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The early treatment for ROP (ETROP) randomized trial: study results and nursing care adaptations
Judith G Jones1, Brenda MacKinnon, William V Good
1Department of Newborn Medicine, Magee-Womens Hospital, Pittsburgh, Pennsylvania 15213, USA. jjones2@mail.magee.edu
Insights
Early treatment for retinopathy of prematurity (ROP) significantly improves infant vision outcomes. The Early Treatment for Retinopathy of Prematurity (ETROP) study established new guidelines for ROP care.
Area of Science:
- Ophthalmology
- Neonatal care
- Pediatric medicine
Background:
- Retinopathy of prematurity (ROP) is a significant cause of visual impairment in premature infants.
- The Early Treatment for Retinopathy of Prematurity (ETROP) study investigated optimal treatment timing for high-risk prethreshold ROP.
Purpose of the Study:
- To review the methodology and results of the ETROP study.
- To outline nursing interventions influenced by the new ETROP treatment guidelines.
Main Methods:
- The ETROP study involved early treatment for high-risk prethreshold ROP.
- Key phases included screening, treatment, evaluation, and follow-up.
Main Results:
- Early ROP treatment demonstrated improved retinal outcomes at 9 months corrected age.
- Improved visual outcomes were observed in infants receiving early treatment.
Conclusions:
- The ETROP study provides evidence for early intervention in ROP.
- New guidelines and nursing protocols are established based on ETROP findings.
Abstract:
The Early Treatment for Retinopathy of Prematurity (ETROP) study, funded by the National Eye Institute, has shown that early treatment of high-risk prethreshold retinopathy of prematurity (ROP) improves retinal and visual outcomes at 9 months corrected age. These favorable study results have yielded new guidelines for treatment of infants with ROP This paper reviews the study methodology and results and outlines the neonatal and ophthalmic nursing interventions influenced by this new treatment schedule. Four critical phases, screening/examination, treatment, evaluation, and follow-up, are identified, and key nursing objectives and tasks are discussed.
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