birth weight (BW, odds ratio (OR) = 5.2, <501 g vs. >1250 g), younger gestational age (GA, OR = 32, <25 vs. >29 weeks), 1-min Apgar score <4 (OR = 1.2), race (OR = 1.6, White vs. Black), outborn (OR = 1.5), and delivery room intubation (OR = 1.3); and for severe ROP were lower BW (OR = 20, <501 g vs. >1250 g), younger GA (OR = 30, <25 vs. >29 weeks), male (OR = 1.5), Hispanic ethnicity (OR = 1.8), race (OR = 1.6, White vs. Black), outborn (OR = 1.6), and delivery room intubation (OR = 1.6). Together, these factors predicted well for any ROP (area under ROC curve (AUC) = 0.87) and severe ROP (AUC = 0.89), but BW and GA were the dominant factors for ROP (AUC = 0.86) and severe ROP (AUC = 0.88).
Conclusions: Based on the largest report to date with detailed ROP data from infants meeting current screening guidelines, ROP risk is predominantly determined by the degree of prematurity at birth, with other perinatal factors contributing minimally.
Details
- Title: Subtitle
- Perinatal Risk Factors for the Retinopathy of Prematurity in Postnatal Growth and Rop Study
- Creators
- Gui-Shuang Ying - Penn Presbyterian Medical CenterEdward F Bell - University of IowaPamela Donohue - Johns Hopkins UniversityLauren A Tomlinson - Children's Hospital of PhiladelphiaGil Binenbaum - Penn Presbyterian Medical CenterPostnatal Growth and ROP (G-ROP) Research Group
- Resource Type
- Journal article
- Publication Details
- Ophthalmic epidemiology, Vol.26(4), pp.270-278
- Publisher
- Taylor & Francis
- DOI
- 10.1080/09286586.2019.1606259
- PMID
- 31012360
- ISSN
- 0928-6586
- eISSN
- 1744-5086
- Grant note
- 1R01EY021137-01A1. / National Eye Institute of the National Institutes of Health
- Language
- English
- Date published
- 07/04/2019
- Academic Unit
- Stead Family Department of Pediatrics; Neonatology
- Record Identifier
- 9984354045202771
Metrics
16 Record Views