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Risk factors for retinopathy of prematurity in a district in South India: A prospective cohort study
Ashish A Ahuja1, Yerahaia C V Reddy2, Olukorede O Adenuga1,3
1Retina Department, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Madurai, India.
Insights
The incidence of retinopathy of prematurity (ROP) is high in South India, strongly linked to low birth weight (LBW). While severe ROP cases were fewer, continued neonatal care is vital to prevent childhood blindness.
Area of Science:
- Ophthalmology
- Neonatology
- Public Health
Background:
- Retinopathy of prematurity (ROP) is a significant cause of visual impairment in premature infants.
- Understanding ROP incidence and risk factors in specific regions is crucial for targeted interventions.
Purpose of the Study:
- To determine the incidence, severity, and associated risk factors of ROP in a South Indian district.
- To identify predictors of ROP in a vulnerable infant population.
Main Methods:
- A prospective, observational cohort study was conducted in five Neonatal Intensive Care Units.
- Infants with gestational age ≤36 weeks and birth weight ≤1900 g were enrolled.
- Risk factors were assessed, and logistic regression analysis was used to identify ROP predictors.
Main Results:
- 325 infants were screened; ROP was identified in 32.6% of babies (106 infants).
- Severe ROP (stage ≥3) occurred in 13.2% of affected infants (14 babies).
- Low birth weight (LBW) was the sole significant risk factor for ROP on multivariate analysis.
Conclusions:
- The study highlights a high incidence of ROP, strongly associated with LBW in this South Indian population.
- A relatively low incidence of severe ROP was observed, suggesting the effectiveness of current neonatal care.
- Continued efforts in preterm birth prevention and sustained neonatal care are recommended to reduce ROP and childhood blindness.
Purpose:
The purpose of this study was to determine the incidence, severity, and associated risk factors of retinopathy of prematurity (ROP) in a district in South India.
Methods:
This was a prospective, observational, cohort study involving babies at risk of ROP conducted in five Neonatal Intensive Care Units in a district in Tamil Nadu, South India. All babies with gestational age at birth of ≤36 weeks and a birth weight (BW) of ≤1900 g with a follow-up period of at least 6 months were enrolled for the study. Neonatal and maternal risk factors were assessed and univariate and multivariate logistic regression analysis performed to examine the predictors of ROP.
Results:
A total of 325 infants were screened. ROP was identified in 210 eyes of 106 (32.6%) babies with severe ROP (stage ≥3 ROP) occurring in 14 (13.2%) babies. Low BW (LBW) was the only significant risk factor for ROP on multivariate logistic regression analysis. The mean BW was 1285 and 1452 g for babies with and without ROP, respectively. Treatment was indicated in 22 eyes of 14 (13.2%) infants.
Conclusions:
The incidence of ROP was fairly high and strongly associated with LBW. A relatively low incidence of severe ROP was, however, observed. More effort is, therefore, required towards the prevention of preterm births while the present gains in neonatal care should be sustained to reduce the incidence of ROP and thus childhood blindness in the country.
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